at Alight Solutions LLC in Chicago, Illinois, United States
Job Description
Looking for a great place to work?Are you passionate about providing exceptional service and engaging with clients?
Our Story
At Alight, we believe a company's success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to "Be Alight."
Our Values
Champion People - be empathetic and help create a place where everyone belongs.
Grow with purpose - be inspired by our higher calling of improving lives.
Be Alight - act with integrity, be real and empower others.
It's why we're so driven to connect passion with purpose. Our team's expertise in human insights and cloud technology gives companies and employees around the world the ability to power confident decisions, for life.
With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.
Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.
Learn more at careers.alight.com.
About the Role
The Health Care Advisor role demands extensive knowledge of health care, insurance, and employer benefits. Your empathy, insurance experience, and health care expertise are crucial for helping customers with complex issues. Responsibilities include answering inbound calls, gathering necessary information. Engaging frequently with customers and navigating the healthcare industry to resolve issues effectively.
Responsibilities
*Providing accurate information to customers regarding the Affordable Care Act (ACA)
*Identifying in-network providers or physician specialists, delay or denial of treatment
*Processing Claims or denied incorrectly. Prescription resolution / drug access or cost issues.
*Clarifying and education on general or specific benefit plans or programs
*Reviewing specific employer plan provisions pertinent to resolving customer questions or concerns
*Educating customer positively by being proficient with all employer health benefit tools and resources
*Referring customers to broader employer programs and available tools. Identifying barriers for customers attempting to access care.
*Becoming a resource and/or subject matter expert for your aligned employers
*Identifying learnings/trends and provide recommended ideas/solutions to share back with the broader customer service team
Requirements
*3 years relevant experience in health plan benefits or 2 year education in a health related field
*Display Knowledge of health benefits, including PPO plans, High deductible, HSAs and HRAs,
*Possess Affordable Care Act, medical claim handling, processing, or billing. Medical provider interactions amp & Carrier or Carrier case management experience ;
*Display track record of health care insurance and/or commercial insurance sales
*Experience with desktop/Windows navigation and keyboarding skills, Sharepoint and MS Office suite.
*Possess written ,verbal communication and documenting skills. Able to Prioritize to meet the business needs.
Flexible Working
So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and "Top 100 Company for Remote Jobs" 5 years in a row.
Benefits
We offer programs and plans for a healthy mind, body, wallet and life because it's important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight's employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Our commitment to Diversity and... For full info follow application link.
Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an
