Customer Service Specialist providing day-to-day support for employee benefit plans at OneDigital. Handling inquiries and ensuring accurate administration of benefits while building positive client relationships.
Responsibilities
Serve as a primary point of contact for clients, employees, carriers, and internal teams
Provide day-to-day support related to employee benefit plans
Resolve benefit inquiries, process enrollment changes, and ensure accurate administration of medical, dental, vision, life, and other benefit programs
Respond to employee and client inquiries regarding benefit plans, eligibility, coverage, claims, and billing
Process benefit enrollments, terminations, and changes for new hires, qualifying life events, and open enrollment
Coordinate with insurance carriers, third-party administrators, and vendors to resolve issues and discrepancies
Assist with COBRA administration, including eligibility notifications and ongoing coverage questions
Review and audit enrollment data to ensure accuracy across systems and carrier platforms
Support open enrollment activities, including employee communications and system setup
Maintain detailed documentation of service requests, resolutions, and follow-ups
Escalate complex issues as appropriate while maintaining ownership through resolution
Adhere to compliance requirements and internal service standards
Build and maintain positive relationships with clients, employees, and internal partners
Requirements
Strong customer service and communication skills (verbal and written)
High attention to detail and ability to manage multiple tasks in a fast-paced environment
Experience working with employee benefit plans (medical, dental, vision, life, disability, FSA/HSA preferred)
Ability to explain complex benefit information in a clear, empathetic manner
Proficient in benefits administration systems and Microsoft Office applications
Strong problem-solving and follow-up skills
Ability to work independently and as part of a team
Previous experience in an employee benefits brokerage, insurance carrier, or TPA environment preferred
Familiarity with benefits administration platforms (e.g., Employee Navigator, carrier portals)
Knowledge of COBRA, eligibility rules, and qualifying life events preferred.
Associate’s or Bachelor’s degree preferred, or equivalent work experience
Benefits
Health, pharmacy, long and short-term disability, vision, dental, and other insurance solutions
Reimbursement of job-related expenses per the company policy
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