Job Description
```html About Worklith Hirezen is a forward‑thinking leader in the health‑benefits and insurance technology space, delivering innovative solutions that connect employers, providers, and members across the United States. Our mission is to simplify complex benefit administration while providing a seamless, customer‑centric experience that empowers members to make informed health decisions. With a culture built on transparency, collaboration, and continuous improvement, Gigspire invests heavily in people, technology, and processes that drive measurable value for our clients and the broader industry. As we expand our footprint, we are looking for dedicated professionals who thrive in dynamic environments and share our commitment to excellence. Why This Role Matters In today’s fast‑paced benefits landscape, the accuracy and timeliness of member data can directly influence eligibility, claims processing, and overall satisfaction. As a Data Entry & Claims Specialist at Talvora, you will be at the heart of this critical operation. You will ensure that every record is meticulously maintained, that benefit elections are correctly applied, and that our internal teams have the reliable data they need to deliver world‑class service. Your attention to detail, problem‑solving ability, and customer‑first mindset will help shape the experience of thousands of members. Key Responsibilities Data Accuracy & Integrity: Enter, verify, and update member information—including dates, names, salary figures, and plan selections—across multiple platforms while adhering to Flexionis’s strict quality standards. Eligibility Determination: Review contractual guidelines and policy provisions to confirm effective dates for benefit elections, ensuring compliance with legal and regulatory requirements. Claims Support: Assist the claims department by providing accurate member records, flagging inconsistencies, and collaborating on resolution of non‑routine issues. Process Improvement: Identify repetitive bottlenecks, propose workflow enhancements, and participate in change‑management initiatives that streamline data‑entry processes. Customer Experience Focus: Anticipate member needs, respond promptly to inquiries, and demonstrate flexibility when handling system corrections or urgent updates. Regulatory Compliance: Complete all required training modules, stay up‑to‑date on industry regulations, and apply sound judgment to protect confidential information. Team Collaboration: Partner with cross‑functional stakeholders—including benefits administrators, IT support, and client services—to ensure seamless data flow and issue resolution. Documentation & Reporting: Maintain detailed logs of changes, generate periodic reports for audit purposes, and contribute to internal knowledge bases. Continuous Learning: Embrace opportunities to expand technical proficiency with Jobtrix’s proprietary platforms, Microsoft Office Suite, and emerging data‑management tools. Essential Qualifications High School diploma or GED (minimum requirement). Demonstrated ability to perform repetitive tasks with speed, precision, and unwavering attention to detail. Strong organizational skills with the capacity to prioritize workload, multi‑task, and meet tight deadlines without sacrificing quality. Excellent interpersonal and communication skills; ability to collaborate effectively within a team environment. Sound judgment and discretion when handling sensitive or confidential member information. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and comfort navigating multiple software applications simultaneously. Capacity to remain calm and productive under pressure, including during emergency or high‑stress situations. Commitment to completing required regulatory and job‑specific training programs in a timely manner. Preferred Qualifications & Experience Previous exposure to benefits administration, health insurance, or related financial services—though not mandatory, it accelerates ramp‑up time. Familiarity with data‑entry best practices, quality‑control methodologies, and basic database concepts. Experience supporting claims processing or eligibility verification within a client‑focused organization. Knowledge of privacy regulations such as HIPAA, GDPR, or other relevant data‑protection standards. Demonstrated track record of identifying process inefficiencies and contributing to solution design. Core Skills & Competencies Analytical Thinking: Ability to scrutinize data for discrepancies, interpret policy language, and apply logical reasoning to resolve issues. Problem‑Solving: Comfortable handling both routine and non‑routine challenges, escalating only when issues impact broader business operations. Customer‑Centric Mindset: Continuously consider the member experience, ensuring that actions taken improve satisfaction and trust. Technical Adaptability: Quick learner of new software tools, platforms, and updates, with a willingness to adopt automatio
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