CNO Diversity Jobs

Salary Range : $23.27 - $34.91 Hourly

Job Details

TITLE: Sr. Advocate- Evening Shift 11:30am-8:00pm CT 12:30pm-9:00pm ET

LOCATION: REMOTE from any US based location: Eastern or Central Time Zone

The stated pay range is based on a national-average location. Actual salary is determined by factors including relevant work experience, skills and location. This position is bonus eligible.

Optavise a CNO Financial Group company is hiring a Sr. Advocate. The role of the Sr. Advocate is to effectively provide education and support to members as they navigate their employer-sponsored benefit programs. The goal is to enable members to make informed decisions and use their benefits fully to benefit most from the programs, as well as meet the business objectives and goals of the employer. This role provides subject matter expertise in complex cases including claims, billing and appeals issues. Advocates primarily receive incoming requests from members to resolve benefits inquiries that range from simple to complex, such as claim, benefit and/or eligibility issues. This role will do outbound inquiries to follow through on all open cases. The Sr. Advocate will use the Optavise custom internal case management system to deliver exceptional member experience.

This is your opportunity to contribute to the success of one of CNO’s fast growing brands. As the organization grows, you’ll see professional development opportunities and learning opportunities.

As a Sr. Advocate, your responsibilities will include:

• Providing SME level healthcare education to members and their dependents regarding their employer-sponsored healthcare benefit programs, including navigation questions, eligibility, available benefits, locate in-network providers and resolve claims questions and/or issue resolution.

• Consulting with the most complex cases including complex claim issues; work unusual and VIP cases; initiate and manage claim appeals; and manage disputes with employer sponsored health plans.

• Serving as the “first-line-of-escalation” for more junior Advocates, providing expertise on how to manage certain issues or cases based on experience.

• Collaborating effectively with the Nurse Advocates where a team of Optavise advocates and nurses work together to resolve complex cases or appeals.

• Consulting on 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 out-of-pocket costs.

• Using the Optavise custom designed case management system, consult with members who require help/guidance/actions with regards to their employer-sponsored benefit program(s).

• Conducting external outreach to providers, carriers, and other healthcare agencies to follow through on open case tasks and see a case through successful resolution.

• Conducting external outreach calls as defined by the Optavise leadership team on behalf of clients who require outreach on special programs, wellness initiatives, and support for Open Enrollment.

• Consulting on Open Enrollment activities, educating members and eligible employees on the benefits available to them as they make decisions, including eligibility, plan comparisons, and costs.

• Determining and executing the best resolution to assist members based on their unique needs or requests. Collaborate with Senior Advocates and/or supervisors for escalations where additional support is required to support a member’s request.

• Mentoring new Advocates and providing guidance as they learn the case management system, processes, and other helpful nuances for healthcare benefit education.

• Cross training on Optavise Transparency case workflow and provide support on cost management reports as needed.

The Sr. Advocate is well suited for you if you have :

• A high level of healthcare literacy and a strong knowledge of HIPAA guidelines, PHI and PII guidelines, and current healthcare legislation that may impact employer-based benefit programs.

• Strong communication and writing skills and demonstrated ability to communicate complex information clearly and persuasively to provide education and support to all members and their dependents

• The ability to collaborate effectively with peers to provide excellent service to members through case resolution.

• Excellent customer service and problem-solving techniques to identify issues, root causes and possible solutions.

• The will to set expectations for time-sensitive follow ups, and how the issue will be managed, including possible outcomes.

• Strong ability to explain complex issues to members.

• The ability to build rapport with members using friendly, courteous, and professional manner.

What you’ll need:

• Bachelor's degree desired or experience in the health insurance field.

• Minimum 4 years experience in health insurance, benefits, a provider setting, or other similar environment is required

• Thorough understanding of health care delivery, previous experience with medical benefits and claims for either provider or payor perspective.

What will set you apart:

• Life, Health & Annuity Required Licensing and Coverage (Company will support applicants with obtaining license)

• Active resident state health and life insurance license

• Non-resident licenses as required for client assignment (company paid)

• Active errors and omissions insurance (company paid)

• Ability to be appointed by all major insurance carriers

• Previous experience in a role using technology, multi-tasking and written/verbal communication is used to drive daily responsibilities.

• Candidate location in Central or Eastern US time zone is preferred OR willingness to work Central or Eastern time zone business hours

The Company offers the following benefits for this position, subject to applicable eligibility requirements:

• medical insurance

• dental insurance

• vision insurance

• 401(k) retirement plan with company match

• short-term & long-term disability insurance

• Paid time-off and corporate holidays,

• paid parental leave

• company paid life insurance

Click on this link for additional information.

CNO embraces flexibility and encourages you to work where you’re most productive. Associates who live within a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) have access to come into that office.

Associates who live outside of a 60-mile radius of a corporate office (Birmingham, Carmel, Chicago, Orlando and Milwaukee) may perform this role full-time work from home (WFH) from any US based location, as long as you are willing to work central or eastern time zone hours.

All associates may be asked to travel to varying corporate offices periodically. Work cannot be performed from outside of the United States.

accommodation.

Optavise is a trusted benefits partner for business owners and human resources professionals who work hard to build and maintain a healthy, happy workforce. Through Optavise’s cohesive suite of products and services, we guide employers and employees through their healthcare choices to help reduce costs and increase benefits engagement. We streamline administration for employers and educate employees about benefits and care options, making it easy for them to choose and use their benefits wisely. Optavise provides a first-of-its-kind benefits solution, including:

• Benefits administration technology for a streamlined enrollment process

• Customizable selection of voluntary benefits that employees want and need

• Year-round benefits education, communications and advocacy to inform and empower employees to become better healthcare consumers

• Expert resources, helping employees maximize their benefits and make more informed choices for themselves and their family members.

Our goal is to help people make good healthcare decisions. By simplifying administration and making benefits easier to understand, we help drive employee engagement and satisfaction, and save employers time and money.

Optavise is the worksite marketing brand of CNO Financial Group. CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

CNO provides life and health insurance, annuities, financial services, and workforce benefits solutions through our family of brands and supported by our associates and agents. Our customers work hard to save for the future, and we help protect their health, income and retirement needs with 3.2 million policies and more than $35 billion in total assets. Our 3,400 associates, 8,600 exclusive agents and independent partner agents guide individuals, families and businesses through a lifetime of financial decisions.

We are financially strong and well positioned for continued growth, and we are grounded in our core values of Diversity, Equity & Inclusion (DE&I); Integrity, Customer Focus, Excellence, and Teamwork. We have offices in more than 260 communities in the U.S., including our headquarters in Carmel, Indiana, and corporate offices in Birmingham, Chicago, Philadelphia, Orlando and Milwaukee.

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.

If you're looking for a culture that encourages development, helps you reach your potential, and rewards you for your contribution, then CNO Financial Group is right for you. For more information, visit CNOinc.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

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Compensation

Pay Range: $23.27 - $34.91 Hourly

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

ReqID : JR169102

Job Type : Full time