Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
A
AppleOne
Eligibility Clerk
Career Insights for Eligibility Specialist
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on California data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$54,990 / year median in California
+4% projected growth
Job Description
Job Summary We are seeking an experienced Eligibility Clerk for a temp-to-hire opportunity in Pleasanton, CA with a progressive third-party administrator supporting union health and welfare benefits. This role is ideal for a detail-oriented, customer service professional with experience in medical, insurance, benefits, eligibility, or claims administration. The Eligibility Clerk will support members and participants by handling customer service calls, preparing enrollment packets, processing applications, and maintaining accurate eligibility documentation. This is a strong opportunity to join a fast-paced, team-focused environment where professionalism, reliability, and excellent service are valued. Candidates will appreciate a supportive workplace with collaborative leadership, positive teamwork, and the potential for long-term career stability. The environment is well suited for someone who is organized, dependable, service-driven, and comfortable managing time-sensitive administrative work. Key Responsibilities
- Answer incoming customer service calls and return calls in a timely, courteous, and professional manner.
- Prepare enrollment packets and related eligibility documentation for members and participants.
- Mail, receive, review, and process applications accurately and within established timelines.
- Support eligibility, benefits, and member service workflows in a fast-paced administrative environment.
- Maintain organized records and follow internal procedures to ensure accurate processing.
- Assist with miscellaneous administrative duties and special requests as needed. Compensation and Benefits
Salary:
$76,585 per year.- Job type: Temp-to-hire.
Location:
Pleasanton, CA. Required Qualifications and Skills- Provide customer service support for members, participants, and related contacts.
- Prepare and process enrollment packets, applications, and eligibility documentation.
- Maintain accurate administrative records and complete time-sensitive processing tasks.
- Support daily office operations in a health and welfare benefits administration environment.
- 5+ years of customer service experience, preferably in the medical, insurance, benefits, or related industry.
- High school diploma required.
- Intermediate proficiency with Microsoft Word and Microsoft Excel.
- Excellent written and verbal communication skills.
- Strong problem-solving skills with the ability to organize work, set priorities, and meet deadlines.
- Ability to work independently and productively with minimal supervision.
- Highly organized, accurate, and detail-oriented.
- Positive team player with a motivated, self-starting work style.
- Ability to remain professional, courteous, and effective under pressure.
- Proven reliability, strong attendance, and consistent follow-through. Preferred Qualifications
- Associate degree or higher.
- Experience with health and welfare benefits, union benefits administration, eligibility processing, medical office administration, insurance claims, or third-party administrator operations.