Conduent Retiree Medical Eligibility Specialist in Chesapeake, Virginia

Retiree Medical Eligibility Specialist


Conduent is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Conduent offers business process outsourcing, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Conduent supplies for graphic communication and office printing environments of any size. Conduent serves clients in more than 160 countries. For more information, visit,, or .

Full Time Retiree Medical Eligibility Specialist

Do you enjoy helping others? We want to hear from you!

Currently, we are seeking excellent Retiree Medical Eligibility Specialist to join our team at 1434 Crossways Blvd, Chesapeake, VA 23320. This position is a call center position assisting people with inquiries regarding their Health and Welfare benefits. Ideal candidate is someone who is dependable, analytical, adheres to company/call center policies, researches information before going to the Technical Analyst for assistance, ability to communicate professionally with each client interaction & diffuse irate callers, timely manage his/her workbox, and adheres to assigned schedule and established departmental metrics (ACW, Unscheduled Aux time, etc.); can sit for periods of time. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.

Job Description

  • Accurately performs research to determine medical eligibility coverage for plan participants.

  • Performs reconciliation on participants’ payments, deductions, and return to trust transactions.

  • Analyzes and corrects data produced on the Retiree Medical Extract Report. Finalizes research and dispatch report to vendor by agreed upon deadline.

  • Responsible for troubleshooting, interpreting and correcting system generated error messages within standard.

  • Develops and updates training material to ensure practices and processes remain current.

  • Responsible for performing quality control reviews on peer processing and upload findings in the Quality Database.

  • As required, facilities and/or participates in medical eligibility discussion with the client or third parties.

  • Makes outbound calls to plan participant as required to explain complex eligibility determination.

  • Participates in uncovering the level of quality service being provided to plan participants by conducting outbound survey inquiries as needed.

  • Will collaborate with peers on completing projects assigned to the team.

  • Other duties assigned.

Skill Requirements:


  • Self-Management: Handles multiple demands and competing priorities with minimum direct supervision.

  • Adaptability: Ability to work in a fast paced environment and adjusts well to shifting priorities and new responsibilities. Able to multi-task, handle stress and heavy workloads well.

  • Teamwork: Shows commitment to team, and contributes fair share to work efforts. Has the ability to build effective work relationships across all levels of staff.

  • Communication: Proficient in oral and written expression. Articulates ideas clearly and concisely through email, presentations, teleconferences, etc.

Technical Skills:

  • Analytical: Ability to analyze underlying problems and patterns taken from various sources, evaluates alternatives and draw accurate conclusion.

  • Computer: Experience working with a PeopleSoft Database and the ability to navigate multiple software applications at once.

  • Accuracy & attention to detail

  • Proficient in Microsoft Excel


  • Bachelor Degree is required

  • Two years of experience in Health & Wellness or Define Benefits is a plus.

If this describes you, then apply online today!

Conduent Business Services, LLC is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with Conduent Business Services, LLC may request such accommodation(s) by sending an e-mail to at .

Job Benefits

Primary Location United States-Virginia-Chesapeake

Organization Consumer and Industrials

Unposting Date Sep 21, 2018, 11:59:00 PM

Req ID: 18010878