Bilingual Client Advocate (Korean) - Remote (Southeast)

OneDigital

3d • Remote

About The Position

OneDigital is a people-focused organization specializing in employee benefits, helping over 100,000 employers provide health, pharmacy, long and short-term disability, vision, dental, and other insurance solutions. The company offers clients more services, technology-based tools, and a dedicated team of advisors. OneDigital is a growing organization of caring, collaborative, and driven professionals dedicated to improving the lives of millions by offering employers and individuals insurance, financial services, and HR consulting services to enhance wellbeing, health, and financial security across the US. The Bilingual Client Advocate (Korean) addresses all employer health benefit issues for OneDigital clients and their employees, including resolving billing, enrollment, and termination issues, acting as a liaison with insurance carriers, and answering questions related to pertinent federal and state legislation.

Requirements

• Speaks and writes fluently in the Korean language.
• Requires a State Health and Life Insurance License (Life, Accident and Sickness Insurance license).
• 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.
• At least 1 year of insurance experience (claims resolution, benefits administration, health insurance customer service, etc.).
• High school diploma required.

Nice To Haves

• Bachelor’s degree is preferred.
• Continuous education encouraged (industry coursework leading to professional designation).
• MS Excel, and database experience preferred.

Responsibilities

• Speaks and writes fluently in the Korean language.
• 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.

Benefits

• Health benefits
• Wellbeing benefits
• Retirement benefits
• Other financial benefits
• Paid time off
• Overtime pay for non-exempt employees
• Robust learning and development programs
• Reimbursement of job-related expenses
• Employee perks and discounts
• Total-wellbeing benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees