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Leavitt Group · 1 day ago

Advocacy Specialist (Employee Benefits)

Salt Lake City, UT

Full-time

Onsite

Entry, Mid Level

GBS Benefits, Inc. is a leader in customizing employee benefits offerings. The Advocacy Specialist delivers white-glove healthcare advocacy to members, helping them navigate complex situations and advocating on their behalf to ensure they feel informed and supported throughout the process.

Employee BenefitsHealth InsuranceHuman ResourcesInsuranceLife Insurance

Growth Opportunities

Responsibilities

Serve as a primary point of contact for members needing help navigating healthcare benefits and claims

Investigate and resolve denied or complex medical and pharmacy claims

Analyze Explanation of Benefits (EOBs), plan provisions, and coding to determine next steps

Advocate with insurance carriers, administrators, and providers to achieve fair and timely resolutions

Clearly communicate plans, timelines, and outcomes while providing reassurance and support

Build strong relationships with internal teams and external carrier contacts

Document cases accurately and stay current on evolving healthcare and benefits information

Qualification

Insurance knowledgeClaims resolutionEOB analysisMicrosoft Office proficiencyAnalytical mindsetEmpathyCommunication skillsCollaborationProblem-solving

Required

A strong investigative and analytical mindset with attention to detail

High levels of empathy, professionalism, and emotional intelligence

Excellent written and verbal communication skills

Ability to manage multiple cases in a fast-paced, constantly changing environment

A collaborative, 'can-do' attitude with a willingness to jump in and help

Comfort seeing both the details and the big picture

Proficiency with Microsoft Office and comfort learning new systems

Sound reasoning and judgment to decipher a multitude of incoming issues

Maintain composure, analyze situations objectively, and provide helpful assistance

Strong verbal & written communication

Ability to decipher resources for yourself and clients and know when to utilize other GBS departments

Must be able to effectively prioritize tickets and meet deadlines

Technically savvy and proficient with ongoing improvements in processes

Proven use and understanding of Microsoft Office

Ability to consistently attend work, meetings and training or staff events

Must work with respect and work well with diverse personalities

Must meet or exceed team and overall company expectations

Must work well independently as well as contribute to a team environment

Preferred

Prior experience with insurance, claims, benefits, or EOBs is highly preferred

Insurance / Claims / EOB knowledge highly recommended

Company

Leavitt Group

Ranked among the top three spots for growth due to acquisition in the property & casualty (P&C) space, Leavitt Group stands as one of the top privately held insurance brokerages nationwide.

Founded in 1952