ENROLLMENT SPECIALIST TPA

40.000.000 - 80.000.000
Emapta Global


1 day ago Be among the first 25 applicants This role puts you at the heart of international operations—connecting talent, managing data with precision, and ensuring smooth processes for teams worldwide. Build a global career and shape the future of workforce solutions. Job Description As an Enrollment Specialist , you will manage and audit benefit plan enrollments, process changes and terminations, ensure data accuracy, and support compliance with COBRA, HIPAA, and other regulations. You’ll collaborate with internal teams to resolve discrepancies and keep records precise across multiple systems. Job Overview Employment type: Indefinite term type contract Shift: Monday to Friday, 08:00 AM - 05:00 PM CST Work setup: Work from home / Remote 5 days work week Indefinite term type contract Work from home arrangement 20 vacation days in total (5 extra leaves convertible to cash) Fully-customized Emapta laptop and peripherals Direct exposure to our clients Diverse and supportive work environment Unlimited upskilling through Emapta Academy courses (Want to know more? Visit https://bit.ly/EmaptaTrainingCalendar ) The Qualifications We Seek Associate or bachelor’s degree in Healthcare Administration, Business Administration, or a related field (or equivalent work experience) Minimum of 1–3 years of experience in COBRA administration , HIPAA compliance , or group benefits within a third-party administrator (TPA) , carrier , or HR department Familiarity with group health and welfare plans , including medical, dental, vision, life, disability, and voluntary benefits Strong organizational and time management skills with excellent attention to detail Understanding of HIPAA , ERISA , and ACA compliance requirements Proficiency in Microsoft Excel , Word , and experience using claim administration systems Plus: Knowledge of enrollment procedures and policies within a third-party administrator (TPA) Familiarity with compliance requirements (e.g., FMLA, ERISA, HIPAA, ACA, COBRA) Familiarity with EDI file processing and carrier billing Your Daily Tasks Process/audit new enrollments, changes, and terminations for participants across multiple benefit plans administered by the TPA Ensure timely and accurate data entry in claim administration system Review eligibility files and reconcile enrollment data against the claim system and payroll files Communicate with account management to clarify discrepancies and provide guidance on enrollment procedures Coordinate with the internal operations team when there are data feed issues or errors Monitor enrollment deadlines and ensure compliance with applicable laws and regulations (e.g., ERISA, HIPAA, ACA) Maintain accurate documentation and audit trails for all enrollment activity Generate reports and assist with audits and reconciliations as requested Process COBRA notices, elections, terminations, and premium payments in compliance with federal COBRA regulations Handle sensitive personal information in a confidential and secure manner, following HIPAA privacy and security rules About the Client Our client is a business process outsourcing (BPO) company that partners with fast-growing global firms to deliver customer success, back-office support, data analytics, marketing solutions, and custom business functions . By integrating a highly skilled global workforce into client operations, they enable companies to scale, innovate, and optimize operations worldwide. Your Future Team at Emapta Latam Join Emapta Latam and contribute to our legacy of transforming global outsourcing. Since 2010, Emapta has pioneered personalized outsourcing solutions, empowering businesses to thrive with bespoke teams and seamless integration. Our commitment to excellence is reflected in our state-of-the-art facilities, competitive compensation, and a supportive work environment that fosters professional growth. With over 1,000 clients worldwide and a team of over 10,000 talented professionals , Emapta continues to set new standards in the industry. Apply now to be part of our success story in Colombia, where your skills are valued, and your career ambitions are supported. # EmaptaEra Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Administrative Industries Outsourcing and Offshoring Consulting Referrals increase your chances of interviewing at Emapta Global by 2x Sign in to set job alerts for “Enrollment Specialist” roles. 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