Enrollment specialist vs workers compensation coordinator

Differences between enrollment specialist and workers compensation coordinator 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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Workers compensation coordinator example responsibilities.

• Support, maintain and manage input of information into the automated HRIS system, and integrate HRIS with other systems.
• Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
• Maintain employee records in ADP and PeopleSoft.
• Create job codes using PeopleSoft; conduct periodic audits and analysis.
• Act as liaison with third-party administrator (TPA) and insurance carrier.
• Assist in the development of new applicant tracking system and HRIS database.
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