About the Role MagnaCare is seeking experienced Employer Services Representatives to remotely manage eligibility processing and facilitate clear communication among participants, employers, and other key stakeholders.
Primary Responsibilities
Onboard new employers to the Employer Services Create Portal, provide training, and ensure retraining for system updates.
Create, audit, and update member profiles in the enrollment database, ensuring timely and accurate eligibility processing.
Enter and verify employer hour demographics for eligibility and payroll, identifying and resolving discrepancies to maintain data integrity.
Build and maintain strong relationships with HR, Payroll, and Benefits teams, providing ongoing support and guidance.
Investigate and resolve employer inquiries, identify process gaps, and conduct quality control checks for payroll and employment data.
Contact employers regarding delinquencies and late file submissions.
Reconcile eligibility discrepancies, analyze enrollment data, and assist with retroactive eligibility changes.
Troubleshoot enrollment and eligibility issues for employers and customer service representatives, providing timely solutions.
Handle escalated member related/employer concerns and complaints.
Work directly with the Finance team to review, process, and resolve inquiries.
Essential Qualifications
Bachelor's degree in Accounting, Business, or Finance preferred, or high school diploma/GED with 5 to 7 years of relevant experience.
Minimum 1 year of experience in system/database management and data analysis; preferred experience in self-service systems, payroll processing, and managed care eligibility.
Basic proficiency in Microsoft Office (Word, Excel, Outlook).
Experience working in and supporting Employer Self-Service contribution modules.
Salesforce experience preferred.
Moderate proficiency with Windows PC applications and complex systems.
Familiarity with Taft-Hartley Funds, HIPAA, COBRA, FMLA, LOAs, QLE, PTO regulations, and Medicare/Medicaid Benefits.
Strong communication, attention to detail, problem-solving, and analytical skills.
Ability to multitask, adapt to change, and collaborate in a team-oriented environment.
Bilingual Spanish preferred.
At MagnaCare LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect, and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
For more than 30 years, MagnaCare LLC has been a trusted partner in delivering flexible, customized solutions for self-insured organizations. As a national third-party administrator (TPA), we combine proprietary technology, network expertise, and a deep understanding of labor to help our clients achieve their goals while supporting the people they serve.
Our focus on labor means we work closely with funds, Taft-Hartley Trusts, and other self-insured groups to deliver tailored solutions that go beyond the basics. From health plan administration and eligibility management to contribution accounting, we provide the tools and support organizations need to succeed. With specialized offerings such as flexible network administration, direct contracting, in-house medical and care management, and workers’ compensation programs, we create benefit plans that address unique needs with precision.
