Health Insurance Specialist - Remote

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: 

OneDigital provides benefits administration and call center support for a Dedicated Client. In this role, a Health Insurance Specialists provides the day to day oversight and administration of the benefit health plans, including

Medical, Life Insurance and LTD. This role is a dedicated resource to a single Client and follows the Client’s service hours of 8:30 am to 7:00 pm. Most work is performed over the phone supporting the client, however research and

resolutions to problems may require interaction with multiple systems and vendors. The Health Insurance Specialist may be required to assist in designing and documenting benefits administration processes and revising existing

documentation when necessary. It will be critical for the Health Insurance Specialist position to create flexible and collaborative relationships with internal team members, carriers, clients, etc. in order to meet the position objective.

Essential Duties and Responsibilities:

· Facilitate benefit enrollments, terminations and changes as needed for a Dedicated Client

· Work with insurance carriers, HRIS software partners, and client team members to resolve and address health insurance related matters

· Work with client reports in excel to determine eligible persons and perform mail merge emails to send notifications to eligible employees and employers through Office Outlook and MailChimp web portal

· Build and distribute health insurance enrollment information materials for new plan participants via postal service

· Record and track number of eligibility notifications sent each week in a designated tracking excel file

· Maintain familiarity with all health plans offered including plan design, premium structure, etc.

· Participate in the review of plan documents as needed

· Troubleshoot benefit administration issues with relevant parties to assist with resolution

· Manage and handle incoming calls from employer contacts and their employees to provide prompt response to phone calls and e-mails within 4 business hours of receipt (alternate standards will be evaluated during

peak seasons)

· Track all communications and activities in OneDigital System of Record daily and provide reporting to the client to communicate activity of the services above as needed

· Operate in compliance with HIPAA

· Maintain basic knowledge of the Affordable Care Act and other regulatory health plan requirements including but not limited to COBRA and HIPAA.

· Maintain consistent office hours of 8:30-7:00 to ensure prompt receipt of and/or response of all incoming phone calls and e-mails.

· Adhere to client’s holiday working schedule

· Coordinate with other team members on vacation and other personal days off or time away from the office to ensure adequate staffing.

· Communicate clearly and thoroughly with OneDigital team members

· Assist with special projects, research, and administrative tasks as provided by Senior and Lead Health Insurance Specialists

· Perform other projects and duties as assigned

Qualifications, Skills and Requirements:

· Strong organizational and time management skills; ability to manage multiple tasks and deadlines.

· Excellent written and verbal communication skills; experience with multi-channel employee communications.

· Analytical skills for auditing, discrepancy resolution, and reporting.

· Customer service orientation; ability to support internal and external clients with empathy and professionalism.

· Attention to detail and accuracy in data management and documentation.

· Problem-solving skills and ability to escalate issues appropriately.

· Proficiency in Microsoft Office Suite and reporting tools.

· Can model and exemplify the OneGeorgia Fundamentals

Education, Training and Experience:

· At least 2 years of experience related to benefits administration, insurance, carriers, benefits, human resources, broker/agent, Technology field, data processor, electronic software applications.

· Bachelor’s Degree preferred.

· Knowledge of federal and state benefits regulations (ACA, COBRA, ERISA, HIPAA, Section 125) preferred.

· Familiarity with HRIS platforms (Benefitfocus, Workday), carrier file feeds, and eligibility measurement systems (UnifyHR) preferred.

The typical base pay range for this role nationwide is $25 to $30 per hour.

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!