Bilingual Client Advocate (Korean) - Remote (Southeast)

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: 

Summary:

To address all employer health benefit issues as brought up by OneDigital clients and their employees, which includes resolving billing issues, enrollment and termination issues, acting as liaison with insurance carriers, and answering questions relating to pertinent federal and state legislation. 

Essential Duties and Responsibilities:

• Speaks and writes fluently in the Koren language required.
• Maintains a full book of business based on employee lives and Client Advocate level I, II, or III while continuing to provide A+ service.
• Works directly with clients and employees to answer questions, resolve their issues, and logs each inquiry as an activity into D365. 
  • Acts as a liaison with insurance carriers to resolve claims issues.
  • Works with doctors’ offices, hospital facilities, and pharmacies to resolve claim issues, pre-authorization issues, and billing issues on behalf of employees.  
  • Assists clients with the appeal process.
  • Answers questions relating to legislation and benefit laws regarding HIPAA and COBRA.
  • Assists with resolving enrollments, terminations, and billing issues.
• Utilizes software such as MS Outlook and other Microsoft Applications.
• Engages and builds strong relationships with clients.
• Proactively calls the client's key contact monthly to check in and fact find.
• Attend Client Health Fairs and Open Enrollment Meetings in person and via ZOOM.
• Meets with employees via ZOOM, as requested, to review benefits and provide guidance on claim issues and navigating employee benefits.
• Attends training opportunities to increase industry knowledge, practical abilities, and organizational skills.
• Assist clients when the assigned Client Advocate is unavailable.
• Performs other duties as assigned.
• Requires a State Health and Life Insurance License.

Qualifications, Skills, and Requirements:

• Excellent problem-solving skills and resourcefulness. 
• Persistent drive to achieve results.
• Strong organizational skills, including daily prioritizing and logical thinking.
• Service-oriented; kind, compassionate, empathetic, and willing to work hard on another person’s behalf.
• Excellent verbal and email communication skills.  Clarity and accuracy are key.
• Excellent phone skills, being a fanatic about internal and external response time, and honest with the information to be shared.
• Strong working knowledge of Microsoft Office (MS Word, MS Outlook required; Internet, MS Excel, and database experience preferred) and able to learn new systems and programs, such as D365 and carrier portals.
• Able to manage multiple projects simultaneously and successfully.
• Able to work with others in teams and with those who perform similar jobs and complementary roles.
• Promotes cooperation and shared successes throughout the company. 
• Shares ideas for improvement that are oriented around solutions and blameless problem solving.
• Models and exemplifies the principles and commitments of the Shared Values of OneDigital.
• Maintains a book of business of 2800 lives for CA1, 3800 Lives for CA2 and 5000 lives for CA3 and 7000 lives for a CA4.
• Must meet metrics required for each level of advocacy.
• Must take the Predictive Index Assessment.

Education, Training and Experience:

• At least 1 year of insurance experience (claims resolution, benefits administration, health insurance customer service, etc.).
• High school diploma required.  Bachelor’s degree is preferred.
• Continuous education encouraged (industry coursework leading to professional designation).
• Your states Life, Accident and Sickness Insurance license required.
• Must speak and write fluently in Korean

The typical base pay range for this role nationwide is $50,000 to $60,000 per year.  

Your base pay is dependent upon your skills, education, qualifications, profes