Benefit Advocate I

Alliant Insurance Services; United States; Remote; USD 35,000 - 52,000; Full time

Job summary

Alliant Insurance Services is seeking a Customer Service Associate to provide excellent client support in a confidential, HIPAA-compliant call center environment. You will help HR professionals, employees, and dependents understand their benefits and resolve routine issues with carriers and providers.

You will document interactions, support enrollment questions, respond to emails and letters promptly, and collaborate with colleagues to ensure accurate data, quality service, and adherence to

Qualifications

• Associates degree or equivalent combo of education and experience.
• 1+ year in customer service, preferably employee benefits, handling eligibility and claims.
• Life and Health Claims licensing or accreditation required within 90 days.

Responsibilities

• Provide prompt, professional call center support to Alliant clients.
• Help HR, employees and dependents understand benefits.
• Research routine issues with enrollment, benefits and claims; contact carriers as needed.
• Respond to emails and letters promptly.
• Document issues consistently per department standards.
• File documents according to department standards.
• Assist in developing client-related documentation.
• Follow HIPAA and privacy requirements; attend trainings and meetings.
• Maintain data integrity and system data standards.

Skills

Verbal and written communication

Interpersonal skills

Time management

Troubleshooting new systems

Benefits compliance concepts

Computer literacy

Microsoft Office

Education

Associates degree or equivalent experience

1 year in Customer Service (Employee Benefits)

Life and Health Claims/Accredited Insurance Examiner license within 90 days

Job description

SUMMARY

Responsible for providing excellent customer service within a call center environment to Alliant’s clients through confidential and professional support and guidance for HR and employees about their benefits, working with insurance carriers to resolve claims and benefits issues, and documenting all pertinent information.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Answers all incoming calls promptly and professionally; identifies and responds to routine questions or problems in a manner that meets or exceeds client and company specific service level standards.
• Assists clients (HR, employees and covered dependents) in better understanding their benefits.
• Researches routine client issues regarding enrollment, benefits and claims, including contacting insurance companies and provider offices to obtain or provide information, reviewing billing statements and EOB’s and working towards resolution of any incorrect processing, and interfacing with vendors when appropriate on eligibility issues.
• Returns emails and letter correspondence promptly.
• Thoroughly documents all aspects of issues consistently in a timely manner following department standards.
• Files all paper and electronic documents according to department standards.
• Assists in the development of client related documentation in a consistent format.
• Follows all Privacy, Security and HIPAA requirements specific to department.
• Attends meetings and participates in group discussions and decisions.
• Attends all department trainings by outside and Alliant personnel as appropriate.
• Complies with system data standards and data integrity (enters and maintains complete and accurate information).
• Other duties as assigned.

QUALIFICATIONS

EDUCATION / EXPERIENCE

• Associates degree or equivalent combination of education and experience
• Minimum 1 year of experience in Customer Service, preferably Employee Benefits related, dealing with eligibility, claims resolution and/or benefits education
• Associate, Life and Health Claims, Accredited Insurance Examiner Life and Health Insurance License within 90 Days Required

SKILLS

• Excellent verbal and written communications skills
• Excellent interpersonal and customer service skills
• Organized planner with time management/prioritization skills
• Ability to learn/troubleshoot new systems
• Ability to understand Employee Benefit compliance concepts and requirements
• Intermediate computer skills
• Proficient in Microsoft Office products

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