Benefits Associate

Posted 11 Days Ago
Be an Early Applicant
Houston, TX, USA
In-Office
Junior
Insurance
The Role
Provide technical and administrative support for benefits enrollment and carrier connectivity. Maintain Employee Navigator and Applied Epic records, reconcile billing, manage EDI/API/834 connections, produce reports, assist with compliance (Medicare, 1094), and coordinate with account managers, carriers, and clients.
Summary Generated by Built In

Description

We are seeking a detail-oriented and tech-savvy Benefits Associate to join our Health & Benefits team. This role provides technical and administrative support with a focus on enrollment technology, carrier connectivity, reporting, billing reconciliation, compliance, and policy maintenance. 

Requirements

Key Responsibilities

· Build and maintain Employee Navigator (ENAV) for new clients, Open Enrollment, and benefit changes.

· Manage enrollment activity, including employee additions, terminations, and Qualifying Life Events (QLEs).

· Review carrier discrepancy reports and work with carriers and internal team members to research and resolve issues.

· Coordinate and maintain EDI/API and 834 carrier connections.

· Perform billing audits and prepare billing discrepancy, deduction, enrollment, and other client reports.

· Assist with Medicare compliance and 1094 reporting.

· Collect census, HB2015, and other required client information.

· Maintain activities and documentation within Applied Epic.

· Work closely with Account Managers, carriers, clients, and other Benefits team members to keep enrollment and policy information accurate and up to date.

Qualifications

· Life & Health insurance license preferred or willingness to obtain.

· Excellent organization and follow-through.

· Comfortable working with data, spreadsheets, and multiple technology platforms.

· Strong problem-solving skills and the ability to research discrepancies through resolution.

· Professional written and verbal communication skills.

· Ability to manage multiple priorities and deadlines in a fast-paced environment.

· Previous employee benefits, insurance, HR administration, billing, or related experience preferred.

· Employee Navigator and/or Applied Epic experience is a plus.

· Experience with EDI/API/834 carrier connections is a plus.

***This is not a remote position***

All applicants must be authorized to work in and currently reside in the United States.

NO AGENCIES OR 3RD PARTY INQUIRIES

Skills Required

  • Authorized to work in and currently reside in the United States
  • Ability to work on-site (not a remote position)
  • Excellent organization and follow-through
  • Comfortable working with data, spreadsheets, and multiple technology platforms
  • Strong problem-solving skills and ability to research discrepancies through resolution
  • Professional written and verbal communication skills
  • Ability to manage multiple priorities and deadlines in a fast-paced environment
  • Life & Health insurance license or willingness to obtain
  • Previous employee benefits, insurance, HR administration, billing, or related experience
  • Employee Navigator and/or Applied Epic experience
  • Experience with EDI/API/834 carrier connections
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The Company
HQ: Houston, TX
36 Employees
Year Founded: 1980

What We Do

Carroll Insurance Agency assists businesses and individuals in managing and protecting their assets. We help our clients navigate an ever evolving environment around all types of business and personal insurance and related risk management products and practices. For businesses we act as an integrated partner to develop the right risk management strategy. We provide business insurance, employee benefits, and other risk management products and services in a consultative approach that allows companies to make informed and effective decisions around protecting their own assets. In providing property and casualty insurance we work with numerous carriers to find the right solutions for specific needs. We also leverage strategic carrier relationships that allow us to offer improved terms, conditions and pricing that benefit our clients. Our major commercial service areas include: - Business Insurance - Health and Benefits - Bonding services - Risk management consulting For individuals we function as an advisor to help manage and protect individual physical and financial assets. Our personal risk management professionals assist with: - Personal insurance - Life and estate planning Contact Carroll Insurance Agency for any insurance or risk management questions you may have.

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