Student Insurance Advocate – Oxford, OH

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The Student Insurance Advocate oversees and provides administrative leadership for the student health insurance plan (SHIP) offered to Miami University students through United Health Care Student Resources (UHCSR). This position is responsible for the operations related to the Miami University SHIP and will be a key member of a multi-disciplinary team committed to the holistic well-being of all Miami students. The Advocate serves as the key contact, liaison, factfinder, problem-solver, and advocate for students insured by UHCSR should issues or needs arise pertaining to the SHIP.

The Advocate also coordinates ongoing communication efforts between university administration, UHCSR, students, and other key constituents (i.e., parents).

The ideal candidate should be a self-motivated, strategic, and socially skilled catalyst for creating a healthier and more informed student body by leading awareness-building initiatives regarding health insurance and providing personalized support to students seeking direction regarding Miami’s SHIP.

This position is full-time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at Miami University (OH) Clinical Health Sciences & Wellness Facility Health Services, 421 S. Campus Ave, Oxford, OH 45056.

We offer weeks of on-the-job training. The hours during training will be 8:00 am – 5:00 pm, Monday – Friday.

Primary Responsibilities: 

• Program Administration
• • Collaborates with key university departments (Registrar, Bursar, IT Services, University Communications and Marketing, Health Services. Student Life, etc.) to ensure processes pertaining to the SHIP are as smooth and seamless as possible throughout the insurance plan year.
  • Regularly assesses and facilitates the implementation of the annual online student enrollment and waiver process.
  • Maintains the UHCSR Waiver Administration Tool, which tracks students’ annual enrollment and waivers into/out of the Miami SHIP.
  • Demonstrate expertise in all phases of claims processing, including enrollment management, the appeal process, the predetermination process, and contract interpretation of plan benefits and policy provisions.
  • Maintain accurate records of students enrolled in the SHIP, including their coverage details and relevant documentation, while ensuring confidentiality and security of sensitive health information.
• Communication and Education
  • Interface regularly, proactively, and effectively with all Miami University constituents (undergraduate and graduate students, domestic and international students, Oxford and Regional students, parents, university administrators, and key campus partners) while clearly presenting the UHCSR Insurance plan benefits.
  • Develop and offer meaningful educational programs to students regarding health insurance, including the current plan design, policies, and procedures.
  • Coordinate and attend on-campus service-related functions as it relates to the SHIP, including meetings/committees, New Student Orientations, Health Fairs, and In-Service Information Sessions, etc.
  • Develop and distribute effective and ongoing communications to SHIP members and key constituents (i.e., dependents, parents, etc.)
• Customer Service
  • Provide exceptional customer service to all internal and external stakeholders.
  • Demonstrate a responsive, friendly, and solution-oriented nature when interacting with all constituents pertaining to the SHIP.
  • Assist in the resolution of any issues pertaining to billing, claims, etc.
  • Oversee the enrollment/waiver process, including anticipating needs and potential obstacles to the process and researching eligibility issues.
• Strategic Planning
  • Proactively create and offer ideas, programs, and collaborative initiatives to enhance students’ education and understanding of the SHIP.
  • Offer innovative ideas and solutions to enhance existing approaches to SHIP to improve the experience of all SHIP users.
  • Other duties as assigned by UHCSR or Miami University to support the SHIP.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older 
• 3+ years of medical insurance experience 
• Ability to work flexible any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime and weekends

Preferred Qualifications:

• Lean / Six Sigma certified (project management experience)

Soft Skills:

• Ability to speak publicly in front of an audience (large or small) in a clear, concise manner, being engaging and energetic
• Professional / polished dress (business casual when appropriate, business professional when presenting)
• Demonstrated ability to anticipate, plan, organize, and coordinate efforts both independently and through collaboration across departments
• High attention to detail with strong written and oral communication skills, both individually and within group settings
• Ability to thrive in an educational environment that values excellence, integrity, and efficiency, while possessing and maintaining a positive attitude and enthusiasm for the work