Senior Benefit Advocate

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

📋 Description

• Review sold plan documents, PIFs, and supporting materials to verify client intent, product standards, and relevant requirements prior to implementation.

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

• Leverage Diamond expertise to comprehend MEDDEF-level configurations, foresee downstream impacts, and spot discrepancies before claims or member materials are influenced.

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

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

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

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

• Conduct quality reviews within daily deadlines while balancing multiple priorities and sensitive implementation timelines.

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

• Operate independently in scenarios lacking a fully documented process, exercising sound judgment and escalating inquiries as necessary.

⛳️ Requirements

• High school diploma or equivalent.

• 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.

• Strong understanding of Diamond, including the ability to interpret benefit configurations and recognize downstream impacts at the MEDDEF level.

• Comprehensive knowledge of medical, dental, vision, IEAP, life, accidental death and dismemberment, supplemental, dependent, and other ancillary benefits.

• Strong analytical, critical-thinking, and quality-review abilities with meticulous attention to detail.

• Capability to manage ambiguity, make informed decisions, and work autonomously with moderate supervision.

• Excellent written and verbal communication skills, including confidence in interactions with Sales and commercial partners.

• Ability to prioritize competing tasks, meet daily deadlines, and perform efficiently in a dynamic environment.

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

• Familiarity with Salesforce and Crystal is preferred; training may be offered to candidates with relevant Salesforce experience and strong benefits knowledge.

• Preferred experience in reading client plan documents, PIFs, certificates, or other benefit implementation materials.

• Preferred experience in supporting new business installations, renewals, or plan maintenance for quality assurance.

• Some college coursework is preferred.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Access to medical, vision, dental, and well-being and behavioral health programs starting on day one.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement.

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

• Paid holidays.

• Leaves of absence.

• Cable broadband or fiber optic internet service with a minimum of 10Mbps download/5Mbps upload for remote work.