Eligibility Coordinator; Murray, UT

Summary

The Eligibility Coordinator is an entry level position and will provide customer service, determine, maintain and terminate member and/or dependent eligibility for health care benefits.

• Know the plan rules for eligibility as outlined in the Summary Plan Description (SPD) for each fund.
• Collect completed enrollment forms and add all members and their eligible dependents to the Bene Sys computer system and any/all outside carrier systems; send requests for additional documentation on incomplete enrollment forms and/or denial with rights to appeal.
• Audit vendor reports and invoices on a monthly or weekly basis.
• Determine qualifying events and notify member/dependent of COBRA rights.
• Prepare and mail eligibility correspondence including but not limited to enrollment forms, enrollment packages and self-payment notices.
• Scan and index documents into document storage system.
• Provide exceptional customer service via phone and email to internal and external customers.
• Maintain regular and predictable attendance, which is an essential function of this job.

• Prior experience in a clerical and customer service role, preferred.
• Post‑High School education or prior related work experience, preferred.
• Excellent customer service and phone skills.
• Proficient in MS Word, Excel and Outlook.
• Ability to read and interpret eligibility plan rules, department rules and procedures manual and COBRA compliance manual.
• Ability to speak clearly and effectively to explain eligibility requirements to members, dependents, providers and union officials.
• Ability to multi‑task.

Full‑time. Monday – Friday, 7:30 am – 4:00 pm. Required in office (no at‑home days).

• Paid Time Off (PTO)
  • 15 days of PTO during first full calendar year.
• Medical, dental, vision and life insurance.
• Company‑paid basic life, short‑term disability, long‑term disability and AD&D insurances.
• 401(k) with employer match.
• Tuition reimbursement program.
• Career development opportunities.
• Referral bonus for all successful full‑time referrals.

The rate for this position is $24.00 – $25.50 per hour. The actual rate offered depends on skills, experience, education and other business factors.

Bene Sys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally.

We want to create a place where employees can find long‑term growth and potential.

Our culture focuses on three core values:

• Collaboration:
  
  working together across 31 locations to achieve the best for the company and our clients.
• Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues.
• Integrity: doing what we say we will do. Upholding strong ethical and moral principles.

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.