Employer Service Rep (Remote) - LH

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 SummaryThis position is responsible for working with external customers to resolve claim and customer service issues initiated by clients or Client Management. Responsibilities include research and resolution of issues; recommendations for improvement of processes and procedures to eliminate recurrence of issues or to prevent future issues; communication with clients, Operations and Client Management; and tracking/monitoring of issues. This position may not service all clients.

** This role is based remotely, however candidates must live in one the following states: IL, IN, IA, KS, MO, NC, NM, OK, PA, TX or WI **

Required Job Qualifications:

• 5+ years claim processing in health insurance industry experience

• High School diploma or GED equivalent

• Ability to work in a fast-paced, customer service driven environment

• Excellent verbal and written communication skills

• Ability to research various topics, succinctly summarize findings and develop a recommendation

• Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff

• Solid understanding of ERISA and DOL regulations

• Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)

• Flexible; open to continued process improvement

• Self-directed individual who works well with minimal supervision and as part of a team

• Good leadership, organizational and interpersonal skills

• Demonstrated critical thinking skills

• Ability to effectively deal with problems in varying situations and reach resolution

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

Preferred Job Qualifications:

• Bachelor’s degree

• Good presentation skills

• Experience explaining benefits in a group and/or individual settings

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:

$40,400.00 - $75,800.00 Apply