Bilingual Advocate-Remote

Customer Service Milwaukee, Wisconsin Albuquerque, New Mexico Houston, Texas Las Vegas, Nevada Phoenix, Arizona Salt Lake City, Utah United States Wednesday, January 26, 2022


Description

Position at DirectPath

CNO's Worksite Advocacy & Transparency Call Center Operations is hiring a Bilingual Advocate to help our members navigate their benefits, so they can make informed decisions and use their benefits to the fullest. Advocates resolve complex claim, benefit and/or eligibility issues by using our internal resources, and health plan documents, while delivering an exceptional member experience.

The Advocate will have a specific focus on resolving medical claims issues and providing education regarding claims. This position is a work-from-home opportunity. Shift time is 11:30a-8p Central time. 

As a Bilingual Advocate, your responsibilities will include:

  • Assist 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.
  • Communicate 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. Explain how non-covered and out-of-network services factor into the out-of-pocket cost.
  • Handle 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).
  • Determine and execute the best resolution to assist members based on their unique needs or requests.

 

The 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 members.
  • Build rapport with member using friendly, courteous, and professional manner.
  • Maintain a positive attitude in the face of challenging or difficult situations.
  • Are bilingual in English and Spanish.

 

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.
  • Fluency with both English & Spanish.

 

At this time, CNO’s Worksite Group is not mandating its associates to be vaccinated against COVID-19 as a condition of employment. However, this is an evolving situation, in the future CNO may require its associates to be vaccinated as a condition of employment, subject to reasonable accommodations required by applicable law.

 CNO Financial Group offices are reopening in April 2022 and we will be pursuing a hybrid working model.  Associates who live within a 60 mile radius of a corporate office (Birmingham, Carmel, Chicago, Philadelphia, Orlando and Milwaukee) will have access to come into that Office up to 2 days/week, and work from home at least 3 days/week.  This role is full time work from home (WFH), also known as Remote.  This role can be performed from any US based location within the central or eastern time zone.  Work cannot be performed from outside of the United States.

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.

CNO Financial is an Equal Opportunity Employer and Affirmative Action Employer. For more information, please click the following link:
Equal Employment Opportunity is the Law (English)
Equal Employment Opportunity is the Law (Spanish)
Right to Work Poster (English)
Right to Work Poster (Spanish)

As you explore job openings at CNO, please keep in mind that CNO will never ask you to provide payment-related information at any part of the employment application process. And CNO will communicate with you only through emails that are sent from a CNOinc.com or BankerLife.com email address.

If you receive an email purporting to be from CNO that asks for payment-related information or any other personal information, please contact law enforcement and report the email to [email protected]