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.

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
• US Citizenship and the ability to pass a federal background investigation in order to be granted access to sensitive information

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

Benefits

• Specialists who complete 30 days in good standing receive a bonus
• Those who remain through the end of the assignment in good standing receive a second bonus
• Hourly health & welfare benefit toward health insurance and retirement (amount varies by location)

Pay

$18.81 per hour

Schedule

Training: three weeks — two weeks of instructor-led virtual training followed by a one-week job shadow, 9:00 AM – 5:30 PM Eastern, with classes starting December 1, December 7 or December 14. No time off can be taken during training. After training, an assigned shift within 8:00 AM – 8:00 PM Eastern, Monday–Friday (shift starts every 30 minutes, latest 11:30 AM). No split shifts or part-time. Seasonal, full-time position running through approximately April 30, 2027.