Benefits Enrollment Specialist at Gusto · Lumi · Lumi

Responsibilities

When a small business owner signs up with Gusto, they re trusting us with their team s health coverage. As a Group Fulfillment Specialist, you re the link between our customers and their health insurance carriers — partnering with Onboarding Advocates to ensure every form and detail lands accurately and on time, so coverage is active when employees need it. You ll work across carrier portals, Salesforce, and Gusto s internal systems, and lean into AI tools to work smarter. If you take pride in getting the details right, this role is for you.
Group Fulfillment is the team that ensures the promise of benefits becomes reality. We sit between health insurance carriers and Gusto s customer-facing teams, shepherding new plans, renewals, and carrier switches across the finish line.
We measure ourselves on doing it right and doing it on time — because for the customers we serve, "late" or "wrong" isn t an inconvenience, it s a missed prescription, a delayed procedure, or a stressful call to HR. We take that seriously, and we have a lot of fun doing it together.
As an AI-native company, we don t just use technology—it’s the backbone of how we work. We expect all team members to demonstrate digital fluency and a proactive approach to leveraging AI tooling to enhance accuracy, speed, and communication. At Gusto, every team member contributes to a significant daily impact on the lives of those we serve.
Here’s what you’ll do day-to-day:
End-to-End Enrollment: Manage the intake, submission, and confirmation of group health insurance selections for both new plans and renewals, ensuring all carrier documentation is accurate and complete.
Carrier Liaison: Master carrier-specific portals and requirements to efficiently process orders and navigate approval workflows.
Eligibility Compliance: Review customer data against carrier eligibility standards to proactively mitigate errors and ensure high-quality plan adherence.
Cross-Functional Collaboration: Partner with Licensed Benefits Advisors and customer-facing teams to deliver benefits packages in full and on schedule.
Resolution Management: Act as the primary point of contact for follow-up requests from carriers, resolving information gaps or plan changes with urgency.
Process Optimization: Identify and escalate opportunities for workflow enhancements, using your expertise to increase team efficiency and accuracy.
Expert Communication: Provide clear, professional guidance on healthcare enrollment to customers and internal partners via written and verbal channels.

Benefits Enrollment Specialist

Responsibilities

Benefits

Company

Gusto

More roles at Gusto