Health Advocate - Virtual

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. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. 

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
• Possess In Illinois Health and Accident License and/or Life License. In Texas Life, Accident, Health & HMO License
• Display …