Salary Range : $20.35 - $30.53 Hourly

Job Details

The stated pay range is based on a national-average location. Actual salary is determined by factors including relevant work experience, skills and location.

CNO's Advocacy & Transparency Call Center Operations is hiring a Health Claims Advocate to assist our members to navigate their benefits, with the goal that the member makes informed decisions and uses their benefits to the fullest. Advocates resolve complex claim, benefit and/or eligibility issues by using internal resources, and health plan documents.

The Health Claims Advocate will have a specific focus on resolving medical claims issues and providing education regarding medical claims. This is an opportunity for you to positively impact the lives of others. You’ll be able to advocate, communicate, and educate member employees to make the medical claims process less intimidating. The shift for this position is 11:30 am Central Time - 8pm Central Time.

As a Health Claims Advocate, your responsibilities will include:

• Assisting our members with heath care questions, eligibility, benefits, locate in-network providers and resolve claims questions and/or issue including understanding the cause for the issue.
• Communicating member liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and or copayments and how they may affect the cost of care.
• Explaining how non-covered and out-of-network services factor into the out-of-pocket cost.
• Handling claims disputes with employer sponsored health plans on behalf of the member.
• Using our custom designed member-support system, consult with members who require help/guidance/actions with regards to their employer-sponsored benefit program(s).
• Determining and executing the best resolution to assist members based on their unique needs or requests.

The Health Claims Advocate position is well-suited for you if you:

• Demonstrate excellent customer service and problem-solving techniques to identify issues, root causes and possible solutions.
• Set expectations for time-sensitive follow ups, and how the issue will be managed, including possible outcomes.
• Have a strong ability to explain complex issues to people regardless of their foundation of subject knowledge.
• Build rapport with others using a friendly, courteous, and professional manner.
• Maintain a positive attitude in the face of challenging or difficult situations.

Qualified candidates will have:

• HS diploma or GED required, Bachelor's degree highly preferred.
• 2 years of experience in health insurance, benefits, a provider setting, or other similar environment.
• Thorough understanding of health care delivery, previous experience with medical benefits, and claims for either provider or payor perspective.
• Previous experience in a role using technology, multi-tasking and written/verbal communication is used to drive daily responsibilities.
• Ability to work 11:30 am Central Time to 8pm Central Time.

What will set you apart:

• High Speed Internet (50 mbps)
• 2 years of experience with benefits administration experience.
• Fluency in both English and Spanish

The Company offers the following benefits for this position, subject to applicable eligibility requirements:

• medical insurance
• dental insurance
• vision insurance
• 401(k) retirement plan with company match
• short-term & long-term disability insurance
• Paid time-off and corporate holidays,
• paid parental leave
• company paid life insurance

Click on this link for additional information.

CNO embraces flexibility and encourages you to work where you’re most productive. Associates who live within a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) have access to come into that office.

Associates who live outside of a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) may perform this role full-time work from home (WFH) from any US based location, as long as you are willing to work central or eastern time zone hours.

All associates may be asked to travel to varying corporate offices periodically. Work cannot be performed from outside of the United States.

Optavise is a trusted benefits partner for business owners and human resources professionals who work hard to build and maintain a healthy, happy workforce. Through Optavise’s cohesive suite of products and services, we guide employers and employees through their healthcare choices to help reduce costs and increase benefits engagement. We streamline administration for employers and educate employees about benefits and care options, making it easy for them to choose and use their benefits wisely. Optavise provides a first-of-its-kind benefits solution, including:

• Benefits administration technology for a streamlined enrollment process
• Customizable selection of voluntary benefits that employees want and need
• Year-round benefits education, communications and advocacy to inform and empower employees to become better healthcare consumers
• Expert resources, helping employees maximize their benefits and make more informed choices for themselves and their family members.

Our goal is to help people make good healthcare decisions. By simplifying administration and making benefits easier to understand, we help drive employee engagement and satisfaction, and save employers time and money.

Optavise is the worksite marketing brand of CNO Financial Group. CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

We are financially strong and well positioned for continued growth, and we are grounded in our core values of Diversity, Equity & Inclusion (DE&I); Integrity, Customer Focus, Excellence, and Teamwork. We have offices in more than 260 communities in the U.S., including our headquarters in Carmel, Indiana, and corporate offices in Birmingham, Chicago, Philadelphia, Orlando and Milwaukee.

At CNO Financial Group, we’re always looking forward—to the security and stability we help create for our insurance brands’ customers, and the growth we create within our own company. We're looking for ambitious people who want to do more. We'll provide you with opportunities to grow your skills through challenging professional experiences.

If you're looking for a culture that encourages development, helps you reach your potential, and rewards you for your contribution, then CNO Financial Group is right for you. For more information, visit CNOinc.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

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Compensation

Pay Range: $20.35 - $30.53 Hourly

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

ReqID : JR168411

Job Type : Full time

Additional Locations : LLC - Remote Utah; Dallas, TX; Houston, TX;