Top 707 Eligibility specialist Jobs in Long Beach Ca

Eligibility Specialist I
Southern California United Food & Commercial Workers Unions and Food Employers Joint Benefit Funds A —Cypress, CA
- $31 an hour
- Full-time
- Microsoft Outlook
- Customer service
- HIPAA
- Military leave
- Parental leave
12d
Eligibility Specialist/Care Coordinator
Roots Through Recovery —Long Beach, CA
- $23 - $30 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
Quick Apply
Customs Specialist
C.H. Robinson —Long Beach, CA
- $21.76 - $45.96 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Paid parental leave
- Health savings account
8d
Logistics Specialist
FNS, INC —Carson, CA
- $50,000 - $70,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Disability insurance
- Dental insurance
Quick Apply
Product Specialist
The TJX Companies, Inc. —Los Angeles, CA
- $104,800 - $136,200 a year
- Hybrid work
- Microsoft Excel
- Merchandising
- Mid-level
- Health savings account
- Paid holidays
Specialist, Eligibility Verification
Pediatric Associates —San Pedro, CA
- Full-time
- Pediatrics
- Senior level
Student Services Specialist
Rancho Santiago Community College District —Santa Ana, CA
- $65,409.97 - $83,499.64 a year
- Online Application
- Background check
- Management
- High school
Digital Specialist I Mon-Fri 8:00am-4:30pm
Vital Holdings LLC —Tustin, CA
- Overtime
- English
- Ability to lift 50 pounds
- Cleaning
Quick Apply
Product Specialist
TJX Companies —Los Angeles, CA
- $104,800 - $136,200 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Merchandising
- Mid-level
- Health savings account
- Paid holidays
EHR Billing Specialist I - EHR
Health Right 360 —Los Angeles, CA
- $28.35 - $30.45 an hour
- Full-time
- Background check
- Bachelor of Science
- Writing skills
Quick Apply
9d
Admissions Specialist
Roots Through Recovery —Long Beach, CA
- $23 - $28 an hour
- Part-time
- Hybrid work
- Spanish
- Mid-level
- High school diploma or GED
Quick Apply
Field Support Specialist
Maxim Healthcare Services Direct —Gardena, CA
- $24.50 - $26.00 an hour
- Full-time
- HIPAA
- Office
- Administrative experience
- Profit sharing
- Commuter assistance
Quick Apply
Assets Protection Specialist
Target —Carson, CA
- $25.00 - $42.50 an hour
- Weekends as needed
- 18 years or older
- High school diploma or GED
- Fair chance
- Paid holidays
- Disability insurance
2d
Sr. Specialist, Import/Export Compliance
Mitsubishi Electric US, Inc. —Cypress, CA
- $72,800 - $100,100 a year
- Full-time
- Mid-level
- 3 years
- US work authorization
- Paid time off
- Parental leave
Quick Apply
10d
Clinical Complaint Specialist
Masimo —Irvine, CA
- $80,000 - $100,000 a year
- Full-time
- Nursing
- Schematics
- RN License
- Paid parental leave
- AD&D insurance
Customer Project Specialist
Graybar Electric Company, Inc. —Anaheim, CA
- $28 - $33 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Profit sharing
- Paid holidays
Quick Apply
Facilities Ops Specialist I
Kite Pharma —El Segundo, CA
- $86,275 - $111,650 a year
- Full-time
- Mid-level
- 3 years
- Databases
- Health insurance
- Dental insurance
Ocean Import Specialist
FNS, INC —Torrance, CA
- $55,000 - $65,000 a year
- Full-time
- Microsoft Outlook
- Word processing
- English
- Disability insurance
- Dental insurance
Quick Apply
5d
Assistant Environmental Health Specialist
County of Orange —Orange County, CA
- $29.48 - $39.74 an hour
- Full-time
- Customer service
- Word processing
- Driving
- On-the-job training
Logistics Specialist I
FNS, INC —Carson, CA
- $50,000 - $55,000 a year
- Full-time
- Microsoft Outlook
- Office
- High school diploma or GED
- Disability insurance
- Dental insurance
Quick Apply

