(FF-974) | ENROLLMENT SPECIALIST TPA

Emapta Global


This role places you at the core of international operations—connecting talent, managing data with accuracy, and ensuring seamless processes for teams worldwide. Build a global career and shape the future of workforce solutions. Job Description As an Enrollment Specialist, you will be responsible for managing and auditing benefit plan enrollments, processing changes and terminations, ensuring data accuracy, and supporting compliance with regulations such as COBRA and HIPAA. You will collaborate with internal teams to resolve discrepancies and maintain precise records across multiple systems. Job Overview Employment type: Indefinite contract Shift: Monday to Friday, 08:00 AM - 05:00 PM CST Work setup: Remote / Work from home - 5-day work week - Indefinite contract - Remote work - 20 vacation days (including 5 convertible to cash) - Provided Emapta laptop and peripherals - Exposure to clients - Diverse, supportive environment - Unlimited upskilling via Emapta Academy Qualifications - Associate or bachelor's in Healthcare Admin, Business Admin, or related field (or equivalent experience) - 1–3 years experience in COBRA administration, HIPAA compliance, or group benefits within TPA, carrier, or HR - Knowledge of group health and welfare plans (medical, dental, vision, life, disability, voluntary benefits) - Strong organizational and attention to detail skills - Understanding of HIPAA, ERISA, ACA requirements - Proficiency in MS Excel, Word, and claim systems Responsibilities - Process and audit enrollments, changes, and terminations - Ensure accurate data entry in claim systems - Review eligibility files and reconcile data - Communicate with account management for discrepancies - Coordinate with operations on data issues - Monitor deadlines and ensure legal compliance - Maintain documentation and audit trails - Generate reports and support audits - Handle COBRA notices, elections, and payments - Securely handle sensitive information following HIPAA rules

trabajosonline.net © 2017–2021
Más información