Enrollment specialist vs benefits analyst

Differences between enrollment specialist and benefits analyst duties and responsibilities

Enrollment specialist example responsibilities.

• Manage the TRICARE information program by presenting information utilizing available media, group presentations, or mailings.
• Manage customer relations with internal personnel, group administrators, brokers and members as related to HMO commercial insurance.
• Maintain records pertaining to eligibility and enrollment by managing CMS reports.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
• Assist medical assistance consumers with choosing HMO's and PCP as well as with HMO and PCP transfers.
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Benefits analyst example responsibilities.

• Manage relationships with all FSA clients including supporting their employee inquiries, reporting, and explain policy and procedure.
• Manage regulatory compliance with federal and state leave laws such as FMLA, ADA, CFRA, PDL and FEHA.
• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Develop data analysis procedures to comply with ACA regulations.
• Screen clients for Medicaid and other health insurance eligibility.
• Provide functional expertise and leadership of retiree benefits administration during the RFP selection process for outsourcing retirement administration.
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