Benefits Specialist

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Health Advocate

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Healthcare Insurance

Health Advocate is a company dedicated to making healthcare easier for organizations and their members. Utilizing a combination of personal support, data, and technology, they offer a whole-person approach to improve health outcomes, reduce absenteeism and presenteeism, and lower costs. Their services include health advocacy and navigation, clinical care management, emotional health support, and personalized well-being programs. Health Advocate caters to over 12,500 organizations, offering 24/7 support in over 250 languages and ensuring HIPAA compliance and NCQA certification.

1001 - 5000 employees

⚕️ Healthcare Insurance

📋 Description

• Helping Members Understand Their Benefits • Answer incoming calls and respond to benefit questions with clarity and compassion. • Explain medical, dental, vision, pharmacy, life, disability, FSAs/HSAs, and other plans in easy-to-understand terms. • Guiding Open Enrollment & Life Event Decisions • Support members as they choose benefits during open enrollment, as new hires, or when their life circumstances change. • Compare and contrast plan options so members feel confident in their selections. • Providing Expert Navigation Across Coverage Types • Discuss Marketplace/exchange plans, COBRA, Medicare, and individual plans. • Help members understand costs, coverage, provider choices, and plan rules. • Solving Benefit Issues with Care & Accuracy • Research benefit concerns thoroughly and follow through until resolved. • Document all cases accurately while maintaining strict confidentiality. • Ensure compliance with HIPAA, COBRA, ACA, and all federal regulations. • Delivering Outstanding Member Experiences • Build trust quickly over the phone. • Provide objective, empathetic guidance—no sales, no quotas, just real support.

🎯 Requirements

• 1–2 years of customer service and benefits experience • Familiarity with health plans, COBRA, Medicare, HSAs/FSAs (preferred) • Strong Communication & Listening Skills • Ability to explain complex benefits clearly and patiently • Professional, supportive phone presence • Technical & Organizational Skills • Comfortable using MS Word, Excel, and internal systems • Strong documentation, accuracy, and time-management skills

🏖️ Benefits

• Fully remote work (we provide the equipment you need) • Full-time schedule Monday through Friday with Flexible shift options within our hours of operation 8:00 am and 10:00 pm EST. • Exceptional training and ongoing development support • Real growth opportunities with leadership that invests in you • Competitive compensation & full benefits package , including: • Medical, dental & vision • Tuition assistance • 401(k) with company match • PTO & paid holidays • A purpose-driven culture focused on compassion, clarity, and service