Job Details


Requisition Number 19-0018
Post Date 2/7/2019
Title Enrollment Eligibility Services Representative
Organization Concordia Plan Services
Job Grade 14
City St. Louis
State Mo
FT/PT Full Time
Description

Organization Profile

  • Concordia Plan Services ‘walks together’ with the ministries of The Lutheran Church Missouri Synod by providing benefits and services that support the physical and financial health of members and their families. 

     

Reporting Relationships

  • Enrollment Eligibility Services Representative reports to Manager, Enrollment Eligibility Services.

 

Essential Job Functions

  • Serves as front line representative for the department by building relationships with members and employers, supporting on-going Plan participation.
  • Communicates and processes enrollments, transfers, status changes and terminations of members with emphasis on timeliness and accuracy according to plan provisions, outlined procedures and federal or state laws.
  • Reviews and updates procedural manual for job responsibilities and work processes.
  • Manages complex enrollment profiles and requirements.
  • Provides recommendation and documentation to senior representative for difficult cases.
  • Supports other CPS functions, providing research, decision support and subject matter expertise for assigned work areas.
  • Works and manages transactions with minimal supervision.
  • Handles specialized processing for unique enrollment situations (i.e. annual compensation reports, dependent student eligibility, leave of absence, CRP benefits).
  • Runs reports and identifies inconsistencies and quality gaps.
Requirements

Education and Experience

  • Associate Degree or related work experience, required; Bachelor Degree, preferred.
  • Experience managing time-sensitive processes, deadlines, etc.
  • Successful participation on collaborative teams.
  • Experience in a customer service role.
  • Experience in administering benefit plans, preferred.
  • Experience using workflow management technology, preferred.
  • One year of business office environment, preferred.

     

Competencies (Knowledge, Skills and Abilities)

  • Able to quickly understand benefit plans, functions and requirements within Operations, and key interactions among CPS departments/disciplines and related business systems.
  • Demonstrated documentation and record keeping skills.
  • Systems fluency:  command of system and collaborative tools (Pinnacle, Lawson), basic MS Office suite skills.
  • Communication: ability to articulate complex information simply and concisely in person, over the phone and in writing, and to reflect CPS values in all internal and external communications.
  • Customer orientation: demonstrates a high commitment to concepts and principles of Integrity Service program or similar values-based customer service / management program, is dedicated to meeting the expectations and requirements of internal and external customers.
  • Organizational savvy:  ability to navigate effectively in highly regulated industry and with complex organizations required; experience navigating LCMS structure and operations.
  • Performance management and development: sets clear goals and objectives, cooperates and participates fully in the coaching process, and actively seeks continuous learning to improve personal and team performance.
  • Team work: participates fully on assigned and adjunct teams, fosters a collaborative spirit, builds collaborative networks with internal staff and vendor representatives.
  • Sensitivity: practices high level of confidentiality and works comfortably with individuals in crisis.
  • Social / interpersonal skills: interacts effectively with a wide variety of people; respectful and maintains the dignity of others; amicable; fosters differing opinions and values input from various perspectives.

 

Supervisory Responsibility

  • Enrollment Eligibility Representative has no supervisory responsibilities.
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