Client Service Specialist Remote (Pacific Standard Time)

Employee Benefits is the core of our business and at our heart we are a peoplefocused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and shortterm disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technologybased 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:

The Client Service Specialist works closely with Account Managers, Benefits Consultants andor Client Executives to ensure service deliverables meet and exceed client expectations. The CSS serves as the direct point of contact for clients and their employees and is responsible for assisting with benefits administration support, benefit plan questions andor help with issue resolution. The CSS responds to incoming phone calls and emails as needed and will work under the direction of the Client Service Manager and collaboratively as part of an internal team of additional CSS’s.

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

• Responsible for daytoday memberemployee support for routine benefits questions and claims issues. These various questions may include locating an ID card, finding a physician, understanding benefit plans, and reviewing and resolving claims andor billing issues
• Responds to employee requests in a timely and accurate manner via the appropriate means of communication
• Processes eligibility (new hires and terminations); assists with communications, followup and distribution of applications to carriers
• Regularly run reports in benefits administration systems for processing eligibility
• Assists with census preparation and billing audits
• Gather SBCs, plan summaries, renewal, bills, and other materials as needed and manage folders in multiple locations
• Follow up with the carrier to obtain status updates and provide updates to involved parties accordingly
• Thorough documentation of all callsemails, work effort and related problem resolution in D365
• Ensure the protection and security of a consumer’s personal, confidential, and identifiable information in a profession and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA)
• Contributes to overall team goals and objectives through team participation and the sharing of individual skills and strengths
• Other duties as requested or assigned

• Qualifications, Skills and Requirements:

  • Strong attention to detail
  • Positive, cando attitude
  • Selfmotivated, flexible and disciplined
  • Strong organizational and time management skills, ability to multitask, and impeccable followthrough
  • Ability to work independently as well as in team environment
  • Excellent verbal and written communication skills
  • Professionally and adeptly resolve issues while under pressure
  • Ability to thrive in fastpaced production environment
  • Embodies the OneDigital Way – optimistic, invested, responsive, trustworthy, strategic, and relentless, while using freshthinking and personal service to provide clients peace of mind

  • Education, Training and Experience:

    • 12 years’ applicable job experience, preferred
    • Proficient in Microsoft suite including Microsoft Word, Excel and Outlook
    • 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, a plus

    • The typical base pay range for this role nationwide is $23 to $27 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, andor annual bonus based on your individual performance andor the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for nonexempt employees, and robust learning and development programs. You will receive reimbursement of jobrelated expenses per the company policy and may receive employee perks and discounts.

      To learn more, visit: www.onedigital.comcareers

      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 citycounty 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!