Benefit Advocate I

Alliant; United States; On-site; USD 42,000 - 52,000; Full time

Job summary

Alliant is seeking a customer service professional to join our benefits support team in a call center environment. You will assist HR professionals, employees and dependents by explaining benefits, resolving enrollment and claims questions, and ensuring accurate documentation.

Responsibilities include prompt communication with clients, researching issues with carriers, and maintaining compliance with privacy and HIPAA requirements. Strong written and verbal communication skills are essential.

Qualifications

• Associates degree or equivalent education/experience.
• Minimum 1 year of customer service experience, preferably benefits-related.
• License: Life and Health Claims Accredited Insurance Examiner required within 90 days.

Responsibilities

• Answers all incoming calls promptly and professionally per service level standards.
• Assists clients in better understanding their benefits.
• researches enrollment, benefits and claims, including contacting insurance companies and provider offices to obtain or provide information, reviewing billing statements and EOBs 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.
• Follows all Privacy, Security and HIPAA requirements specific to department.
• Attends meetings and participates in group discussions and decisions.
• Complies with system data standards and data integrity (enters and maintains complete and accurate information).

Skills

Communication

Interpersonal Skills

Time Management

System Troubleshooting

Benefits Knowledge

MS Office

Education

Associates degree or equivalent

Life and Health Claims licensing 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 requirementsli>
• Intermediate computer skills
• Proficient in Microsoft Office products

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