Company
Insurance
FulfillmentResolutionAnalyst
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Fulfillment Resolution Analyst. Skills: Fulfillment resolution, Data accuracy, Process management. Investigate enrollment discrepancies. Resolve enrollment discrepancies”
What You'll Achieve.
Accurate member-level data alignment; Accurate plan-level data alignment; Meet departmental goals; Directly impacts client satisfaction; Directly impacts data accuracy
Industry & Context.
Root cause analysis; Solution-focused
What They're Looking For.
Must Have
2 years of experience in benefits administration, 2 years of experience in insurance operations, 2 years of experience in enrollment support, Knowledge of employee benefits processes, Knowledge of eligibility/enrollment workflows, Manage multiple high-volume tasks accurately, Ability to stay organized, Ability to stay adaptable, Ability to stay solution-focused
Nice to Have
Life and health insurance license, Experience with D365 or similar tools
What You'll Do.
Investigate enrollment discrepancies
Resolve enrollment discrepancies
Investigate eligibility discrepancies
Resolve eligibility discrepancies
Execute corrections in systems
Ensure accurate member-level data alignment
Ensure accurate plan-level data alignment
Research root causes of data mismatches
Collaborate with internal teams
Collaborate with carriers
Implement corrective actions
Manage retroactive eligibility requests
Manage exception-based eligibility requests
Manage standard eligibility requests
Maintain documentation of resolution workflows
Maintain documentation of procedures
Maintain audit trails
Serve as primary point of contact
Ensure compliance with data privacy standards
Ensure compliance with security standards
Provide feedback to stakeholders
Provide insights to stakeholders
Support additional operational tasks
Support operational initiatives
How You'll Work.
Team & Collaboration
Internal teams; External partners; External carriers
Communication Scope
Interpersonal skills
Full Job Description
## Accountabilities Investigate and resolve enrollment and eligibility discrepancies identified through fulfillment and quality assurance processes. Execute corrections in benefits administration systems to ensure accurate member-level and plan-level data alignment with carrier records. Research root causes of data mismatches and collaborate with internal teams and carriers to implement corrective actions. Manage retroactive, exception-based, and standard eligibility requests in coordination with external partners. Maintain accurate documentation of resolution workflows, procedures, and audit trails in accordance with operational standards. Serve as the primary point of contact for issue resolution cases throughout their lifecycle. Ensure compliance with data privacy and security standards, including HIPAA requirements, when handling sensitive member information. Provide feedback and insights to stakeholders based on recurring audit findings and operational trends. Support additional operational tasks and initiatives as assigned to meet departmental goals. Requirements: Minimum of 2 years of experience in benefits administration, insurance operations, enrollment support, or a related field. Strong knowledge of employee benefits processes and eligibility/enrollment workflows. Experience working with systems such as Microsoft Excel and CRM or benefits platforms (experience with D365 or similar tools is a plus). Ability to manage multiple high-volume tasks accurately in a fast-paced, deadline-driven environment. Strong attention to detail with a high level of accuracy in data correction and validation work. Excellent communication and interpersonal skills with the ability to collaborate across internal teams and external carriers. Ability to stay organized, adaptable, and solution-focused in situations involving ambiguity or change. Life and health insurance license preferred but not required. Benefits: Competitive hourly compensation ranging from $20 to $23 per hour,
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