Enrollment Specialist I

Summary: SureCo is a leading provider of individual health insurance plans in the US, aiming to simplify health benefits for employers and their employees. The Enrollment Specialist is responsible for managing the full enrollment lifecycle, ensuring accurate submissions to insurance carriers, and maintaining coverage integrity. Responsibilities: - Submit carrier applications for all enrollment types: New hire enrollments, Open enrollment elections, Qualifying Life Events (QLEs), Plan changes and updates, Terminations and COBRA transitions - Collect and submit supplemental documentation required by carriers - Ensure enrollment accuracy before submission - Meet carrier-specific submission requirements and deadlines - Track enrollment status through carrier systems - Maintain operational relationships with insurance carriers - Navigate carrier portals and submission systems - Coordinate with carrier representatives on enrollment issues - Perform post-enrollment carrier validation and confirmation - Verify coverage accuracy across the enrollment lifecycle: Open Enrollment, Enrollment submission, Audit, Payment - Validate plan accuracy and member information - Identify and resolve carrier discrepancies - Conduct compliance auditing of enrollment processes - Perform process quality assurance reviews - Follow up on pending carrier applications - Resolve enrollment discrepancies with carriers - Coordinate on enrollment escalations - Document and track enrollment issues - Prevent retroactive corrections through proactive validation Required Qualifications: - High school diploma required; Associate's or Bachelor's degree preferred - 1-3 years of experience in benefits enrollment, insurance administration, or related field - Health insurance industry experience - Understanding of carrier enrollment processes and systems - Attention to Detail: Critical for enrollment accuracy - Organization: Can manage multiple enrollments across carriers and deadlines - Process Adherence: Follows carrier-specific requirements precisely - Problem Solving: Can troubleshoot enrollment issues with carriers - Communication: Clear written and verbal communication with carriers and internal teams - Time Management: Meets strict enrollment deadlines - Proficiency with multiple carrier enrollment portals - Strong data entry and verification skills - Excel skills for tracking and reporting - Understanding of health insurance plan types and structures - Familiarity with enrollment lifecycle stages Preferred Qualifications: - Associate's or Bachelor's degree Required Skills: Benefits Enrollment, Insurance Administration, Health Insurance Industry, Carrier Enrollment Processes, Carrier Enrollment Portals, Data Entry, Data Verification, Excel, Health Insurance Plan Types