Complete corrections in response to mismatches identified;
Research and resolve root cause issues from Fulfillment/Quality Assurance Generalist (Tier 1 Staff);
Work with carriers on retroactive, exception, or standard requests related to member-level eligibility;
Make corrections into BenAdmin system to ensure that members are reflecting how they are enrolled with the carrier;
Maintain documentation per workflows, procedures, and protocols;
Provide feedback and guidance to business stakeholders based on audit/issue discoveries;
Serve as the single point of contact for resolution lifecycle;
Ensure the protection and security of a consumer's personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA);
Meet or exceed department goals as defined;
Complete other duties and projects as assigned.
Required Skills:
Driven, self-motivated, and upbeat attitude;
Strong team player and ability to collaborate across groups;
Must be self-motivated and disciplined;
Ability to remain calm and clear-minded in a role that directly impacts both revenue and client satisfaction;
Flexible approach, able to operate effectively with uncertainty and change;
Knowledge of D365 and Excel;
Excellent communication and interpersonal skills;
Ability to manage multiple assignments at one time;
Ability to thrive in fast-paced environment;
Must be able to handle high workload volume and meet demanding deadlines;
A high level of accuracy and attention to detail is required;
Required Experience:
Current life and health insurance license, preferred;
Minimum 2 years' cumulative experience .
The typical base pay range for this role nationwide is $20 to $23 per hour .
To learn more, visit: www.onedigital.com/careers
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City of Los Angeles
County of Los Angeles
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Benefits
Health insuranceDental insuranceVision insuranceFlexible scheduleEquity / stock optionsPerformance bonus
Additional Information
Employee Benefits is the core of our business and at our heart we are a people-focused organization. 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.
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Job Summary:
As a member on the Fulfillment Resolution Team at OneDigital, you will be responsible for correction of plan level and member enrollment audits/issues to ensure data accuracy in cloud-based benefits administration tools.
Onedigital · Worldwide