The Role
Perform eligibility and enrollment data analysis and reconciliation for life insurance programs. Investigate vendor file discrepancies, conduct full-file comparisons, support testing/validation, troubleshoot 834/SFTP transmissions, and document procedures while coordinating with technical staff, vendors, and business teams.
Summary Generated by Built In
Minimally qualified candidates will have experience or skills in the following areas:
• Attention to detail
• Ability to research, interpret, and apply relevant WI Statutes, Admin Code,
policies and procedures
• Ability to analyze and compare large data sets and files to identify discrepancies,
inconsistencies, and trends Ability to investigate and determine root causes of
data or file discrepancies in collaboration with technical staff, vendors, and
business teams
• Working knowledge of data exchange processes, file layouts, and/or eligibility
and enrollment data
• Experience troubleshooting data issues and documenting findings, resolutions,
and procedures
• Intermediate proficiency in Microsoft Excel, including formulas, filtering, sorting,
pivot tables, and lookup functions
• Ability to understand and communicate complex data and information to both
technical and non-technical audiences
• Critical and analytical thinking for effective problem-solving
• Working collaboratively with different teams across an organization
• Capacity to learn new tools, systems, applications, and ability to document
procedures to assist others in using
• Sound time management and ability to manage multiple, concurrent assignments
• Obtain relevant information without disclosing confidential information
• Ability to interact positively with a variety of persons at different levels
• Excellent written, oral, and interpersonal skills
Job Duties
• Support OSHP program managers and EIU case managers in addressing vendor
queries related to historical member benefits enrollment and eligibility
information.
• Support OSHP life insurance program manager and Benefits Initiation Section 3
staff in administering life insurance enrollment and eligibility, handling escalated
eligibility and enrollment questions resulting from discrepancies between My
Insurance Benefits system, Securian Financial billing system, and employer
records.
• Support the Life Insurance Premium Waiver interim process.
• Assist in the development and documentation of new ETF procedures related to
eligibility and enrollment administration for the life insurance program.
• Conduct the life insurance salary audit, verifying consistency between employer
reported salary information and current on file information; work with EIU case
managers to resolve errors.
• Support the vendor file discrepancy process following MIBs implementation—
reviewing error reports returned from Benefitfocus, determining updates needed
in system, from employers, or by plans.
• Conduct full-file comparisons and data reconciliation activities between vendor,
employer, and ETF systems to identify discrepancies and ensure data integrity.
• Research, analyze, and troubleshoot eligibility and enrollment discrepancies,
coordinating with ETF technical staff, vendors, and business teams to identify
root causes and implement corrective actions.
• Assist with monitoring and resolving vendor file transmission issues, including
834 file processing and SFTP connectivity concerns.
• Support testing and validation activities related to eligibility, enrollment, and
vendor file changes or system updates.
Requirements
Top Skills & Years of Experience:
Qualified applicants will have a minimum of three (3) years of professional experience in each of the following areas:
• Benefits administration, eligibility and enrollment operations, insurance operations, or a closely related field, including interpretation and application of statutes, administrative code, policies, procedures, and business rules.
• Data analysis, reconciliation, and validation across files, reports, and systems to identify discrepancies, inconsistencies, and trends, including use of Microsoft Excel for comparison and analysis.
• Research and resolution of eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification, corrective action coordination, and documentation of findings and outcomes.
• Serving as a liaison between internal staff, technical teams, vendors, and stakeholders to communicate issues, exchange information, and support resolution of complex eligibility and enrollment issues.
Nice to Have Skills:
The ideal candidate will demonstrate:
• Advanced Microsoft Excel skills, including use of formulas, pivot tables, lookup functions, filtering, and sorting to analyze and compare large or complex data sets.
• Experience performing data reconciliation and file comparison across multiple systems to identify discrepancies and support data integrity and issue resolution.
• Knowledge of eligibility, enrollment, and benefits administration processes, including understanding of data exchange between employers, vendors, and internal systems.
• Strong analytical and problem-solving skills, including ability to investigate data issues, identify root causes, and support resolution in collaboration with technical and business partners.
• Strong communication, organization, and documentation skills, including ability to clearly convey complex information, manage multiple priorities, and document findings and resolutions.
Skills Required
- Attention to detail
- Ability to research, interpret, and apply relevant WI Statutes, Admin Code, policies and procedures
- Ability to analyze and compare large data sets and files to identify discrepancies, inconsistencies, and trends
- Ability to investigate and determine root causes of data or file discrepancies in collaboration with technical staff, vendors, and business teams
- Working knowledge of data exchange processes, file layouts, and/or eligibility and enrollment data
- Experience troubleshooting data issues and documenting findings, resolutions, and procedures
- Intermediate proficiency in Microsoft Excel, including formulas, filtering, sorting, pivot tables, and lookup functions
- Ability to understand and communicate complex data and information to both technical and non-technical audiences
- Critical and analytical thinking for effective problem-solving
- Working collaboratively with different teams across an organization
- Capacity to learn new tools, systems, applications, and ability to document procedures to assist others in using
- Sound time management and ability to manage multiple, concurrent assignments
- Obtain relevant information without disclosing confidential information
- Ability to interact positively with a variety of persons at different levels
- Excellent written, oral, and interpersonal skills
- Minimum of three (3) years experience in benefits administration, eligibility and enrollment operations, insurance operations, or closely related field
- Minimum of three (3) years experience in data analysis, reconciliation, and validation across files, reports, and systems, including use of Microsoft Excel
- Minimum of three (3) years experience researching and resolving eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification and documentation
- Minimum of three (3) years experience serving as a liaison between internal staff, technical teams, vendors, and stakeholders
- Advanced Microsoft Excel skills (formulas, pivot tables, lookup functions) — nice to have
- Experience performing data reconciliation and file comparison across multiple systems — nice to have
- Knowledge of eligibility, enrollment, and benefits administration processes and data exchange between employers, vendors, and internal systems — nice to have
- Strong analytical and problem-solving skills and ability to investigate data issues and identify root causes — nice to have
- Strong communication, organization, and documentation skills, including ability to manage multiple priorities — nice to have
Am I A Good Fit?
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.
Success! Refresh the page to see how your skills align with this role.
The Company
What We Do
Novalink Solutions LLC is a global consulting, engineering, and AI product development company specializing in information technology and telecommunications. They provide AI-powered products, automation platforms, intelligent workflow systems, IT consulting, managed engineering, and staff augmentation services.
