Customer Service Representative - LHB

Health Care Service Corporation • United States, United States • 1d ago

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Responsible for providing quality service by accurately and respectfully responding to telephonic, written and electronic inquiries from employees/members, providers and clients a high volume call center. Inquiries include a variety of topics such as benefits, eligibility, claim status, claim disposition and so on.

This role requires the ability to seamlessly navigate multiple system applications/screens, various resources and tools to accurately respond to inquiries while on the phone and to thoroughly/accurately document all inquiries and actions taken using applicable software applications while following Luminare Health guidelines.

This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI

Required Job Qualifications:

High School diploma or GED equivalent

Minimum 1 year previous customer service experience

Ability to work in a fast-paced, high demand, structured service oriented environment

Excellent verbal, written and interpersonal communication skills

Ability to effectively deal with problems in varying situations and reach resolution in a timely manner.

Must possess strong reasoning and analytical skills and resolve issues for customers quickly and accurately while maneuvering between multiple systems/screens while on the phone.

Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form

Flexible; open to continued process improvement

Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

Possess private, dedicated workspace free from distractions with secure, consistently reliable high speed Internet, with the ability to hardwire via Ethernet cable

Preferred Job Qualifications:

Prior experience in a fast-paced call center

Self-Funded Insurance/Benefits and/or TPA experience

Knowledge of medical procedure and diagnosis coding

Knowledge of medical terminology

Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools

Experience working in a performance measured environment with quality metrics.

Sponsorship is not available

LI-JJ1

LI-Remote

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.

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