Client Advocate - Remote (PST)

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. Our Newest Opportunity: The Client Advocate is responsible for assisting clients’ employees with benefit plan questions and/or help with issue resolution. The CA serves as the direct point of contact for these employees and handles incoming phone calls and emails as needed. They will work under the direction of the Account Manager and collaboratively as part of an internal team. Essential Duties and Responsibilities (include but are not limited to): Assist clients and their employees with various benefit questions which may include:Finding physicians Understanding benefit plans Reviewing and resolving claims Resolving transition of care issues Assistance with authorization/approval issues Confirming the member cost-share under their plan Completing annual stewardship reports Completing annual employee survey reports Open Enrollment Support – EE Calls / Emails Open Enrollment Communication to LOA’s (if OD LOA Client) Urgent Enrollments / Access to Care Late Enrollments inclusive of Advocate asking for and receiving sign-off & approval from Client ID cards (if online access available) Eligibility Inquires (ex: is this a valid QLE?) EOI Support on One-off cases when member reaches out Enrollment Audit Discrepancies when received from AAM Carrier System Basic Support (ex. Providing carrier links & info.) All Cases entered to D365 upon Receipt Qualifications, Skills and Requirements: Strong verbal and written communication skills Strong mathematical and analytical skills Effective relationship builder Proficiency with computer programs, specifically Microsoft Office and Excel Positive, can-do attitude Ability to be flexible and adapt easily to change and a fast-paced environment Detail-oriented approach to work Ability to effectively manage high volumes of work Strong organizational skills Education, Training and Experience: Bachelor’s Degree, required Previous experience working in insurance/employee benefits, preferred Valid California Life and health license, required within 90 days Other: License required after 90 days The typical base range for this role is $71,000 - $75,000 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. OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow. Thank you for your interest in joining the OneDigital team!