Benefits Associate

🕒 Ontem

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $17 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

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• Aberta há 2 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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Health Advocate

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🏥 Saúde

💼 Consultoria

📣 Marketing

Healthcare • Consulting • Marketing

A Health Advocate é uma empresa dedicada a facilitar o cuidado com a saúde para organizações e seus membros. Utilizando uma combinação de suporte pessoal, dados e tecnologia, ela oferece uma abordagem de cuidado integral para melhorar os resultados de saúde, reduzir o absenteísmo e o presenteísmo, e diminuir custos. Seus serviços incluem advocacia e navegação em saúde, gestão de cuidados clínicos, suporte à saúde emocional e programas personalizados de bem-estar. A Health Advocate atende a mais de 12. 500 organizações, oferecendo suporte 24 horas por dia, 7 dias por semana, em mais de 250 idiomas, garantindo conformidade com a HIPAA e certificação NCQA.

Descrição

• Interface with internal and external resources to provide guidance on benefit plan options, cost factors, and detailed benefit reviews • Answer incoming calls and cases and respond to member benefit inquiries • Place outbound follow-up calls or contacts for issues not resolved during the initial call • Provide objective information on open enrollment, new-hire election periods, and change-of-status benefit options • Help members navigate benefit choices and options by phone • Answer questions about medical, dental, pharmacy, vision, life, STD, LTD, consumer-driven health plans, FSAs, provider selection, qualifying life events, open enrollment, and estimated cost of care • Review plan options and costs for individual health insurance, Marketplace/exchange, COBRA, and Medicare plans • Process calls in accordance with policies, procedures, quality standards, federal laws, and regulations • Resolve benefit issues through research and follow them through to resolution • Document benefit issues and maintain department files and systems • Monitor work status and prioritize tasks to provide timely, quality service • Monitor issue trends and escalate them to supervisors • Maintain strict confidentiality of customer information and accessed data • Establish professional relationships with customers, team members, and department contacts • Cooperate with team members to meet goals and complete tasks • Escalate situations outside the employee’s control to a supervisor • Perform other duties as assigned

🎯 Requisitos

• High School Degree or GED required • Minimum of one year customer service, healthcare, or employee benefits experience required • Basic knowledge of MS Word and Excel required • Must score acceptably on job related testing • Ability to pass standardized interview • May need to be bilingual in English, Spanish, etc., based on assignment • Associate’s degree in business administration, liberal arts, public health, healthcare management, or a related field preferred • Preferred knowledge of COBRA • Preferred knowledge of Medicare A, B, MediGap, Supplement plans, Medicare Advantage, and Medicare Part D plans • Preferred knowledge of high deductible health plans, HRAs, and HSAs • Preferred knowledge of FSAs, including limited FSAs • Preferred knowledge of coordination of benefits and primary-plan determination • Preferred knowledge of Summary Plan Documents and Certificates of Coverage • Preferred knowledge of government programs, resources, legislation, and mandates including ACA, FMLA, Medicaid, and CHIP • Preferred knowledge of fully insured and self-insured group health plans • Preferred knowledge of pharmacy benefits including injectable medications • Preferred knowledge of individual health plans and Marketplace/Exchange plans • Strong communication skills and phone etiquette • Ability to explain complex issues to members • Highly effective listening skills • Strong problem-solving and issue-resolution skills • Excellent customer service and customer-resolution skills • Strong organizational and administrative skills • Ability to work in a team environment

🏖️ Benefícios

• Training provided to do the job well • Supportive supervisors and staff • Opportunities for career growth • Promotion opportunities from within the company • Reasonable accommodations for individuals with disabilities

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