Enrollment Specialist I Lifemap
Cambia Health Solutions

Job Info

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Lifemap Enrollment Specialist I or II, DOE
Portland, Oregon


Primary Job Purpose

The Enrollment Specialist establishes and maintains eligibility and provides eligibility related customer service to accounts of varying complexity and maintenance.

General Functions and Outcomes

• Carries a full load of group enrollment changes. Can be assigned to more complex accounts.
• Activate, review, reconcile, and maintain individual, small, large or specialized group enrollment applications. Calculate appropriate waiting period credits, eligibility data, effective date and enter member data as appropriate to calculate premiums. Information needed to maintain these accounts can come from telephone calls to or from employers, insured members, or agents, or incoming mail or fax.
• Review benefit set up to ensure that the billing is correct. Monitor guarantee-issue rules and notify Medical Underwriting to communicate with insured members when EOI is required.
• Provide customer service to internal and external customers by supplying information through written correspondence and responding to telephone inquiries.
• Incorporate and apply changes made to LifeMap enrollment policies and procedures to ensure current requirements are met.
• Ensure changes are processed through defined daily metrics to achieve established enrollment turnaround standards. Enrollment is done using mainframe, Web and Imaging systems.
• Perform accurately and timely all eligibility tasks and assist and train less experienced staff in interpreting benefits and eligibility.
• In support of other staff, will cross-train on a variety of jobs to provide back-up capabilities including back-up for other LifeMap Departments.

Minimum Requirements

• Demonstrated proficiency on 10 key.
• Demonstrated 40 wpm tying skills with 95% accuracy
• Ability to express ideas and recommendations clearly and with a high level of professionalism in written and oral communications.
• Proficiency with Microsoft Office software.
• Ability to work in an Imaging environment.
• Ability to work in a web based environment.
• Ability to think analytically and to make sound judgments from analysis.
• Ability to plan and organize own work.
• Ability to work flexible hours during periods of heavy workloads.
• Ability to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.

Normally to be proficient in the competencies listed above

Enrollment Specialist I LifeMap would have a High School Diploma or GED and one year enrollment experience or equivalent combination of education and related work experience.

LifeMap employees are part of the larger Cambia Health Solution's family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

LifeMap is a life and disability insurance company, which offers additional benefits such as dental, vision, and short term medical coverage, to provide financial protection and access to care. People do business with us because of our high value products, our easy-to-understand language and our personalized service. We provide thoughtful guidance to help people choose the coverage they truly need through life's transitions.

Cambia Health Solutions is a nonprofit total health solutions company with community roots dating back to 1917. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and wellbeing of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

Information about how Cambia Heath Solutions collects, uses, and discloses information is available in our Privacy Policy.

This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check are required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

This job has expired.