Enrollment specialist vs senior benefits specialist

Differences between enrollment specialist and senior benefits specialist 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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Senior benefits specialist example responsibilities.

• Develop and manage leave of absence program in accordance with company policy, FMLA and applicable state laws.
• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Coordinate with STD/FMLA carrier and payroll to process disability and FMLA claims.
• Set up new hires in Kronos time & labor system as well as work schedules.
• Act as liaison with vendors to insure accurate and timely claims processing according to HCFA, HIPAA and Medicare guidelines.
• Prepare weekly payroll utilizing Kronos software.
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