Employee Benefits Advocate

Job Description Our Employee Benefit Advocates are technical experts who rely on their analytical and problem‑solving skills to help client’s employees navigate their benefit plans. They act as advisors and advocates offering white glove customer service. We are counting on your excellent customer service both externally and within our Benefits department to maintain and strengthen our client relationships. Does this sound like the job for you? If so, keep reading! What will you do as an Employee Benefits Advocate? You are the person employees call if they have a question about their coverage or need assistance when a benefit claim isn’t processed correctly. You have the experience and knowledge to review and understand benefit plan summaries and explanations of benefits. You have a passion for educating members on their benefits and resolving medical claim issues through problem solving. What experience do you need to succeed in this role? The most successful candidate will have worked with medical benefit plans or in medical billing and/or claims reconciliation. Ideally, you will have worked with an insurance carrier, medical provider’s office or insurance agency/broker. Your experience will allow you to understand benefit plans and EOBs, answer member questions related to these items and troubleshoot and correct member eligibility issues. You work effectively with minimal supervision completing high quality, detailed work. You are patient when faced with conflict or high stress situations, using your technical expertise to investigate and resolve issues. Excellent telephone etiquette, attention to detail, and effective interpersonal, verbal and written communication skills are essential to your success. The ability to speak and write in Spanish fluently is required. You will regularly use Microsoft Office products as well as online benefit platforms and databases. Benefits Paid Time Off (PTO) Health Insurance Dental Insurance Vision Insurance Mon-Fri Schedule Tuition Reimbursement Hands on Training Disability Insurance Life Insurance Career Growth Opportunities Retirement Plan Responsibilities Provide white glove customer service health plan members answering questions about coverage Assist health plan members with claims questions and appeals Serve as a member advocate with providers and health plan carriers Requirements One to two years prior claims experience with an insurance carrier or health care provider Ability to speak, read and write in Spanish strongly preferred #J-18808-Ljbffr