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Eligibility Specialist I

Southern California United Food & Commercial Workers Unions and Food Employers Joint Benefit Funds A
Cypress, CA

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Job Details

Full-time
$31 an hour
12 days ago

Benefits

Military leave
Parental leave

Qualifications

Microsoft Outlook
Spreadsheets
High school diploma or GED

Full Job Description

SUMMARY: Process the full lifecycle of eligibility, enrollment, COBRA, and death benefit transactions in accordance with plan documents, written policies, administrative procedures, and applicable laws.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Review, verify, and process eligibility and enrollment applications, COBRA elections, qualifying events, premium payments / refunds, and death benefit applications, ensuring accuracy, completeness, and compliance with plan rules.
Accurately update and maintain participant eligibility, enrollment, dependent, and benefit records in internal systems using appropriate source documentation, including changes related to employment status, marital status, dependents, disability, student status, leaves of absence, transfers, rehires, and terminations.
Accurately update and maintain participant eligibility, enrollment, dependent, and benefit records in internal systems using appropriate source documentation, including changes related to employment status, marital status, dependents, disability, student status, leaves of absence, transfers, rehires, and terminations.
Process COBRA-related activities, including verifying qualifying events, determining eligibility periods, posting payments, reviewing reports, issuing required correspondence, and updating system krecords.
Process death benefit claims and payments in accordance with plan provisions, including coordinating required documentation and updating participant records.
Review and process documents through imaging and workflow systems; annotate records as needed, request missing or additional documentation, and maintain records in compliance with retention requirements.
Coordinate eligibility-related updates with vendors and HMOs, including processing plan changes, adjustments, and required reporting through vendor portals and internal reports.
Review employer reports, premium contribution data, termination reports, and other eligibility-related submissions; reconcile discrepancies and process reimbursements or adjustments as required.
Provide interim or continuation benefits for participants affected by qualifying life or employment events, including maternity/paternity leave, FMLA, military leave, jurisdiction transfers, rehires, and employer contract changes, consistent with applicable laws and plan provisions.

Maintain a working knowledge of applicable plan documents, summaries of plan provisions, eligibility rules, and administrative policies to ensure consistent and accurate application.
Actively participate in system testing and implementation activities as needed.
Identify and recommend opportunities for process improvements related to workflow, system functionality, and administrative procedures.
Complete all assigned work in accordance with departmental quality, volume, and timeliness standards.
Coordinate and share knowledge with department staff to support cross-training, coverage, and consistent application of eligibility rules.
Comply with Trust Fund policies, organizational standards, HIPAA requirements, privacy and confidentiality practices, and attendance expectations.
Perform other related duties and special projects as assigned to support departmental and organizational needs.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

High School diploma or GED required
Experience in benefits administration, eligibility processing, healthcare administration, insurance, pension/benefit fund operations, or a related customer service–focused administrative role preferred
Ability to utilize MS Office (Excel, Word, and Outlook). Basic proficiency required.

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Refine Your Search

eligibility specialist jobs in long beach ca

Eligibility Specialist I

Eligibility Specialist/Care Coordinator

Customs Specialist

Logistics Specialist

Product Specialist

Specialist, Eligibility Verification

Student Services Specialist

Digital Specialist I Mon-Fri 8:00am-4:30pm

Product Specialist

EHR Billing Specialist I - EHR

Admissions Specialist

Field Support Specialist

Assets Protection Specialist

Sr. Specialist, Import/Export Compliance

Clinical Complaint Specialist

Customer Project Specialist

Facilities Ops Specialist I

Ocean Import Specialist

Assistant Environmental Health Specialist

Logistics Specialist I

I want to receive the latest job alert for eligibility specialist in long beach ca

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