Benefits Associate

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Apply Now
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Logo of Health Advocate

Health Advocate

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📣 Marketing

Healthcare • Consulting • Marketing

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.

📋 Description

• Interface with internal and external resources regarding benefit plan options, cost factors, and detailed benefit reviews • Answer incoming calls and benefit cases and respond to member inquiries • Place outbound follow-up calls or contacts for unresolved issues • Guide members through open enrollment, new-hire election periods, and changes of status • Explain medical, dental, pharmacy, vision, life, disability, consumer-driven health plans, FSAs, provider selection, qualifying life events, and estimated costs of care • Review individual health insurance, Marketplace/exchange, COBRA, and Medicare plan options and costs • Provide objective information and exceptional customer service • Process calls in compliance with policies, procedures, quality standards, federal laws, and regulations • Research and resolve benefit issues through completion • Thoroughly document benefit issues and maintain files and systems • Monitor work status and prioritize tasks for timely, quality service • Monitor issue trends and escalate them to supervisors • Maintain strict confidentiality of customer and system information • 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 sedentary computer-, telephone-, and printer-based work with repetitive motions and continuous reading and communication

🎯 Requirements

• 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 • Knowledge of COBRA, Medicare plans, high deductible health plans, HRAs, HSAs, FSAs, coordination of benefits, SPDs, COCs, government programs and legislation, group health plans, pharmacy benefits, and individual health/Marketplace plans preferred • 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

🏖️ Benefits

• Training provided to perform the job well • Supportive and friendly supervisors and staff • Opportunities for career growth • Internal promotion opportunities

Apply Now

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