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Eligibility Specialist

NTT DATA

Jacksonville, FL
3 days ago
$18.50 - $19.00

Job Description

Join NTT DATA as an Eligibility Specialist and play a vital role in maintaining enrollment and benefit information for self-insured employer groups. This position offers the opportunity to work in a dynamic environment while supporting clients with their eligibility needs.

Key Responsibilities

  • Answer telephone inquiries from insured members, employers, providers regarding enrollment and prescription issues
  • Process EDI Member Maintenance on a daily basis
  • Oversee the process of benefit additions, changes, and deletions in the GBAS system
  • Manage prescription drug benefits additions, changes, and deletions with Pharmacy Benefit Managers
  • Coordinate the printing and mailing of health ID cards to insured members
  • Provide COBRA administration for self-insured groups
  • Run eligibility reports as needed
  • Participate in audits as needed

Required Qualifications

  • 1-2 years of Eligibility experience
  • 1-2 years of EDI experience
  • High School Education

Preferred Qualifications

  • Previous experience working in the insurance or benefits management field

Benefits & Perks

Medical, dental, and vision insuranceFlexible spending or health savings accountLife and AD&D insuranceShort- and long-term disability coveragePaid time off401k program with company match