Fulfillment Resolution Analyst - 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:

Job Summary:

As a Fulfillment Resolution Analyst at OneDigital, you will be responsible for performing member enrollment audits to ensure data accuracy in cloud-based benefits administration tools.

Duties:

• Complete audits 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 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;
• Must be self-motivated and disciplined;                                                   
• Ability to remain calm and clear-minded in a role that directly impacts both revenue and client satisfaction;                                 
• Strong knowledge of D365 and Excel. (V-lookups, Pivot tables, Advanced Formulas);
• 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.
• Strong team player and ability to collaborate across groups;

Required Experience:

• Current life and health insurance license, preferred;                             
• Minimum 2 years' cumulative experience.        

The typical base pay range for this role nationwide is $18 to $20 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!