Customer Service Representative
Work From Home (HB)
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 SummaryResponsible 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.
You will also participate in a 8-week training class. Our Trainers provide a detailed program to give you the knowledge and tools to be successful in your new role. Hours for the duration of training will be 8:00 am-4:00 pm CST and after training your hours will be between the hours of 9:00 am - 5:00 pm CST.
** This role is based remotely, however candidates must live in one the following states: IL, MT, IN, IA, KS, MO, NC, NM, OK, PA, 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
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 / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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 Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
Min to Max Range:
$14.32 - $26.90 ApplyJob Profile
MT Must live in specific states NM OK TX Work from Home
Benefits/Perks15 days paid time off 401(k) savings plan Annual Incentive Bonus Curated development plans Disability Insurance Employee Assistance Program Employee Referral Process Health and wellness benefits Incentives Inclusive workplace Life Insurance Paid holidays Paid parental leave Paid Time Off Professional development Purpose-driven company Supplemental life insurance Tuition reimbursement Work From Home
Tasks- Document actions
- Navigate multiple systems
- Respond to inquiries
Analytical Business Coding Coding knowledge Communication Customer service Excel Fast-paced Environment Insurance Interpersonal Interpersonal Communication Medical terminology MS Excel MS Word Multi-tasking Organization Problem-solving Process Improvement Wellness Word
Experience1 years
EducationBusiness Equivalent GED GED equivalent High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9