Senior Benefit Advocate

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine sold plan documents, PIFs, and related materials to verify client intent, product standards, and applicable requirements prior to implementation.

• Utilize Crystal on a daily basis to assess, enter, and update benefit information for new business, renewals, upsells, maintenance requests, and off-cycle changes.

• Leverage Diamond knowledge to comprehend MEDDEF-level benefit configuration and recognize downstream impacts and discrepancies.

• Engage in installation and expert-team meetings, articulate benefit findings, and offer recommendations to commercial and operational partners.

• Confirm PIF information against sold benefits to support accurate downstream setup, contract documentation, certificates, and claim payments.

• Investigate complex benefit inquiries, address quality issues, and coordinate corrections with client-facing and benefits teams.

• Provide guidance to Sales and Client Management on nonstandard benefit options and the appropriate entry in Crystal.

• Perform quality reviews within daily deadlines while managing multiple priorities and sensitive implementation timelines.

• Assist in user acceptance testing, process enhancements, and improvements to Crystal, Diamond-related workflows, documentation, and team procedures.

• Operate independently in situations lacking fully documented processes, using sound judgment and escalating questions when necessary.

⛳️ Requirements

• High school diploma or equivalent qualification.

• A minimum of 5 years of experience in healthcare, benefits, benefit configuration, claims, implementation, or related fields.

• Experience within Cigna Global Health Benefits or a closely related internal benefits operation is preferred.

• Strong working knowledge of Diamond, including the ability to interpret benefit configurations and understand downstream impacts at the MEDDEF level.

• Familiarity with medical, dental, vision, IEAP, life, accidental death and dismemberment, supplemental, dependent, and other ancillary benefits.

• Possess analytical, critical-thinking, and quality-review skills with exceptional attention to detail.

• Capacity to manage ambiguity, make informed decisions, and work independently with moderate supervision.

• Excellent written and verbal communication skills.

• Ability to organize competing priorities, meet daily deadlines, and perform effectively in a fast-paced environment.

• Basic Microsoft Excel skills and proficiency in a Windows-based environment.

• Experience with Salesforce and Crystal is preferred; training may be provided to candidates with relevant Salesforce exposure and strong benefits knowledge.

• Familiarity with reading client plan documents, PIFs, certificates, or other benefit implementation materials is preferred.

• Experience in supporting new business installations, renewals, or plan maintenance for quality assurance is preferred.

• Some college coursework is desirable.

• Home internet connection via cable broadband or fiber optic service with a minimum of 10Mbps download/5Mbps upload speed is required for remote work.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits commencing on the first day of employment.

• Access to well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence.

• Option for remote work arrangements.

• Requirement for cable broadband or fiber optic internet with at least 10Mbps download/5Mbps upload for home working.