Top 572 Eligibility specialist Jobs in San Pedro 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
9d
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
5d
Eligibility Specialist/Care Coordinator
Roots Through Recovery —Long Beach, CA
- $23 - $30 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
Quick Apply
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
Housing Specialist
City of Redondo Beach —Redondo Beach, CA
- $60,564 - $76,416 a year
- Weekends as needed
- Background check
- 18 years or older
- Computer literacy
- Paid holidays
- Disability insurance
Clinical Documentation Improvement Specialist - Remote
Optum —Los Alamitos, CA
- $72,800 - $130,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
Quick Apply
2d
Specialist, Eligibility Verification
Pediatric Associates —San Pedro, CA
- Full-time
- Pediatrics
- Senior level
Compliance, Contract & Procurement Specialist
Maravilla Foundation —Commerce, CA
- $33 an hour
- Full-time
- Spanish
- Bachelor of Science
- Research
- Health insurance
- Dental insurance
Quick Apply
Prevention Specialist (Bilingual Korean)
Koreatown Youth & Community Center —Los Angeles, CA
- $23 - $25 an hour
- Temporary
- Hybrid work
- Background check
- Current TB test
- Computer literacy
- Employee assistance program
- Professional development assistance
Quick Apply
12d
Member Services Specialist (Bilingual - Chinese)
ASTIVA HEALTH INC —Orange, CA
- $25 - $28 an hour
- Full-time
- Background check
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Vehicle Operations Specialist
ITG Automotive, LLC —Torrance, CA
- $20 - $25 an hour
- Overtime
- Background check
- OSHA
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
2d
Underwriting Specialist OR Executive Underwriter - Cyber and Technology E&O
Zurich Insurance Company Ltd. —Los Angeles, CA
- $87,200 - $188,700 a year
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Presentation skills
- Flexible schedule
Personnel Security Specialist
MANTECH —Los Angeles, CA
- Full-time
- Office
- Bachelor's degree
- Mentoring
Personnel Security Specialist
MANTECH —Los Angeles, CA
- Full-time
- Mid-level
- Office
- Bachelor's degree
Bilingual Housing and Occupancy Specialist (COS Preferred)
Personalized HR for PUHC —Los Angeles, CA
- $28 - $38 an hour
- Overtime
- Bilingual
- Spanish
- English
Quick Apply
Occupancy and Recertification Specialist
Related —Los Angeles, CA
- $23 - $24 an hour
- Full-time
- Spanish
- Mid-level
- Training & development
- Health savings account
- AD&D insurance
4d
Peer Support Specialist
AADAP, Inc. —Los Angeles, CA
- $19.63 - $24.51 an hour
- Full-time
- Background check
- Spanish
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
Multi-Site Leasing Specialist
Harbor Group Management Company —Long Beach, CA
- $20 an hour
- Weekends as needed
- Office
- High school diploma or GED
- Driver's License
- Commuter assistance
- Paid parental leave
Quick Apply
Tooling Specialist III- Wire EDM Operator, 1st Shift
Howmet Aerospace —Fullerton, CA
- $21.91 - $37.25 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Tool and Die Specialist IV - 2nd Shift
Howmet Aerospace —Fullerton, CA
- $24.70 - $41.99 an hour
- Full-time
- Mid-level
- High school diploma or GED
- US work authorization
- Paid holidays
- Health 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

Apply Now

Job Details

Full-time
$31 an hour
9 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.

Apply Now

Refine Your Search

eligibility specialist jobs in san pedro ca

Eligibility Specialist I

Customs Specialist

Eligibility Specialist/Care Coordinator

Logistics Specialist

Housing Specialist

Clinical Documentation Improvement Specialist - Remote

Specialist, Eligibility Verification

Compliance, Contract & Procurement Specialist

Prevention Specialist (Bilingual Korean)

Member Services Specialist (Bilingual - Chinese)

Vehicle Operations Specialist

Underwriting Specialist OR Executive Underwriter - Cyber and Technology E&O

Personnel Security Specialist

Personnel Security Specialist

Bilingual Housing and Occupancy Specialist (COS Preferred)

Occupancy and Recertification Specialist

Peer Support Specialist

Multi-Site Leasing Specialist

Tooling Specialist III- Wire EDM Operator, 1st Shift

Tool and Die Specialist IV - 2nd Shift

I want to receive the latest job alert for eligibility specialist in san pedro ca

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