Eligibility Supervisor

ABOUT US

Assured Benefits Administrators, Inc. (ABA) is a full-service third-party administrator, or TPA, providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience, and we’re fully integrated with our long-term partners, who are recognized as industry leaders.

ABA is a certified “Great Place to Work”, united by a single mission: standing with members through every moment and milestone in their healthcare journey. With decades of industry experience and a team driven by passion, integrity, and excellence, ABA is committed to delivering connected, transparent, and innovative healthcare solutions to employers and members across the United States.

POSITION SUMMARY

The Eligibility Supervisor oversees and manages the Eligibility department, ensuring accurate processing and maintenance of eligibility data for clients of ABA. This role requires strong leadership skills, industry expertise, and a focus on operational excellence to meet organizational and client needs effectively.

DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following:

• Processing enrollment, status changes, and terminations in compliance with ABA policies and standards.


• Coordinating timely generation of ID cards and welcome packets for members.


• Collaborating with the onboarding and new client implementation team to input new group data, including rates, plan details, and member updates.


• Preparing and maintaining departmental reports to track performance and compliance.


• Partnering with Human Resources and the Senior Manager of Financial Operations to recruit, interview, and hire team members for the Eligibility department.


• Evaluating and managing Eligibility update processes, both manual and electronic, to ensure accuracy and efficiency.


• Leading improvement initiatives, including system enhancements, testing, and implementation of new processes and technologies.


• Ensuring all departmental staff receive comprehensive training for their roles.


• Collaborate during weekly team meetings to review inventory and other critical operational areas.


• Manage administration of COBRA, FSA, HRA, and HSA eligibility, payments, and rate changes.  


• May perform other duties as required.

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

• 3-5 years of leadership experience in a team lead or supervisory role.


• 3–5 years of experience in the third-party administration (TPA) or health insurance industry.


• Strong knowledge of self-funded medical plans and eligibility processes.


• Excellent oral and written communication skills, with the ability to communicate effectively in positive and challenging situations.


• Exceptional interpersonal and presentation skills to engage effectively with leadership, staff, brokers, agents, and clients.


• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).


• Strong organizational skills with the ability to prioritize and manage multiple tasks.


• A proactive and solution-oriented mindset, with a strong sense of urgency and responsiveness to client and team needs.


• Ability to foster innovation, remain open to new ideas, and adapt to change.

OTHER DETAILSSupervisory Responsibilities

Supervision of individual contributors.

Work Environment

The noise level in the work environment is usually low to moderate.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus.

Travel Requirements

Occasional travel may be required.

 

NOTE

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise.

The Company complies with employment regulations as they apply to the location of service.