Manager, EDI & Eligibility

AmeriLife

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profile Job Location:

Overland Park, KS - USA

profile Monthly Salary: Not Disclosed
Posted on: 3 days ago
Vacancies: 1 Vacancy

Job Summary

Our Company

Explore how you can contribute at AmeriLife.

For over 50 years AmeriLife has been a leader in the development marketing and distribution of annuity life and health insurance solutions for those planning for and living in retirement.

Associates get satisfaction from knowing they provide agents marketers and carrier partners the support needed to succeed in a rapidly evolving industry.

Job Summary

The Manager EDI & Eligibility oversees the daily operations of the EDI and eligibility processes within the TurnKey benefits administration and enrollment system. This role also serves as a data specialist providing support to clients and internal staff in the generation of data files and ongoing maintenance of data in relation to our clients employees and their supplemental insurance policies. The EDI & Eligibility Manager will perform various tasks including database updates on both our TurnKey enrollment and VUE billing platforms creating reports and integrations within the systems performing quality analysis evaluations and audits on data and system functionality periodically to ensure the accuracy of the database and reports as well as importing data from internal and external sources.

Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following reflects managements definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time for business reasons.

  • Manage and Supervise EDI & Eligibility Specialists
  • Maintain accurate file processing schedule and meet multiple deadlines
  • Process file imports and exports
  • Process error and results reports received after file postings
  • Setup new integrations and reports
  • Analyze file setup configurations and account structures
  • Troubleshoot and resolve file transmission issues including mapping errors and data mismatches
  • Compare data against policy and proposal to identify discrepancies
  • Database setup of new and existing client account structure and configurations
  • Testing new and existing clients system functionality and reporting after setup or changes occur
  • Processing open enrollment system configurations and reporting structure changes
  • Develop and maintain documentation related to eligibility file specs file layouts business rules and escalation protocols
  • Identify and implement improvements to workflows and systems to enhance efficiency and productivity
  • Identify and propose necessary development changes to existing EDI COBRA and Payroll reports as requested and approved Research and resolve report bugs as identified
  • Provide and/or point users to resources on report inquires or user errors as needed
  • Develops and maintains training manuals related to EDI eligibility and discrepancy processes
  • Trains departments on EDI eligibility and discrepancy processes and continues to provide best practice recommendations
  • Gather requirements specs and codes and review to provide hours resource needs and ETA for build and implementation
  • Participate in carrier EDI setup calls as needed
  • Research and Resolve Selerix to VUE Data Sync Discrepancies and assist the Developer in maintaining the necessary enhancements/maintenance to stay in line with business needs
  • Manage billing discrepancy carrier checks
  • Identify development changes to existing EDI COBRA and Payroll reports as requested and approved

QUALIFICATIONS:

  • Bachelors Degree Preferred
  • Full understanding and minimum 2 years experience in insurance industry concepts practices procedures eligibility and product behaviors
  • Experience in Microsoft office Suite (Excel Word Outlook). Advanced Excel knowledge is a necessity
  • Previous supervisory or management experience
  • Skilled in process improvements
  • Data reconciliation skills
  • Strong organizational skills
  • Attention to detail and the ability to work efficiently under deadline pressure is essential
  • Able to multitask prioritize and manage time efficiently
  • Able to work in a fast-paced team environment as well as independently
  • Java Scripting Experience a must
  • Strong interpersonal skills; effective oral and written communications both internally and externally
  • Flexibility and adaptability; energetic and self-driven
  • Skills in multiple aspects of data work including entry analysis reconfiguration and data management

What AmeriLife Offers

A comprehensive benefits package that includes PTO medical dental vision retirement savings disability insurance and life insurance.

Equal Employment Opportunity Statement

We are an Equal Opportunity Employer and value diversity at all levels of the organization. All employment decisions are made without regard to race color religion creed sex (including pregnancy childbirth breastfeeding or related medical conditions) sexual orientation gender identity or expression age national origin ancestry disability genetic information marital status veteran or military status or any other protected characteristic under applicable federal state or local law. We are committed to providing an inclusive equitable and respectful workplace where all employees can thrive.

Americans with Disabilities Act (ADA) Statement

We are committed to full compliance with the Americans with Disabilities Act (ADA) and all applicable state and local disability laws. Reasonable accommodations are available to qualified applicants and employees with disabilities throughout the application and employment process. Requests for accommodation will be handled confidentially. If you require assistance or accommodation during the application process please contact us at .

Pay Transparency Statement

We are committed to pay transparency and equity in accordance with applicable federal state and local laws. Compensation for this role will be determined based on skills qualifications experience and market factors. Where required by law the pay range for this position will be disclosed in the job posting or provided upon request. Additional compensation information such as benefits bonuses and commissions will be provided as required by law. We do not discriminate or retaliate against employees or applicants for inquiring about discussing or disclosing their pay or the pay of another employee or applicant as protected under applicable law. Pay ranges are available upon request.

Background Screening Statement

Employment offers are contingent upon the successful completion of a background screening which may include employment verification education verification criminal history check and other job-related inquiries as permitted by law. All screenings are conducted in accordance with applicable federal state and local laws and information collected will be kept confidential. If any adverse decision is made based on the results applicants will be notified and given an opportunity to respond.


Required Experience:

Manager

Our CompanyExplore how you can contribute at AmeriLife.For over 50 years AmeriLife has been a leader in the development marketing and distribution of annuity life and health insurance solutions for those planning for and living in retirement.Associates get satisfaction from knowing they provide agen...
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Key Skills

  • SQL
  • Information Technology
  • data integrity
  • Test Scripts
  • AS2
  • Access
  • Excel
  • ERP
  • XML
  • Troubleshoot
  • Edifact
  • Computer information system
  • Sftp
  • UNIX