Employee Benefits Advocate

About the role

Businessolver is hiring an Employee Benefits Advocate to support members navigating their health and welfare benefits. This remote position serves individuals across the United States who need guidance on insurance plans, enrollment periods, and coverage options. The advocate acts as a trusted point of contact, helping employees understand complex benefit programs and make informed decisions. The role involves answering questions, resolving concerns, and ensuring members receive accurate information in a timely manner. The plays a vital part in the member experience, building trust through consistent and reliable support. This position contributes directly to the company's mission of making benefits accessible and understandable for every individual served.

Key facts

What you'll do

1. Respond to member inquiries about health insurance plans, dental coverage, and vision benefits through phone and email.

2. Guide employees through open enrollment periods, explaining available options and helping them select appropriate coverage levels.

3. Investigate and resolve benefit-related issues by coordinating with insurance carriers and internal teams.

4. Maintain accurate records of member interactions and case resolutions in the company's tracking system.

5. Educate members on the differences between plan types, including HMO, PPO, and high-deductible health plans.

6. Assist with claims disputes, pre-authorization requests, and understanding out-of-pocket costs and coverage limits.

7. Stay current on regulatory changes and updates to benefit programs that affect member eligibility and coverage.

8. Collaborate with the benefits administration team to improve documentation and communication materials for members.

9. Provide clear, jargon-free explanations of benefit terms, conditions, and procedures to non-specialist audiences.

10. Escalate complex cases to specialized departments while keeping members informed throughout the resolution process.

11. Support new hire onboarding by walking recent employees through their initial benefit selections and deadlines.

12. Monitor member satisfaction and identify recurring issues to suggest improvements in the benefits experience.

13. Coordinate with group health plan administrators to verify member eligibility and benefit effective dates.

14. Participate in team meetings to review open cases, share insights, and discuss process improvements.

1. High school diploma or equivalent required; associate or bachelor's degree preferred.

2. At least two years of experience in benefits administration, customer service, or a related field.

3. Strong understanding of health insurance fundamentals, including common plan structures and terminology.

4. Excellent written and verbal communication skills with the ability to explain technical topics clearly.

5. Comfortable working with multiple systems and switching between tasks in a fast-paced environment.

6. Detail-oriented approach to documentation and a commitment to accuracy in all member interactions.

7. Ability to work independently and manage a caseload while meeting established service-level expectations.

9. Prior experience in a call center, help desk, or member services environment is valued.

10. Aptitude for learning new software platforms and adapting to changing benefit program structures.

Nice to have

1. Experience with COBRA administration, FSA, or HSA programs and their compliance requirements.

2. Prior work in a call center or member services environment supporting benefits-related questions.

3. Knowledge of ERISA regulations and how they apply to employer-sponsored benefit plans.

4. Bilingual capabilities that allow serving members who prefer communication in a second language.

Skills & tools

1. Proficiency with phone systems and multi-line communication platforms for handling member calls.

2. Experience with CRM software such as Salesforce or similar customer tracking applications.

3. Familiarity with benefits administration platforms and online member portals used in the industry.

4. Strong typing and data entry skills for maintaining accurate case records.

5. Ability to navigate multiple browser-based tools and switch between applications efficiently.

6. Working knowledge of Microsoft Office Suite for documentation and reporting tasks.

7. Attention to detail when entering data and maintaining confidential member information in systems.

Practical notes

1. This is a fully remote position based in the United States with no required office visits.

2. The role may involve working standard business hours with some flexibility for shift coverage.

3. Candidates should expect to complete a training period covering Businessolver's systems and benefit products.

5. The hiring process includes a phone screening, skills assessment, and reference checks.

6. Businessolver is an equal opportunity employer and welcomes applicants from diverse backgrounds.