Benefits Eligibility Analyst

Role: Benefits Eligibility Analyst

Location: Madison, WI- Hybrid

Duration: One Year Contract with possibility of extensions

Job Summary

IRG Clients is seeking a Benefits Eligibility Analyst with experience in benefits administration, eligibility and enrollment operations, and data analysis. The ideal candidate will support eligibility and enrollment processes, perform data reconciliation, investigate discrepancies, and work closely with business teams, technical staff, and vendors to ensure accurate and efficient benefits administration.

Responsibilities

• Support benefits administration, eligibility, enrollment, and insurance operations.
• Interpret and apply policies, procedures, business rules, statutes, and administrative regulations.
• Analyze, validate, and reconcile data across multiple files, reports, and systems.
• Research and resolve eligibility, enrollment, billing, and vendor-related discrepancies.
• Perform root cause analysis and coordinate corrective actions to resolve issues.
• Document findings, resolutions, and process improvements.
• Serve as a liaison between internal teams, technical resources, vendors, and stakeholders.
• Ensure data accuracy, integrity, and compliance with established standards.
• Assist with reporting and analysis to support business operations.

Required Qualifications

• Minimum 3 years of experience in benefits administration, eligibility and enrollment operations, insurance operations, or a related field.
• Minimum 3 years of experience in data analysis, reconciliation, and validation.
• Experience investigating and resolving eligibility, enrollment, billing, or vendor file discrepancies.
• Experience collaborating with business users, technical teams, and external vendors.
• Strong proficiency in Microsoft Excel for data analysis and reporting.

Required Skills

• Benefits Administration
• Eligibility & Enrollment Operations
• Data Analysis & Reconciliation
• Microsoft Excel
• Root Cause Analysis
• Vendor Management
• Problem Solving
• Documentation & Reporting
• Stakeholder Communication