Employee Benefits is the core of our business and at our heart we are a people-focused organization. Every day, we help over 100,000 employers give their employees peace of mind by providing health, pharmacy, long and short-term disability, vision, dental and other insurance solutions. What makes us unique is that we can surround our clients with more services and more technology-based tools and a team of advisors that simply cares more than anyone else.
If you want a career giving people the reassurance that they can have access to the health care they need for themselves and their loved ones, join OneDigital.
Our Newest Opportunity:
The Client Advocate serves as a trusted, confidential resource for employees of our client organizations, providing expert guidance and hands-on support as they navigate the complexities of health insurance and healthcare access.
This role is the primary point of contact for employees seeking help with benefit questions, claims issues, access to care, and insurance-related challenges. Client Advocates combine empathy and patience with persistence and
problem-solving skills. They advocate firmly on behalf of employees with insurance carriers, provider offices, and third parties—while maintaining professionalism, accuracy, and strict confidentiality always.
Essential Duties and Responsibilities (include but are not limited to):
Employee Advocacy
· Serve as the primary point of contact for employees via phone and email for benefit questions and issue resolution
· Explain benefit plans, eligibility, enrollment timing, and cost-sharing in clear, accessible terms
· Support employees during open enrollment by helping them understand options and make informed plan selections
· Assist with locating in-network providers and care resources
Eligibility & Access Support
· Triage and support urgent eligibility issues impacting access to care or prescription coverage
· Coordinate with carriers, vendors, and internal teams to resolve eligibility discrepancies and restore coverage
when needed
Claims & Issue Resolution
· Investigate and resolve medical, dental, vision, and pharmacy claims issues
· Support referrals, prior authorizations, and transition-of-care needs
· Work directly with carriers, provider offices, and billing departments to resolve complex cases
· Manage escalations and appeals, including Department of Insurance submissions when required
Account Team Partnership & Reporting
· Partner with Account Management and Consulting teams on priority cases and recurring advocacy themes
· Provide advocacy stewardship reporting, including case volume, outcomes, trends, and key escalations
Professional Advocacy & Compliance
· Advocate persistently and professionally with carriers and providers on behalf of employees
· Maintain accurate case documentation and timely follow-through
· Uphold strict HIPAA compliance and handle sensitive situations with empathy and discretion
Qualifications, Skills and Requirements:
· Exceptional verbal and written communication skills
· High level of patience, empathy, and emotional intelligence
· Ability to manage sensitive and confidential situations with professionalism
· Strong problem-solving and critical-thinking skills
· Confidence and persistence when working with insurance carriers and provider offices
· Excellent organizational skills and ability to manage a high volume of cases
· Detail-oriented with strong follow-through
· Ability to work effectively in a fast-paced, client-focused environment
· Proficiency with Microsoft Office and standard case management or CRM tools
Education, Training and Experience:
· Bachelor’s degree preferred (or equivalent relevant experience)
· Active Health Insurance (Life & Health) license required (or ability to obtain within 90 days of hire)
· Prior experience in one or more of the following environments strongly preferred:
· Insurance carriers
· Employee benefits brokerage or consulting firms
· Physician or hospital offices
· Medical billing or revenue cycle departments
· Healthcare administration or patient advocacy roles
The typical base pay range for this role nationwide is $69,000 to $75,000 per year.
Your base pay is dependent upon your skills, education, qualifications,
professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.
To learn more, visit: www.onedigital.com/careers
OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals.
OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here.
Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant:
City and County of San Francsico
Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington.
In short, we believe in hiring the most qualified applicant for the position, regardless of background.
If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you.
OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow.
Thank you for your interest in joining the OneDigital team!