Case Processing Specialist I

About the role

Dunhill Government Solutions is hiring Case Processing Specialists for a seasonal, fully remote team supporting case analysis and data reconciliation for a federal health insurance marketplace program. You will collect and reconcile data from several sources and follow defined standard operating procedures to resolve cases for consumers and health insurance issuers. This is a seasonal, full-time position running through approximately April 30, 2027. Training consists of three weeks — two weeks of instructor‑led virtual training followed by a one‑week job shadow, 9:00 AM–5:30 PM Eastern, with class start dates December 1, December 7 or December 14 (no time off during training). Specialists who complete 30 days in good standing receive a bonus, and those who remain through the end of the assignment in good standing receive a second bonus. U.S. citizenship and the ability to pass a federal background investigation are required.

Responsibilities

• Use data analysis skills for research, remediation, case management and troubleshooting for consumers who obtain health coverage through the marketplace
• Review your assigned caseload and prioritize by urgency and Service Level Agreement (SLA) date
• Reconcile each case across multiple data sources to determine what happened and where the data diverged
• Speak with consumers several times a day by phone (cloud‑based telephony) to gather information or explain the outcome of their case, with patience and clear, empathetic communication
• Adjudicate cases using standard operating procedures, document findings thoroughly, and escalate cases that need advanced subject‑matter expertise
• Contribute to workflow investigations, business procedures and process improvements
• Work from a dedicated, secure area within your residence

Requirements

• Associate degree, OR high school diploma/GED and 2 years of relevant experience
• U.S. citizenship
• Ability to pass a federal background investigation

Qualifications

• Experience following defined processes or assignments
• Proficiency with MS Office, including Word, Excel, PowerPoint and Outlook
• Experience with complex data analytics and advanced problem solving
• Ability to work in a fast‑paced, deadline‑driven environment and stay engaged working remotely
• Strong written and oral communication skills; able to work overtime as required

Skills

• Proficiency with MS Office (Word, Excel, PowerPoint, Outlook)
• Experience with complex data analytics and advanced problem solving
• Ability to work in a fast‑paced, deadline‑driven remote environment
• Strong written and oral communication skills
• Ability to work overtime as required

Benefits

• Bonus after completing 30 days in good standing
• Additional bonus for completing the assignment in good standing
• Hourly health & welfare benefit toward health insurance and retirement (amount varies by location)

Pay

$18.81 per hour.

Schedule

Training: three weeks — two weeks instructor‑led virtual training followed by a one‑week job shadow, 9:00 AM–5:30 PM Eastern, with class start dates December 1, December 7 or December 14 (no time off during training). After training, assigned shift within 8:00 AM–8:00 PM Eastern, Monday–Friday (shift starts every 30 minutes, latest start 11:30 AM). No split shifts or part‑time.