Benefit Systems Integration & Eligibility Analyst

Posted Yesterday
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Columbia, SC, USA
In-Office
42K-52K Annually
Entry level
Insurance • Financial Services
The Role
Manage group benefits eligibility, including enrollments, changes, and terminations for medical, ancillary, and worksite products. Coordinate and monitor 834 EDI, data exchange, COBRA, cafeteria, and payroll integrations. Troubleshoot data discrepancies and transmission errors, maintain accurate records, communicate with advisors, employers, carriers, and internal teams, and support onboarding and required certifications.
Summary Generated by Built In

The Cason Group serves insurance professionals by delivering creative sales and service solutions that exceed expectations through Group Benefits, Individual Medical, and Financial Services.

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Job Title: Benefit Systems Integration & Eligibility Analyst
Division: Group Benefits
Location: Columbia, SC
Type: Full-Time; May be eligible for hybrid work schedule after successful completion of training
Hiring Range: $42,000 - $52,000 annual salary (commensurate with directly applicable experience)
Commitment: Two-Year Commitment to The Cason Group; One-Year Commitment to the Integration Analyst role

Our Benefit Systems Team works with insurance advisors’ employer clients to custom-build benefit administration platforms. As a Benefit Systems Eligibility & Integration Analyst, you will be responsible for managing and processing group enrollments, overseeing eligibility and integration functions for medical, ancillary, and worksite products, and supporting TPA and payroll integrations while serving as a key resource for troubleshooting enrollment and data discrepancies.

What Our Eligibility & Integration Analysts Do:

  • Manage & Maintain Eligibility: Oversee all eligibility operations, including processing enrollments, additions, changes, and terminations for group medical, ancillary, and worksite products during renewals and ongoing eligibility cycles while entering all required information from employee change forms into internal databases with accuracy; respond promptly to agents, employer groups, carriers, and internal teams within required timeframes, and ensure that eligibility data remains current, precise, and aligned with carrier requirements
  • Coordinate and Support Integrations: Handle all Benefit Systems integrations by establishing and monitoring data feeds such as 834 EDI files, Data Exchange feeds, COBRA, Cafeteria, and Payroll integrations- while entering progress updates into internal systems, tracking transmission status in real time; resolve discrepancies and transmission errors, and ensure seamless and accurate flow of eligibility data between employer systems, carriers, and partners
  • Engage & Partner Across Teams: Develop strong relationships with advisors, group administrators, carrier EDI teams, and internal departments while prioritizing workload based on urgency; communicating escalated issues to supervisors; participating in carrier trainings, support onboarding through on-the-job training for new employees; complete required certifications such as the AHIP Fundamentals A exam, and perform any additional tasks reasonably requested to support organizational goals.

What We Are Looking For:

  • Bachelor’s Degree or equivalent experience in a related field
  • Strong attention to detail and accuracy along with compliance of deadlines while managing and prioritizing multiple tasks simultaneously
  • Excellent communication and interpersonal skills
  • Ability to work as part of a team
  • Proficiency in Microsoft Office; knowledge of and experience with email and database systems

Why You Should Work With Us:

  • Excellent Benefits: Health, Dental, Vision, Life, and Disability insurance options
  • 401K Retirement Plan with company contribution
  • Paid Time Off (vacation and holidays)
  • Employee Assistance Program
  • Charitable Matching and Paid Community Service Time

Skills Required

  • Bachelor's degree or equivalent experience in a related field
  • Strong attention to detail and accuracy
  • Ability to meet deadlines while managing and prioritizing multiple tasks
  • Excellent communication and interpersonal skills
  • Ability to work as part of a team
  • Proficiency in Microsoft Office
  • Knowledge of and experience with email and database systems
  • Completion of required certifications, such as the AHIP Fundamentals A exam
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The Company
125 Employees

What We Do

Founded in 1991, The Cason Group is a general agency that provides sales support and service to insurance professionals throughout the Southeast. They represent over 20 carriers, helping insurance agents find the best coverage for their clients through creative sales and service solutions. The company specializes in health and life products, guiding advisors and consultants with stable advice to exceed client expectations.

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