Top 63 Eligibility worker Jobs in Norwalk 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
1d
Eligibility Specialist/Care Coordinator
Roots Through Recovery —Long Beach, CA
- $23 - $30 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
Quick Apply
Specialist, Eligibility Verification
Pediatric Associates —San Pedro, CA
- Full-time
- High school diploma or GED
- Ability to sit for extended periods
- Pediatrics
Eligibility Assistant
Medical Transportation Management (MTM, Inc.) —Commerce, CA
- From $20 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Office
Quick Apply
Medical Eligibility and Intake Coordinator
Make-A-Wish Greater Los Angeles —Century City, CA
- $60,000 - $70,000 a year
- Email
- Hybrid work
- Background check
- Spanish
- Microsoft Excel
- 403(b) matching
- Paid holidays
Quick Apply
12d
STEM/STEAM Instructor
A Better Tomorrow Education —Orange, CA
- From $23 an hour
- Part-time
- Background check
- Classroom
- Experience working with individuals with disabilities
Quick Apply
ROTA Nanny
Confidential Investment Company —Santa Monica, CA
- $35 - $45 an hour
- Weekends as needed
- Bilingual
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Insurance Eligibility Assistant
Alliance Health Services, Inc. —Montrose, CA
- $21 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- 401(k)
Quick Apply
Manager of Faculty Development
Stanbridge University —Irvine, CA
- $90,000 - $110,000 a year
- Background check
- Classroom
- Doctoral degree
- Wellness program
- AD&D insurance
Quick Apply
Programming Instructor
Coding Minds Academy —Irvine, CA
- $20 - $25 an hour
- Part-time
- Java
- Experience working with children
- JavaScript
- Flexible schedule
Quick Apply
Adjunct Faculty, Vocational Nursing - Weekend Clinical & Skills Lab Inst
Stanbridge University —Irvine, CA
- Part-time
- Background check
- Laboratory
- Classroom
- Employee assistance program
Quick Apply
2d
Eligibility Operations Coordinator
Astiva Health —Orange, CA
- $25 - $29 an hour
- Microsoft Excel
- Computer literacy
- Basic math
- Dental insurance
- 401(k)
Quick Apply
7d
Financial Eligibility Worker
NORTHEAST COMMUNITY CLINIC —Hawthorne, CA
- $22 - $27 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Medicare Membership & Eligibility Analyst (Temporary)
Central California Alliance for Health (Remote) —Los Angeles, CA
- $34 - $48 an hour
- Temporary
- Hybrid work
- Adults
- Research
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Medicare Membership & Eligibility Analyst (Temporary)
Central California Alliance for Health —Huntington Beach, CA
- $34 - $48 an hour
- Temporary
- Hybrid work
- Research
- Mid-level
- Master's degree
- Wellness program
- Paid holidays
Quick Apply
Creative Arts & Financial Literacy Instructor - After School Enrichment
BRAINS AND MOTION EDUCATION —Bellflower, CA
- $32 an hour
- Part-time
- Background check
- Classroom
- Mid-level
Quick Apply
Intake and Eligibility Coordinator
Central City Neighborhood Partners —Los Angeles, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Jr. Environmental Designer
CODE FOUR —Huntington Beach, CA
- Full-time
- Bachelor's degree
- Entry level
Quick Apply
Knowlej School Activator
Knowlej —Los Angeles, CA
- $25 an hour
- Call employer
- Background check
- Spanish
- Public speaking
Quick Apply
Japanese Language Teaching Opportunities
Concorde Education —Los Angeles, CA
- $50 - $100 an hour
- Contract
- Classroom
- High school
- Organizational skills
Quick Apply
5d

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Eligibility Specialist I

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

Apply Now

Job Details

Full-time
$31 an hour
1 day 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.

Apply Now

Refine Your Search

eligibility worker jobs in norwalk ca

Eligibility Specialist I

Eligibility Specialist/Care Coordinator

Specialist, Eligibility Verification

Eligibility Assistant

Medical Eligibility and Intake Coordinator

STEM/STEAM Instructor

ROTA Nanny

Insurance Eligibility Assistant

Manager of Faculty Development

Programming Instructor

Adjunct Faculty, Vocational Nursing - Weekend Clinical & Skills Lab Inst

Eligibility Operations Coordinator

Financial Eligibility Worker

Medicare Membership & Eligibility Analyst (Temporary)

Medicare Membership & Eligibility Analyst (Temporary)

Creative Arts & Financial Literacy Instructor - After School Enrichment

Intake and Eligibility Coordinator

Jr. Environmental Designer

Knowlej School Activator

Japanese Language Teaching Opportunities

I want to receive the latest job alert for eligibility worker in norwalk ca

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