Job Description

WHO WE ARE

Copa Health provides the best possible services and supports that assist each individual in achieving their own personal vision of recovery, wellness, and life in the community. We currently have 150+ locations, including day programs, group homes, respite and habilitation care, psychiatric care, outpatient services, counseling services, and overall integrated care. We serve approximately 19,000 members annually. Your Health, Our Passion! Our purpose is to inspire health, hope and happiness by delivering world-class solutions to individuals, families, and communities. Each year, compassionate and dedicated employees deliver life-changing services that support individuals and families who have disabilities to achieve higher levels of self-sufficiency, resiliency, and wellness. Through our employee's efforts, lives are improved, families are enriched, and communities are positively changed in dramatic ways. Because of the vulnerable population we serve, working at Copa Health is both a unique privilege and great responsibility. By focusing on our values of; people first, compassion, integrity, perseverance, accountability, and innovation; our employees feel rewarded and fulfilled while delivering the highest level of service.

WHO WE NEED

WE CURRENTLY HAVE A FULL-TIME BENEFITS RESOURCE ADVOCATE OPENING, MONDAY-FRIDAY 8AM-5PM.

The Benefits Advocate will deliver critical front line support that touches all benefited employees with claim resolution and thorough knowledge of lines of coverage. Must have strong analytical skills to assess the needs of employees and options they have depending on lines of healthcare coverage. Strong decision making skills is imperative to reach conclusions about recommendations for employees. Excellent communication skills to effectively present assessments of employee needs. Is the face and voice when handling sophisticated needs of our employees with integrity and emotional intelligence. Guide employees to understand all lines of coverage, options, and responding quickly to questions and unresolved issues via email, phone, and chat. Deliver a seamless experience with a deep understanding of employee insurance coverage needs. JOB REQUIREMENTS:

• Bachelors degree highly preferred or equivalency of High School Diploma/GED and 3+ years of progressive claims examination and benefits experience required.
• Working in a Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design highly preferred.

ESSENTIAL JOB DUTIES & RESPONSIBILITIES:

• Drive employee engagement with a thorough knowledge of lines of healthcare coverage to include, HDHP, PPO, HSA, FSA, dental, vision, short/long term disability, life, fully insured and alternative self-funding.
• Passionately educate employee about healthcare benefits, claims, and lines of coverage.
• Execute communication and cost containment strategies
• Effectively communication supporting treatment options.
• Foster a positive and encouraging environment for employees while connecting with appropriate treatment programs, vendors, and claims resolution.
• Supports and assumes the responsibility for resolving claim issues and assisting employees with employee benefit questions.
• Answer and respond to all issues, claims and problems related to coverage or those specifically related to an individual employee. These include: benefits questions, ID card requests, student status updates, provider directories, pre-authorization assistance, and referral assistance.
• Diligently and quickly pursue each inquiry/claim until the most positive resolution is achieved; regularly communicate the progress to the employee.
• Complete employee benefit online enrollments into requisite carrier systems.
• Review weekly, monthly and quarterly claims, utilization,
• A sense of urgency and ownership in all you do.
• The ability to manage several different assignments and responsibilities at the same time.
• The ability to effectively interact and communicate with various insurance carriers, clients and team members.
• A willingness to continually upgrade knowledge and understanding of the Healthcare Insurance Industry.
• To ensure compliance & adequate services, additional job duties may be required to meet the needs of the program and or department.

WHAT YOU’LL GET…

WHEN YOU JOIN OUR TEAM AS A FULL-TIME TEAM MEMBER, YOU WILL RECEIVE:

• Generous PTO program – up to 3 weeks off your first year with continued accruals each pay period!
• 9 paid holidays per year
• Access to health coach and wellness incentives
• Tuition reimbursement up to $1,000
• Affordable health care plans: Medical, Vision, and Dental
• H.S.A., H.R.A, F.S.A. (with select medical plans)
• Free Short-Term Disability and Life/AD&D Insurance up to $100,000
• 403(b) retirement plans with company match.
• Employee Assistance Program Voluntary benefits: Long-Term Disability, Pet Insurance, Additional Life/AD&D Insurance, and much more!

Copa Health is an Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status, or any other characteristics protected by law.

Company Description

Empowering members to learn, grow and live a healthy lifestyle. We are looking for employees to support our purpose and values. Copa Health provides, the best possible services and supports that assist each individual in achieving their own personal vision of recovery, wellness and a life in the community. We currently have 150+ locations including; day programs, group homes, respite and habilitation care, clinics, outpatient services, counseling services and overall integrated care. We serve approximately 19,000 members annually. Our purpose is to, inspire health, hope and happiness by delivering world class solutions to individuals, families and communities. Each year, compassionate and dedicated employees deliver life changing services that support individuals and families who have disabilities to achieve higher levels of self-sufficiency, resiliency and wellness. Through our employees efforts, lives are improved, families are enriched and communities are positively changed in dramatic ways. Because of the vulnerable population we serve, working at Copa Health is both a unique privilege and great responsibility. By focusing on our values of; people first, compassion, integrity, perseverance, accountability and innovation; our employees feel rewarded and fulfilled, while delivering the highest level of service. Copa Health (powered by MARC Community Resources and Partners In Recovery).