Full-Time
Claims & Eligibility Specialist
Updated on 8/23/2026
The Accel Group
No salary listed
Moline, IL, USA
In Person
Category
 Accounting (2) |
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Required Skills
QuickBooks
Word/Pages/Docs
Customer Service
Excel/Numbers/Sheets
Microsoft Outlook
Requirements
- A high school diploma or equivalent is required.
- Previous customer service experience is required.
- Previous experience with medical insurance, benefit plan administration, medical claims processing, and/or third-party administration is required.
- Basic knowledge of medical insurance and the ability to answer plan and coverage questions are required.
- Strong attention to detail and accuracy in work are required.
- Excellent customer service skills, including the ability to have positive customer interactions and maintain positive customer relationships, are required.
- Excellent computer skills, including the ability to utilize Microsoft Outlook, Word, and Excel, web-based computer applications, and other agency management systems, are required.
- Excellent time management and organizational skills, including the ability to handle multiple projects or tasks, meet established deadlines, and change priorities as business needs require, are required.
- Excellent written and verbal communication and interpersonal skills are required.
- The ability to work collaboratively in a team environment and independently with minimal daily supervision is required.
- The ability to utilize basic office equipment, including a computer, keyboard, mouse, monitors, printer, copier, and scanner, is required.
- Satisfactory completion of a pre-employment background check is required.
Responsibilities
- Process weekly disability claims.
- Answer member questions related to eligibility, benefits, coverage, and claims.
- Prepare and distribute health plan information to members.
- Prepare and mail COBRA notices to members.
- Act as a liaison between members and the pharmacy benefit manager regarding prescription claims.
- Verify coverage and provide claim status updates to providers.
- Record daily deposits and self-pays from members.
- Transfer funds from accounts as necessary to pay claims and fund liabilities.
- Prepare and reconcile monthly reports for appropriate plans.
- Prepare monthly, quarterly, and annual tax returns.
- Reconcile monthly bank statements and QuickBooks reports.
- Prepare the monthly annuity report and complete the monthly wire transfer.
- Track monthly and quarterly invoices.
- Prepare participation and retiree billing.
- Prepare financial reports for quarterly trustee meetings.
- Maintain accurate documentation and records related to health-plan administration and claims, including eligibility and participation records, member communications, claim statuses and payments, billing, and pension payroll files.
- Assist with reception, telephone answering, and other office functions as needed.
Desired Qualifications
- Additional experience with Taft-Hartley plans is helpful but not required.
- Basic accounting experience is helpful but not required.
The Accel Group
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