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Senior Client Experience Specialist

Senior Client Experience Specialist

OneDigitalBerwyn, PA, US
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Senior Client Service Specialist / Client Experience Specialist

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 :

The Senior Client Service Specialist / Client Experience Specialist supports the sales and client management staff by assisting with group enrollment, renewal processes, processing claims and additional administrative functions. The Sr. CSS / Client Experience Specialist works closely with account team and insurance carriers to improve and enhance workflows, timeliness, and client responsiveness.

Essential Duties and Responsibilities (include but are not limited to) :

  • Job duties and tasks are driven by EBHC (internal and external)
  • Limited book of business assigned
  • Collects missing information from groups and sends approval letters to clients
  • Follows-up on service issues or coordinates through EBHC
  • D365 Non-commission product updates
  • Provides customer service for claims, billing and eligibility
  • Prepares client communications like Open Enrollment guides, PowerPoints, Employee facing collateral, etc.
  • Processes census data pulling census data from benadmin platform for quoting and processing enrollments with carriers
  • Assists with billing concerns and billing audits
  • Gathers compliance data like Schedule A's and C's, assists in competing Wrap Docs, Section 125 docs, etc.
  • Implements and maintains technology platforms (like ADP, Employee Navigator, HealthJoy, Alex, etc.)
  • Assists clients with web site access for carriers or for ben admin platforms
  • Assist AM in Open Enrollment coordination (Guides, flyers, materials, etc.)
  • Additional duties as assigned

Senior :

  • Capable of covering Account manager or consultant duties when the team member is otherwise unavailable.
  • Direct relationship with clients
  • Thorough knowledge / utilization of technology solutions
  • Ability to self-direct / proactively complete tasks
  • Full book of business assignment
  • Ability to delegate work to shared service team (EBHC)
  • Assists in EBHC overflow if needed
  • Qualifications, Skills and Requirements :

  • Strong attention to detail
  • Positive, can-do attitude
  • Self-motivated, flexible and disciplined
  • Ability to work independently as well as in team environment
  • Excellent verbal and written communication skills
  • Strong organizational skills
  • Detailed oriented
  • Ability to thrive in fast-paced production environment
  • Education, Training and Experience :

  • 2+ years' of problem resolution experience, while working directly with carrier or vendor
  • Knowledge of medical benefit terminology and how to read Explanation of Benefit Statements, required
  • Proficient with Microsoft Office products, required
  • Prior experience in broker agency or benefit administration firm, preferred
  • Familiarity with insurance carrier websites, preferred
  • Proven track record in customer service; preferred
  • Bachelor's Degree, preferred
  • Familiarity with database applications; preferred
  • Other :

    Life / Health License Required

    The typical base pay range for this role nationwide is $65000 to $75000 per year. 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 Francisco

    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!

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    Client Experience Specialist • Berwyn, PA, US

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