Care Champion - LHB

Health Care Service Corporation

3d•$18 - $34•Onsite

About The Position

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable. Job Summary Provides telephonic services to our Clients’ employees (and their immediate family) to assist in understanding, navigating and getting the best value out of the healthcare, wellness and employee incentive programs provided by the Client. Assists in navigating the healthcare system as they seek health and wellness services, interact with providers and insurers, find useful community resources and reduce the callers stress as well as saving time and cost. Responsible for solving complex or difficult benefit and/or claim issues on designated client cases and when necessary, escalating issues to Claims, Eligibility Supervisors, and Client Managers.

Requirements

High School diploma or GED equivalent
Minimum three years of insurance and/or benefits customer service experience
Demonstrated experience with managing (research, problem solving, organizing, tracking, reporting) client advocacy cases that require one or multiple interactions with the client, providers, insurers, and community resources
Ability to effectively organize and prioritize work demands in a dynamic, fast-paced environment
Ability to continuously display a positive attitude and follow directions
Possess excellent customer service skills including proper grammar, tonalities and clear dictation
Proficient in Microsoft Office Suite, data entry and electronic mail applications
Excellent written and verbal communication skills, including the ability to adapt communication style to persons representing diverse personal, professional, cultural and socio-economic backgrounds
Must be able to work a flexible 37.5 hour work week in a 24/7/365 call center environment – some 3rd shift, evenings, weekends, and holidays will be required
Ability to sit and use the phone for long periods of time

Nice To Haves

Health Care Reform knowledge/experience and/or Medicare/Medicaid benefit knowledge
Associates Degree
Bilingual in Spanish/English
EBS, PHR, SPHR or CBP certification

Responsibilities

Provides telephonic services to our Clients’ employees (and their immediate family) to assist in understanding, navigating and getting the best value out of the healthcare, wellness and employee incentive programs provided by the Client.
Assists in navigating the healthcare system as they seek health and wellness services, interact with providers and insurers, find useful community resources and reduce the callers stress as well as saving time and cost.
Responsible for solving complex or difficult benefit and/or claim issues on designated client cases and when necessary, escalating issues to Claims, Eligibility Supervisors, and Client Managers.