Provide consultative telephonic and web-based assistance to stakeholders regarding Health Benefit Exchange administration and eligibility management. Act as a customer advocate by documenting activities in the database and meeting department service metrics.
Responsible for reviewing and processing medical, dental, and vision claims in accordance with regulatory requirements and plan guidelines. The role involves researching documentation, verifying pricing, and resolving issues for providers and members.
Maintain and administer employee benefits within the Covered California for Small Business exchange, including processing enrollments and terminations. Resolve member inquiries and coordinate with internal departments and external vendors to fix eligibility and billing issues.
Maintain and administer employee benefits within the Covered California for Small Business exchange, including processing enrollments and terminations. Resolve member inquiries and coordinate with internal departments and external vendors to fix eligibility and billing issues.
