Job Description

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Regular or Temporary:

Regular

Language Fluency: English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

Installation of new and renewing administered cases to include group demographics, benefits, rates, benefit calculations, business rules and enrollment.
Our employees work a hybrid schedule. On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from home.

At CRC Benefits, an industry leading provider of benefits services, we believe that it takes great employees to build a resilient organization. Our culture is based on corporate values that focus on inclusion, trust, collaboration, and innovation to help us build a bright future. As a result of listening to our employees, CRC Benefits recently earned a Top Workplaces USA award three years in a row based solely on employee feedback and insight! If you want to work for a company where employees are valued and growth is encouraged, CRC Benefits could be the place.

Required Responsibilities:

• Accurate case installation to ensure efficient carrier transmission, employer billing, and benefit utilization.

• Process enrollment for new and renewing cases in all systems in accordance with group paperwork as well as carrier guidelines.
• Notify Quality Assurance that the case is complete and ready to be quality checked
• Move cases to a billing division in IBAS when the case and related quality assurance has been completed and bill can be generated.

• Enter data for the set-up of COBRA Administration on a group level.
• Process transactions regarding employee eligibility in the required carrier systems; including, but not limited to, urgent enrollments, COBRA reinstatements, COBRA end dates, re-hires, Medicare and PCP information.
• Daily utilization of reports to monitor workflow; including but not limited to Division reports, workflow, Unbilled, transmission, error correction, and Problem Tracker.
• Meet and exceed all set service agreements and BenefitMall procedures:

• Meet/exceed all documented Service Level Agreements; including but not limited to, Problem Tracker resolution, quality assurance, case installation, and error corrections.
• Meet/exceed all documented Service Level Agreements; including but not limited to, Problem Tracker resolution, quality assurance, case installation, and error corrections
• Adherence to all documented procedures and Standard Operating Processes
• Maintain effective communication with Mid-Atlantic New Business to ensure smooth implementation of coverage.
• Identify the need to escalate issues to Supervisor, Manager and/or Director

• Actively participate in departmental and team meetings and apply gained knowledge to day-to-day processes
• Physical requirements include sitting, frequently speaking and hearing, and occasionally standing, walking, bending, crawling, kneeling and the ability to lift up to 25lbs.

Required Qualifications:

• High School diploma or equivalent, with a minimum of two (2) years experience.
• Understanding of the health insurance industry.
• Strong experience with accurately entering data into computer system.
• Strong knowledge of Microsoft Office, specifically Excel, Word, and Outlook Exchange; proficiency with web browsers.

The annual base salary for this position is $46,000.00 - $52,000.00.

General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.

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