Eligibility Specialist Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

Seeking a position with a growing company where my training as an Eligibility Specialist, education and experiences can be put to good use

Highlights of Qualifications:

  • Remarkable experience in group insurance
  • Huge knowledge of eligibility criteria
  • Deep knowledge of figures and basic filing techniques
  • Amazing ability to operate computer keyboard
  • Outstanding ability to manage administrative support functions
  • Superior organizational and analytical skills

Professional Experience:

Eligibility Specialist

Express Scripts, Portage, OH

May 2006 – Present

  • Evaluated incoming referrals and managed verification of Benefits and Eligibility.
  • Managed investigation of eligibility by phone.
  • Maintained documentation of inquiries.

Eligibility Specialist

TERRA Staffing Group, Portage, OH

March 2003 – April 2006

  • Evaluated eligibility and imparted information to insured members.
  • Managed with COBRA, HIPPA and FMLA compliance.
  • Handled typing assignments and formulated reports.
  • Aided coaching new employees.


Bachelor’s Degree in Business Management

Francis Marion University, Florence, SC