Client Advocate - Remote (Florida) Job at OneDigital
Are you looking to accelerate your career without having to hide your authentic self - a place where you can be you? A career that’s making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves.
We understand that pursuing a new job is a big deal. Maybe you’re afraid you won’t fit in. Well, here’s the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits.
Our Newest Opportunity:
To address all employer health benefit issues as brought up by OneFlorida clients and their employees, which includes resolving billing issues, enrollment and termination issues, acting as liaison with insurance carriers, and answering questions relating to pertinent federal and state legislation.
Essential Duties and Responsibilities:
- Works directly with clients and employees to answer questions and resolve their issues, and loads each inquiry as an activity into D365.
- Acts as a liaison with insurance carriers to resolve claims issues.
- Works with doctors’ offices, hospital facilities, and pharmacies to resolve claim issues, pre-authorization issues, and billing issues on behalf of employees.
- Assists clients with the appeal process.
- Answers questions relating to legislation and benefit laws regarding HIPAA and COBRA.
- Assists with resolving enrollments, terminations, and billing issues.
- Utilizes software such as MS Outlook and other Microsoft Applications.
- Engages and builds strong relationships with clients.
- Proactively calls clients key contact monthly to check-in and fact find.
- Attends Client Health Fairs and Open Enrollment Meetings in person and via ZOOM.
- Meets with employees in person and via ZOOM, as requested, to review benefits and provide guidance on claim issues and navigating employee benefits.
- Hosts Employee FAQ sessions as requested by client.
- Attends training opportunities to increase industry knowledge, practical abilities, and organizational skills.
- Maintains a full book of business based on employee lives and Client Advocate level I, II, or III while continuing to provide A+ service.
- Assists clients when assigned Client Advocate is unavailable.
- Performs other duties as assigned.
Qualifications, Skills and Requirements:
- Excellent problem-solving skills and resourcefulness.
- Persistent drive to achieve end results.
- Strong organizational skills, including daily prioritizing and logical thinking.
- Service-oriented; kind, compassionate, empathetic, and willing to work hard on another person’s behalf.
- Excellent verbal and email communication skills. Clarity and accuracy are key.
- Bilingual in English/Spanish is required.
- Excellent phone skills, being a fanatic about internal and external response time, and honest with the information to be shared.
- Strong working knowledge of Microsoft Office (MS Word, MS Outlook required; Internet, MS Excel and database experience preferred) and able to learn new systems and programs, such as Brokerage Builder and carrier portals.
- Able to manage multiple projects simultaneously and successfully.
- Able to work with others in teams; able to work with those who perform similar jobs as well as complimentary roles. Promotes cooperation and shared successes throughout the company.
- Shares ideas for improvement that are oriented around solutions and blameless problem solving.
- Models and exemplifies the principles and commitments of the Shared Values of OneDigital.
Education, Training and Experience:
- At least 1 year of insurance experience (claims resolution, benefits administration, health insurance customer service, etc.).
- High school diploma required. Bachelor’s degree is preferred.
- Continuous education encouraged (industry coursework leading to professional designation).
- Florida Life, Accident and Sickness Insurance license required for Client Advocate II and III.
Thank you for your interest in joining the OneDigital team!
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