Enrollment Specialist
Enrollment Specialist
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Job Description
Transform Enrollment Data Into Impactful Global Solutions
This role puts you at the heart of international operations connecting talent managing data with precision and ensuring smooth processes for teams worldwide. Build a global career and shape the future of workforce solutions.
Job Description
As an Enrollment Specialist TPA you will manage and audit benefit plan enrollments process changes and terminations ensure data accuracy and support compliance with COBRA HIPAA and other regulations. You ll collaborate with internal teams to resolve discrepancies and keep records precise across multiple systems.
Job Overview
Shift: Monday to Friday 08:00 AM - 05:00 PM CST
Work setup: Work from home / Remote
Your Daily Tasks
- Maintain up-to-date records in enrollment systems/databases
- Process/audit new enrollments changes and terminations for participants across multiple benefit plans administered by the TPA
- Ensure timely and accurate data entry in claim administration system
- Review eligibility files and reconcile enrollment data against the claim system and payroll files
- Communicate with account management to clarify discrepancies and provide guidance on enrollment procedures
- Coordinate with the internal operations team when there are data feed issues or errors
- Monitor enrollment deadlines and ensure compliance with applicable laws and regulations (e.g. ERISA HIPAA ACA)
- Maintain accurate documentation and audit trails for all enrollment activity
- Generate reports and assist with audits and reconciliations as requested
- Process COBRA notices elections terminations and premium payments in compliance with federal COBRA regulations
- Handle sensitive personal information in a confidential and secure manner following HIPAA privacy and security rules
Requirements
The Qualifications We Seek
- Associate or bachelor s degree in Healthcare Administration Business Administration or a related field (or equivalent work experience)
- Minimum of 1 3 years of experience in COBRA administration HIPAA compliance or group benefits within a third-party administrator (TPA) carrier or HR department
- Familiarity with group health and welfare plans including medical dental vision life disability and voluntary benefits
- Strong organizational and time management skills with excellent attention to detail
- Understanding of HIPAA ERISA and ACA compliance requirements
- Proficiency in Microsoft Excel Word and experience using claim administration systems
Plus:
- Knowledge of enrollment procedures and policies within a third-party administrator (TPA)
- Familiarity with compliance requirements (e.g. FMLA ERISA HIPAA ACA COBRA)
- Familiarity with EDI file processing and carrier billing
Benefits
Exciting Perks Await!
- 5 days work week
- Indefinite term type contract
- Work from home arrangement
- 20 vacation days in total (5 extra leaves convertible to cash)
- Prepaid medicine
- Fully-customized Emapta laptop and peripherals
- Direct exposure to our clients
- Career growth opportunities
- Diverse and supportive work environment
- Prime Office Locations - Bogot and Medellin
- Unlimited upskilling through Emapta Academy courses (Want to know more Visit the Client
Our client is a business process outsourcing (BPO) company that partners with fast-growing global firms to deliver customer success back-office support data analytics marketing solutions and custom business functions. By integrating a highly skilled global workforce into client operations they enable companies to scale innovate and optimize operations worldwide.
Your Future Team at Emapta Latam
Join Emapta Latam and contribute to our legacy of transforming global outsourcing. Since 2010 Emapta has pioneered personalized outsourcing solutions empowering businesses to thrive with bespoke teams and seamless integration. Our commitment to excellence is reflected in our state-of-the-art facilities competitive compensation and a supportive work environment that fosters professional growth. With over 1000 clients worldwide and a team of over 10000 talented professionals Emapta continues to set new standards in the industry. Apply now to be part of our success story in Colombia where your skills are valued and your career ambitions are supported.
#EmaptaEra
The Qualifications We Seek Associate or bachelor s degree in Healthcare Administration, Business Administration, or a related field (or equivalent work experience) Minimum of 1 3 years of experience in COBRA administration, HIPAA compliance, or group benefits within a third-party administrator (TPA), carrier, or HR department Familiarity with group health and welfare plans, including medical, dental, vision, life, disability, and voluntary benefits Strong organizational and time management skills with excellent attention to detail Understanding of HIPAA, ERISA, and ACA compliance requirements Proficiency in Microsoft Excel, Word, and experience using claim administration systems Plus: Knowledge of enrollment procedures and policies within a third-party administrator (TPA) Familiarity with compliance requirements (e.g., FMLA, ERISA, HIPAA, ACA, COBRA) Familiarity with EDI file processing and carrier billing
Employment Type
Full Time
