Enrollment Specialist

We are seeking an Enrollment Specialist focused on supporting the Virginia Insurance Marketplace (VIM) and State-Based Exchange (SBE) processes. This individual will serve as a critical resource for managing high-volume enrollment and reinstatement activities, coordinating with internal teams, and ensuring timely resolution of member-related issues. The role requires strong research abilities, attention to detail, and problem-solving skills to navigate complex enrollment scenarios and marketplace requirements.
This is a fully remote contract position supporting a team that experiences significant volume increases during Open Enrollment. The ideal candidate is dependable, organized, and comfortable working in a fast-paced, process-driven environment.

Day-to-Day Responsibilities
• Manage a shared inbox and process incoming requests from Enrollment, Finance, and marketplace partners.
• Review and resolve SBE/VIM-related tickets and member enrollment issues.
• Process non-payment terminations and submit reinstatement requests as needed.
• Investigate missing enrollments, file transmission issues, and eligibility discrepancies.
• Communicate with the Virginia Insurance Marketplace (VIM) to obtain missing files, verify information, and resolve outstanding cases.
• Validate rates and billing information to ensure accurate enrollment records.
• Handle urgent reinstatement requests and prioritize time-sensitive work.
• Research and troubleshoot enrollment-related issues by gathering information from multiple systems and stakeholders.
• Maintain accurate documentation and follow established procedures while meeting service-level expectations.
• Collaborate closely with Enrollment and Finance teams to ensure timely resolution of cases.

Compensation: $18/hr-$20/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:


Required Skills & Experience

Required
• High school diploma or equivalent; additional certifications in data entry or related fields are a plus.
• Strong attention to detail and organizational skills.
• Ability to research, investigate, and resolve complex issues independently.
• Experience working in a high-volume administrative, customer service, operations, or case-management environment.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency navigating multiple systems and applications simultaneously.
• Dependable attendance and commitment during peak enrollment periods.

Preferred
• Experience with CMS (Centers for Medicare & Medicaid Services).
• Experience supporting health insurance enrollment, benefits administration, or healthcare operations.
• Familiarity with the Virginia Insurance Marketplace (VIM) or marketplace enrollment processes.
• Prior experience working within a ticketing, case-management, or workflow-driven environment.
• Experience handling eligibility, enrollment, billing, or reinstatement activities.


Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.