Eligibility Specialist

Assured Benefits Administrators, Inc. (ABA) is a full-service third‑party administrator providing flexible and fully integrated healthcare administration and management solutions across the United States since 1985. We are part of an international healthcare group with more than 35 years of industry experience and are fully integrated with our long‑term partners, who are recognized as industry leaders. ABA is a certified “Great Place to Work”, united by a single mission: standing with members through every moment and milestone in their healthcare journey. With decades of industry experience and a team driven by passion, integrity, and excellence, ABA is committed to delivering connected, transparent, and innovative healthcare solutions to employers and members across the United States. Position Summary The Eligibility Specialist oversees and manages the Eligibility processes, ensuring accurate processing and maintenance of eligibility data for clients of ABA. This role requires strong leadership skills, industry expertise, and a focus on operational excellence to meet organizational and client needs effectively. Duties and Responsibilities Processing enrollment, status changes, and terminations in compliance with ABA policies and standards. Coordinating timely generation of ID cards and welcome packets for members. Collaborating with the onboarding and new client implementation team to input new group data, including rates, plan details, and member updates. Preparing and maintaining departmental reports to track performance and compliance. Partnering with Human Resources and the Senior Manager of Financial Operations to recruit, interview, and hire team members for the Eligibility department. Evaluating and managing Eligibility update processes, both manual and electronic, to ensure accuracy and efficiency. Leading improvement initiatives, including system enhancements, testing, and implementation of new processes and technologies. Ensuring all departmental staff receive comprehensive training for their roles. Collaborating during weekly team meetings to review inventory and other critical operational areas. Overseeing COBRA administration, ensuring compliance with federal regulations, timely notifications, and accurate enrollment processing. Performing other duties as required. Qualifications 3–5 years of experience in the third‑party administration (TPA) or health insurance industry. 3–5 years of experience in a team lead or supervisory role preferred. Proficiency with 834 files and Cobra highly preferred. Strong knowledge of self‑funded medical plans and eligibility processes. Excellent oral and written communication skills, with the ability to communicate effectively in positive and challenging situations. Exceptional interpersonal and presentation skills to engage effectively with leadership, staff, brokers, agents, and clients. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Strong organizational skills with the ability to prioritize and manage multiple tasks. A proactive and solution‑oriented mindset, with a strong sense of urgency and responsiveness to client and team needs. Ability to foster innovation, remain open to new ideas, and adapt to change. #J-18808-Ljbffr