Responsibilities
- Responsible for day-to-day member/employee support for routine benefits questions and claims issues. These various questions may include locating an ID card, finding a physician, understanding benefit plans, and reviewing and resolving claims and/or billing issues
- Responds to employee requests in a timely and accurate manner via the appropriate means of communication
- Processes eligibility (new hires and terminations); assists with communications, follow-up and distribution of applications to carriers
- Regularly run reports in benefits administration systems for processing eligibility
- Assists with census preparation and billing audits
- Gather SBCs, plan summaries, renewal, bills, and other materials as needed and manage folders in multiple locations
- Follow up with the carrier to obtain status updates and provide updates to involved parties accordingly
- Thorough documentation of all calls/emails, work effort and related problem resolution in D365
- Ensure the protection and security of a consumer’s personal, confidential, and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA)
- Contributes to overall team goals and objectives through team participation and the sharing of individual skills and strengths
- Other duties as requested or assigned
Requirements
- Strong attention to detail
- Positive, can-do attitude
- Self-motivated, flexible and disciplined
- Strong organizational and time management skills, ability to multi-task, and impeccable follow-through
- Ability to work independently as well as in team environment
- Excellent verbal and written communication skills
- Professionally and adeptly resolve issues while under pressure
- Ability to thrive in fast-paced production environment
- Embodies the OneDigital Way – optimistic, invested, responsive, trustworthy, strategic, and relentless, while using fresh-thinking and personal service to provide clients peace of mind
Nice to Have
- 1–2 years’ applicable job experience
- Proficient in Microsoft suite including Microsoft Word, Excel and Outlook
- Prior experience in broker agency or benefit administration firm
- Familiarity with insurance carrier websites
- Proven track record in customer service
- Bachelor’s Degree
- Familiarity with database applications
Additional Information
- License expected within one year of employment.
- The typical base pay range for this role nationwide is $24.00 to $26.00 per hour. 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.
