Bilingual Client Advocate - Remote (Atlanta, GA)

Posted:
12/10/2024, 4:52:05 AM

Location(s):
Georgia, United States ⋅ Atlanta, Georgia, United States

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

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 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 (include but are not limited to):

  • Works directly with clients and employees to answer questions, 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

  • Completing annual benchmark reports
  • Completing annual employee survey reports
  • Coordinate client events such as health fairs and wellness meetings

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.
  • 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 and with those who perform similar jobs and 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.
  • Maintains a book of business of 2800 lives for CA1, 3800 Lives for CA2 and 5000 lives for CA3 and 7000 lives for a CA4.
  • Must meet metrics required for each level of advocacy.

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).

  • Your states Life, Accident and Sickness Insurance license required.

  • Must speak Spanish

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.

To learn more, visit: www.onedigital.com/careers

OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals.

OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here.

Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant:

City and County of San Francsico

City of Los Angeles

County of Los Angeles

Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.

In short, we believe in hiring the most qualified applicant for the position, regardless of background.

If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you.

Thank you for your interest in joining the OneDigital team!