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Medicare Enrollment Specialist

Feasterville Trevose, PA · On-site

$15 - $20/hr

The Medicare Enrollment Specialist plays a crucial role within a larger enrollment team, focusing ... Responsibilities * Assist clients with enrolling in various Medicare insurance plans * Verify ...

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State of Louisiana

Insurance Specialist 1/2

Baton Rouge, LA · On-site

$2.9K - $5.7K/mo

In this position, you'll research Medicare policies and federal regulations, provide counseling and ... As an Insurance Specialist 1/2 in the Office of Consumer Advocacy & Diversity/SHIP Division you ...

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$83K

$91.7K

$99K

How much do medicare insurance specialist jobs pay per year?

As of Aug 23, 2026, the average yearly pay for medicare insurance specialist in the United States is $91,728.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,500.00 and $96,000.00 per year, depending on experience, location, and employer.

What is a Medicare Insurance Specialist?

Medicare Insurance Specialists are professionals who help individuals understand, choose, and enroll in Medicare insurance plans. They provide guidance on the different parts of Medicare, explain coverage options, and assist with paperwork and eligibility requirements. Their expertise helps clients make informed decisions about their health insurance, ensuring they receive the benefits that best meet their needs. These specialists often work for insurance companies, agencies, or as independent consultants, and must stay updated on current Medicare policies and regulations.

What are the key skills and qualifications needed to thrive as a Medicare Insurance Specialist, and why are they important?

To thrive as a Medicare Insurance Specialist, you need in-depth knowledge of Medicare policies, health insurance regulations, and strong analytical skills, often supported by relevant licensing such as a health insurance producer license. Familiarity with CRM software, enrollment platforms, and Medicare quoting tools is typically required. Exceptional communication, attention to detail, and customer service skills help specialists effectively guide clients and resolve complex coverage issues. These competencies are crucial for ensuring clients receive accurate information and optimal coverage while maintaining compliance and building trust.

What are some common challenges Medicare Insurance Specialists face when assisting clients, and how can these be addressed?

Medicare Insurance Specialists often encounter challenges such as helping clients navigate complex plan options, clarifying eligibility requirements, and explaining coverage details. Many clients may be unfamiliar with the terminology or overwhelmed by the choices, so specialists need strong communication skills and patience. To address these challenges, specialists typically use clear explanations, provide personalized plan comparisons, and stay updated on policy changes to offer accurate advice. Regular training and collaboration with colleagues also help ensure they provide the best support to clients.

What is the difference between Medicare Insurance Specialist vs Health Insurance Agent?

AspectMedicare Insurance SpecialistHealth Insurance Agent
CertificationsMedicare certification, insurance licenseGeneral insurance license, optional certifications
Work EnvironmentPrimarily Medicare plans, government programsVarious insurance products, private plans
Employer & IndustryInsurance companies, Medicare-focused agenciesInsurance agencies, brokerages, independent

While both roles involve selling insurance products, a Medicare Insurance Specialist focuses specifically on Medicare plans and requires specialized certifications. A Health Insurance Agent handles a broader range of insurance products, including private health plans, and may not need Medicare-specific credentials. The Medicare Insurance Specialist typically works within Medicare-focused environments, whereas Health Insurance Agents have a wider industry scope.

How does a Medicare Insurance Specialist get paid?

A Medicare Insurance Specialist typically earns commissions based on the sale of Medicare plans they enroll clients in. They may also receive bonuses or residuals for maintaining client relationships and meeting sales targets, often working on a commission-only or combination compensation structure. Licensing and certifications are usually required to sell Medicare products legally.

What do Medicare Insurance specialists do?

Medicare Insurance specialists assist clients in understanding and selecting Medicare plans, including Part A, Part B, Part C, and Part D. They evaluate individual needs, explain coverage options, and help with enrollment processes, often using industry tools and maintaining certification requirements.

Who are the top companies hiring for Medicare Insurance Specialist jobs?

The top employers for Medicare Insurance Specialist jobs are:

What states have the most Medicare Insurance Specialist jobs?

States with the most job openings for Medicare Insurance Specialist jobs include:

Medicare Insurance Specialist jobs near you

Medicare Specialist

Shepherd Insurance

Indianapolis, IN • On-site

Full-time

Re-posted 18 days ago

Job description

PURPOSE:
This is an ideal opportunity to work at a growing organization with a strong family culture. Shepherd Insurance is a privately-owned insurance agency that has delivered risk management solutions since 1977. With a wide variety of insurance and financial products, we are among the largest independent agencies in the country.
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support partner to the Licensed Agents - Medicare Insurance Division and team by executing specialized operational functions, ensuring compliance accuracy, enhancing workflow efficiency, and support the client and agent experience. With a positive attitude, you will provide strong attention to detail and the ability to navigate Medicare and carrier systems with accuracy and efficiency.
ROLES AND RESPONSIBILITIES
  • Mange the intake, organization and closing of Medicare-related data with a strong focus on accuracy and compliance.
  • Oversee policy renewal processing with AgencyBloc system, ensuring data integrity and timely completion.
  • Coordinate and prepare pre-appointment documentation, including Scope of Appointment forms and Client Intake Sheets, ensuring readiness for agent consultations.
  • Maintain and audit required sales documentation to ensure adherence to CMS and carrier guidelines.
  • Navigate Medicare and carrier portals to perform provider searches, formulary and drug cost assessments, and benefit verification at a specialist level.
  • Assist the Director of Medicare and team with ongoing and specialized data projects, often involving cross-system information gathering, cleanup and reporting.
  • Identify process improvements and contribute to enhancing operational workflows across the Medicare division.
  • Perform other related duties as assigned.

Requirements
  • Complete annual training for General Compliance and Fraud/Waste/Abuse.
  • Familiar with a variety of computer software applications including Microsoft Office products (Word, Excel, Outlook, PowerPoint).
  • Ability to work independently, manage multiple priorities, and adapt quickly to directional changes within the Medicare division.
  • Strong organizational skills, attention to detail and commitment to confidentiality.

EDUCATION AND EXPERIENCE REQUIREMENTS
  • Education requirement: High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
  • Experience: At least two (2) years' experience in similar position is desirable.

WORKING CONDITIONS/PHYSICAL DEMANDS
Work environment characteristics and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. While performing the duties of this job, the employee is not exposed to weather conditions. The noise level in the work environment is usually moderate

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