Especialista en consultoría

Job Title: Client Services & Eligibility Specialist Job Overview We are looking for a Client Services & Eligibility Specialist to manage and ensure the accuracy of employee eligibility data for health benefits. In this role, you will work with brokers, employers, and third-party administrators (TPAs) to validate and process eligibility information, ensuring seamless access to services. This is a remote position with a focus on operational excellence and precision in handling sensitive data. Key Responsibilities Eligibility Management (Primary Focus) Manage day-to-day eligibility operations for brokers, employers, and TPAs. Process member adds, terms, and updates via spreadsheets, file transmissions, and system entries. Review and validate eligibility files for accuracy, completeness, and formatting requirements. Monitor file transmissions, investigate anomalies, and resolve data errors. Research and correct eligibility discrepancies, coordinating with clients and partners. Ensure all e...