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Location
Danville, PA, United States
Posted
July 27, 2026

Job Description

Job Summary

Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service for enrollment. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties


+ Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.

+ Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.

+ Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.

+ Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments.

+ Updates, approves and interprets me...