This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Overview
Healthcare Benefits Advocate (In Office)
Location: Metairie, LA (Onsite)
Schedule: Monday - Friday, 8:00 AM - 4:30 PM (37.5 Hours per Week)
Compensation: $19.00 - $24.00 per hour
Please Note: This is a fully onsite position located in our Metairie, Louisiana office. Remote and hybrid work arrangements are not available for this role.
Build Your Career With Purpose at CCMSI
At CCMSI, we are committed to providing exceptional service and support to our clients, members, and partners. As a certified Great Place to Work® and employee-owned organization, we believe our success starts with dedicated employees who are passionate about helping others.
We foster a collaborative culture where employees are empowered to grow professionally, contribute meaningful ideas, and make a positive impact every day.
Job Summary
CCMSI is seeking a Healthcare Benefits Advocate to serve as a trusted resource for members, healthcare providers, employers, and plan administrators regarding health insurance benefits, medical claims, eligibility, and coverage questions.
This is not a call center role. We are seeking someone with a strong understanding of health insurance, medical claims, benefits administration, medical billing, or healthcare reimbursement who can confidently interpret benefit plans, investigate claim issues, explain coverage provisions, and advocate for appropriate claim resolution.
The ideal candidate enjoys helping people, is comfortable speaking with members and providers throughout the day, and can successfully navigate complex healthcare benefit questions while delivering exceptional service.
Responsibilities
What You'll Do
Serve as a primary point of contact for members, healthcare providers, employers, and plan administrators regarding health benefit plans and medical claims.
Research and resolve claim issues, payment discrepancies, eligibility concerns, and coverage questions.
Interpret benefit plan documents, schedules of benefits, exclusions, limitations, coordination of benefits, and subrogation provisions.
Explain claim determinations, payment calculations, deductibles, copays, coinsurance, and out-of-pocket responsibilities.
Investigate denied claims and assist with claim reconsiderations and appeals.
Process medical, dental, and prescription benefit transactions in accordance with client plan provisions.
Collaborate with providers, clients, medical reviewers, and internal teams to obtain information necessary for claim resolution.
Educate members regarding healthcare benefits and available coverage options.
Maintain accurate documentation and correspondence within company systems.
Support claim audits, special projects, and benefit administration activities as assigned.
Assist with onboarding and training of newer team members when requested.
Who We're Looking For
We're looking for someone who understands the healthcare and insurance industry and enjoys helping others navigate benefit-related questions.
Ideal backgrounds include: Health insurance
Third-Party Administration (TPA)
Employee benefits administration
Medical claims processing
Medical billing and reimbursement
Provider relations
Healthcare customer advocacy
Eligibility and enrollment administration
Successful candidates are: Comfortable speaking with members, providers, and clients throughout the day
Confident explaining complex benefit information
Naturally curious and investigative when resolving claim issues
Highly organized and detail oriented
Professional, empathetic, and service focused
Able to manage multiple priorities in a fast-paced environment
Self-motivated and dependable
Qualifications
Required Qualifications High School Diploma or equivalent
Medical terminology knowledge required
Minimum two years of experience in one or more of the following: Health insurance
Benefits administration
Health claims processing
Medical billing
Customer service within a healthcare environment
Healthcare reimbursement
Third-Party Administration (TPA)
Strong verbal and written communication skills
Strong organizational and time-management skills
Ability to research and resolve benefit and claim issues
Ability to manage multiple priorities and deadlines
Strong attention to detail and accuracy
Ability to maintain confidentiality and professionalism
Proficiency with Microsoft Office applications, including: Outlook
Word
Excel
Reliable attendance during scheduled business hours
Ability to speak to groups of 20-100 attendees for presentations
Limited travel required - within the state of Louisiana to conduct benefit enrollment meetings.
Preferred Qualifications
Associate degree
Experience interpreting health plan documents and benefit structures
Experience with medical claims billing, payment, and posting
Experience handling benefit appeals
Knowledge of medical coding
Experience supporting governmental or public entity benefit programs
Prior benefits customer service experience
Why You'll Love Working Here 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth : Internal training and advancement opportunities
Culture : A supportive, team-based work environment
How We Measure Success
At CCMSI, strong Benefits Analysts balance service and accuracy. Success in this role is measured by:
• Customer service quality - clear, timely, and empathetic responses to member and provider inquiries
• Claim accuracy - correct interpretation of plan benefits and claim details
• Productivity & responsiveness - effective handling of calls, inquiries, and assigned work
• Analytical growth - successful cross-training and support of analyst-level tasks
• Compliance & documentation - adherence to client contracts and company standards
• Professionalism & collaboration - reliability, teamwork, and positive client interaction
This is where we shine, and we hire benefits professionals who want to make an impact with us.
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #BenefitsAdministration #CustomerServiceRepresentative #HealthInsurance #MedicalBilling #ClaimsProcessing #BenefitsCareers #HealthcareCareers #MetairieLAJobs #LouisianaJobs #OfficeJobs #NowHiring #LIOnsite #IND456
Worksite address
metairie, LA, 70011, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.