Benefits Associate

Health Advocate

. Interface with internal and external resources to provide guidance on benefit plan options, cost factors, and detailed benefit reviews .

Posted 11/10/2026full-timeRemote • United StatesJuniorMid-Level💰 $18 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in customer service within the healthcare benefits domain, with a strong focus on resolving member inquiries and navigating complex benefit options. Proficient in maintaining confidentiality and adhering to regulatory standards while providing quality service.

Highest-signal resume keywords

Customer Service ExperienceKnowledge of COBRAKnowledge of Medicare PlansStrong Communication SkillsProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Knowledge of FSAsKnowledge of High Deductible Health PlansKnowledge of ACAKnowledge of MedicaidKnowledge of Individual Health PlansBasic Knowledge of MS WordBasic Knowledge of ExcelKnowledge of Pharmacy BenefitsKnowledge of Summary Plan DocumentsKnowledge of Coordination of Benefits

Soft Skills

Strong Organizational SkillsEffective Listening SkillsPhone EtiquetteTeam CollaborationCustomer-Resolution Skills

Industry Keywords

Employee BenefitsHealthcare ManagementConsumer-Driven Health PlansMarketplace/Exchange PlansCOBRAMedicareFMLACHIPSelf-Insured Group Health PlansFully Insured Group Health Plans

About the role

Key responsibilities & impact

Interface with internal and external resources to provide guidance on benefit plan options, cost factors, and detailed benefit reviews
Answer incoming calls and cases and respond to member benefit inquiries
Place outbound follow-up calls or contacts for issues not resolved during the initial call
Provide objective information on open enrollment, new-hire election periods, and change-of-status benefit options
Help members navigate benefit choices and options by phone
Answer questions about medical, dental, pharmacy, vision, life, STD, LTD, consumer-driven health plans, FSAs, provider selection, qualifying life events, open enrollment, and estimated cost of care
Review plan options and costs for individual health insurance, Marketplace/exchange, COBRA, and Medicare plans
Process calls in accordance with policies, procedures, quality standards, federal laws, and regulations
Resolve benefit issues through research and follow them through to resolution
Document benefit issues and maintain department files and systems
Monitor work status and prioritize tasks to provide timely, quality service
Monitor issue trends and escalate them to supervisors
Maintain strict confidentiality of customer information and accessed data
Establish professional relationships with customers, team members, and department contacts
Cooperate with team members to meet goals and complete tasks
Escalate situations outside the employee’s control to a supervisor
Perform other duties as assigned

Requirements

What you’ll need

High School Degree or GED required
Minimum of one year customer service, healthcare, or employee benefits experience required
Basic knowledge of MS Word and Excel required
Must score acceptably on job related testing
Ability to pass standardized interview
May need to be bilingual in English, Spanish, etc., based on assignment
Associate’s degree in business administration, liberal arts, public health, healthcare management, or a related field preferred
Preferred knowledge of COBRA
Preferred knowledge of Medicare A, B, MediGap, Supplement plans, Medicare Advantage, and Medicare Part D plans
Preferred knowledge of high deductible health plans, HRAs, and HSAs
Preferred knowledge of FSAs, including limited FSAs
Preferred knowledge of coordination of benefits and primary-plan determination
Preferred knowledge of Summary Plan Documents and Certificates of Coverage
Preferred knowledge of government programs, resources, legislation, and mandates including ACA, FMLA, Medicaid, and CHIP
Preferred knowledge of fully insured and self-insured group health plans
Preferred knowledge of pharmacy benefits including injectable medications
Preferred knowledge of individual health plans and Marketplace/Exchange plans
Strong communication skills and phone etiquette
Ability to explain complex issues to members
Highly effective listening skills
Strong problem-solving and issue-resolution skills
Excellent customer service and customer-resolution skills
Strong organizational and administrative skills
Ability to work in a team environment