Eligibility Data Specialist

Our Company

Explore how you can contribute at AmeriLife.

For over 50 years, AmeriLife has been a leader in the development, marketing and distribution of annuity, life and health insurance solutions for those planning for and living in retirement.

Associates get satisfaction from knowing they provide agents, marketers and carrier partners the support needed to succeed in a rapidly evolving industry.

Job Summary

AmeriLife Benefits, a national leader in voluntary, executive & Medicare benefits, is seeking an EDI Specialist. Are you looking to join a nimble, industry-leading organization with a reputation for high-quality consulting and benefit services, along with strong earnings potential and a team-oriented structure to help you succeed? We could be your career solution.

The Eligibility Specialist primarily functions as a data specialist providing support to clients and internal staff in the auditing of billing and EDI data files in relation to our client’s employees and their supplemental insurance policies. You will also provide discrepancy resolution, data entry and testing on new clients being added into the enrollment and billing system or with changes needed to existing clients. This position requires skills in multiple aspects of data work including entry, analysis, and data management. The Eligibility Specialist will perform various tasks including database updates on both our enrollment and billing platforms, running reports and integrations within the systems, performing quality analysis evaluations and audits on data and system functionality often to ensure the accuracy of the database and reports as well as importing data from internal and external sources.

This position full-time and compensation is dependent upon experience.

Job Description

DEPARTMENT:          AmeriLife Benefits

TITLE:                         Eligibility Data Specialist

REPORTS TO:            Manager, EDI & Eligibility

FLSA STATUS:           Non-Exempt

Responsibilities:

• Track production EDI deliverables across several clients and carriers.
• Upload Insurance carrier invoices into billing system and run database crosscheck to identify discrepancies.
• Research and resolve eligibility vs billing discrepancies.
• Analyze file setup configurations and account structures.
• Analyze EDI files for accuracy.
• Database crosschecks.
• Compare data against policy and proposal to identify discrepancies.
• Process file imports and exports.
• Process Error and Results reports received after file postings.
• Process data entry corrections as needed.
• Assistance with testing new and existing clients reporting after setup or as changes occur.

Requirements:

• Advanced Excel knowledge is a necessity.
• Data reconciliation skills.
• Strong organizational skills and multi-tasking skills, with an ability to critically examine processes to make improvements in efficiency and quality of service.
• Willingness and aptitude to keep up with emerging technologies.
• Strong verbal and written communication skills.
• Superior analytical reasoning, along with oral communication and phone skills.
• An ability to work independently and as part of a dynamic team.
• Ability to prioritize and manage time efficiently.
• Flexibility and adaptability; energetic and self-driven.
• Experience in working with Benefit Enrollment / Benefit Administration Systems is a plus.

AMERILIFE BENEFITS 

AmeriLife Benefits, a division of AmeriLife Group, LLC, is a national leader in the employee benefits market. We provide voluntary, executive and Medicare benefits and administration services through our business segments of Benefits Direct, Voluntary Insurance Products, LLC (VIP), Blue Chip Benefits, LLC, Taylor & Sons Insurance Agency, LLC, and National Insurance Marketing Brokers, LLC (NIMBL). We partner with leading medical brokers to serve more than 1,000 groups across America with “best-in-breed” products and services, including communication and enrollment, account management, billing, eligibility management and reporting. Our flexible model is designed to meet the individual case needs of small to large groups, while delivering superior customer service. Our brokerage partners and group accounts consistently give us satisfaction ratings that are among the best in the industry. And, together with AmeriLife, an industry leader with 50 years of experience offering insurance and retirement planning solutions, we bring to bear a tremendous team of experts and resources in HR and benefits, communications, legal and technology support.

 

Equal Employment Opportunity Statement

We are an Equal Opportunity Employer and value diversity at all levels of the organization. All employment decisions are made without regard to race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), sexual orientation, gender identity or expression, age, national origin, ancestry, disability, genetic information, marital status, veteran or military status, or any other protected characteristic under applicable federal, state, or local law. We are committed to providing an inclusive, equitable, and respectful workplace where all employees can thrive.

 

Americans with Disabilities Act (ADA) Statement

We are committed to full compliance with the Americans with Disabilities Act (ADA) and all applicable state and local disability laws. Reasonable accommodations are available to qualified applicants and employees with disabilities throughout the application and employment process. Requests for accommodation will be handled confidentially. If you require assistance or accommodation during the application process, please contact us at HR@AmeriLife.com.

 

Pay Transparency Statement

We are committed to pay transparency and equity, in accordance with applicable federal, state, and local laws. Compensation for this role will be determined based on skills, qualifications, experience, and market factors. Where required by law, the pay range for this position will be disclosed in the job posting or provided upon request. Additional compensation information, such as benefits, bonuses, and commissions, will be provided as required by law. We do not discriminate or retaliate against employees or applicants for inquiring about, discussing, or disclosing their pay or the pay of another employee or applicant, as protected under applicable law. Pay ranges are available upon request.

 

Background Screening Statement

Employment offers are contingent upon the successful completion of a background screening, which may include employment verification, education verification, criminal history check, and other job-related inquiries, as permitted by law. All screenings are conducted in accordance with applicable federal, state, and local laws, and information collected will be kept confidential. If any adverse decision is made based on the results, applicants will be notified and given an opportunity to respond.