Enrollment / Benefits Data Specialist

Our client is looking for an Enrollment/Benefits Data Specialist to support program managers and EIU case managers in addressing vendor queries related to historical member benefits enrollment and eligibility information.

Tasks:

·        Support life insurance program manager and Benefits Initiation Section 3 staff in administering life insurance enrollment and eligibility, handling escalated eligibility and enrollment questions resulting from discrepancies between My Insurance Benefits system, Securian Financial billing system, and employer records.

·        Support the Life Insurance Premium Waiver interim process.

·        Assist in the development and documentation of new procedures related to eligibility and enrollment administration for the life insurance program.

·        Conduct the life insurance salary audit, verifying consistency between employer reported salary information and current on file information; work with EIU case managers to resolve errors.

·        Support the vendor file discrepancy process following MIBs implementation—reviewing error reports returned from Benefit focus, determining updates needed in system, from employers, or by plans.

·        Conduct full-file comparisons and data reconciliation activities between vendor, employer, and systems to identify discrepancies and ensure data integrity.

·        Research, analyze, and troubleshoot eligibility and enrollment discrepancies, coordinating with technical staff, vendors, and business teams to identify root causes and implement corrective actions.

·        Assist with monitoring and resolving vendor file transmission issues, including 834 file processing and SFTP connectivity concerns.

·        Support testing and validation activities related to eligibility, enrollment, and vendor file changes or system updates.

Knowledge, Skills and Abilities Required:

·        Strong analytical and problem-solving skills, including ability to investigate data issues, identify root causes, and support resolution in collaboration with technical and business partners.

·        Strong communication, organization, and documentation skills, including ability to clearly convey complex information, manage multiple priorities, and document findings and resolutions.

·        Attention to detail

·        Ability to research, interpret, and apply relevant WI Statutes, Admin Code, policies and procedures

·        Ability to analyze and compare large data sets and files to identify discrepancies, inconsistencies, and trends Ability to investigate and determine root causes of data or file discrepancies in collaboration with technical staff, vendors, and business teams

·        Experience troubleshooting data issues and documenting findings, resolutions, and procedures

·        Ability to understand and communicate complex data and information to both technical and non-technical audiences

·        Critical and analytical thinking for effective problem-solving

·        Working collaboratively with different teams across an organization

·        Capacity to learn new tools, systems, applications, and ability to document procedures to assist others in using

·        Sound time management and ability to manage multiple, concurrent assignments

·        Obtain relevant information without disclosing confidential information

·        Ability to interact positively with a variety of persons at different levels

NOTE: WI residency required. No relocation allowed. This position will be mostly remote. During the first six months of employment, the selected candidate will be required to work onsite every Wednesday to support onboarding, training, and integration with the team. After the initial six-month period, the position will require onsite attendance on the 1st and 3rd Wednesdays of the month, as well as for board meetings, onsite trainings or other required in-person meetings or business needs.  

Location: Madison, WI  

Contract: 1 year

Skills Required:

3 years of experience in the following:

·        Experience with benefits administration, eligibility and enrollment operations, insurance operations, or a closely related field, including interpretation and application of statutes, administrative code, policies, procedures, and business rules.

·        Experience with data analysis, reconciliation, and validation across files, reports, and systems to identify discrepancies, inconsistencies, and trends, including use of Microsoft Excel for comparison and analysis.

·        Experience with research and resolution of eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification, corrective action coordination, and documentation of findings and outcomes.

·        Experience serving as a liaison between internal staff, technical teams, vendors, and stakeholders to communicate issues, exchange information, and support resolution of complex eligibility and enrollment issues.

·        Working knowledge of data exchange processes, file layouts, and/or eligibility and enrollment data

·        Bachelor''s Degree in a related field

Skills Desired – A plus to have:

·        Advanced Microsoft Excel skills, including use of formulas, pivot tables, lookup functions, filtering, and sorting to analyze and compare large or complex data sets.

·        Experience performing data reconciliation and file comparison across multiple systems to identify discrepancies and support data integrity and issue resolution.

·        Knowledge of eligibility, enrollment, and benefits administration processes, including understanding of data exchange between employers, vendors, and internal systems.

*** Rate depends on experience. W2 only. 

*** Candidates authorized to work in the US are encouraged to apply. We can accept H1b, , TN, and other valid work visas for IT. However, we cannot accept OPT or CPT visas at this time.

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