Client Advocate - Remote (CST or EST)

Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.

If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.

Our Newest Opportunity:

The Client Advocate will utilize advanced insurance skills to provide favorable relationships with customers, groups and clients through the prompt, accurate and courteous resolution of benefit and eligibility inquiries.

Essential Duties and Responsibilities (include but are not limited to):

• Process all incoming enrollment, claims, billing and eligibility questions. This includes but is not limited to emailing/faxing the document to the carrier, entering information into the carrier website, completing carrier spreadsheets or processing the transaction over the phone with the carrier contact.
• Scrub all applications and identify situations where clarification needs to be made that could have an adverse effect on the eligibility for a participant (missing information) and follow-up with appropriate parties, including escalation if necessary.
• Responsible for resolving escalated issues such as urgent enrollments, unexpected pharmacy disputes, exception requests, complex claims and billing situations, as well as other unplanned eligibility matters that may come up from time to time. This may require extra communication as well as additional research into group history. Extensive noting of the account may be required.
• Provide customers with information and advice necessary to make insurance decisions for their families and provide issue resolution on plan options and plan selections.
• Provide coaching and mentoring for all members of the Client Advocate Center team.
• Responsibilities also include Client Advocate Center Specialist duties as needed.

Qualifications, Skills and Requirements:

• Professional phone etiquette and a pleasant tone;
• Must have a positive attitude and excellent verbal and written communication skills;
• Ability to thrive in a fast-paced environment without constant supervision and direction;
• Ability to accept both positive feedback and constructive criticism;
• Reliability and punctuality is a must;

Education, Training and Experience:

• Minimum three years of customer service experience required in a broker or insurance carrier setting; 5 years is preferred;
• Advanced knowledge of medical insurance and the ability to communicate information to customers;
• MS office experience and computer savvy. Able to navigate through different carrier websites without detailed training.

The typical base pay range for this role nationwide is $23 to $25 per year.

Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.

To learn more, visit: www.onedigital.com/careers

OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals.

OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here.

Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant:

City and County of San Francsico

City of Los Angeles

County of Los Angeles

Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.

In short, we believe in hiring the most qualified applicant for the position, regardless of background.

If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you.

OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow.

Thank you for your interest in joining the OneDigital team!

Originally posted on Himalayas