OneDigital
Independent Member Advocate - Hybrid (Medfield, MA)
Medfield, MA
Sponsorship not specified$28k-$32kDetected 16 days ago
Outbound SalesExcelCustomer SupportCommunicationMicrosoft Office
About the role
- Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions.
- What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.
- If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.
Responsibilities
- Identify eligibility or claims errors, and collaborate with other departments for correction to ensure a seamless member experience
- Document call and email interactions according to standard procedure
- Build and retain relationships with plan members and clients
- Maintain 3 or above on CSAT Phone surveys
- As an Independent Member Advocate, you will be the first point of contact for our clients' employees providing concierge service support via phone and emails.
Requirements
- Ability to thrive in a fast-paced environment
- 6 months to 2 Years of customer service experience in group
Compensation
- The typical base pay range for this role nationwide is $28 to $32 per hour.
Benefits
- Knowledge of healthcare benefits and the ability to communicate information to members
- 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.
- We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us.
- Outbound calls to provide eligibility/benefit information to healthcare service providers, advocating for member with health care provider, pharmacy, insurance carrier to resolve problems quickly and efficiently.
- Respond to basic inquiries on Flex Spending Accounts/Commuter Benefits, ancillary benefits, COBRA and Medicare
- Review book of business prior to renewal to revise client/member contact sheets and renewal materials to include Benefits Guide, benefit summaries, medical funding sheets in conjunction with built plans
- Verify eligibility and benefits for healthcare providers and inquiries regarding claim payments and remittances.
- Your role is to ensure a positive member experience by addressing benefit inquiries, educating members on available resources and resolving claims/service provider billing issues efficiently.
- Your base pay is dependent upon your skills, education, qualifications, professional experience, and location.
Equal opportunity
- equal opportunity employer.
Visa & Work Authorization
- If you have concerns about our use of AI, you may opt out where laws allow.
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This listing is sourced directly from OneDigital's careers page and normalized into a canonical job model.