Employer Service Rep - LHB

Health Care Service Corporation

1d•$42,200 - $79,300•Remote

About The Position

At Luminare Health, employees’ expertise, dedication, and passion for service excellence support the organization’s success. The company emphasizes employee development, meaningful work, collaboration, and continuous improvement, with a focus on making healthcare simpler, better, and more affordable. The Employer Service Rep works with external customers to resolve claim and customer service issues initiated by clients or Client Management. The role researches and resolves issues, recommends process and procedure improvements to prevent recurrence, communicates with clients, Operations, and Client Management, and tracks and monitors issues. The position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii. The role aligns with an annual incentive bonus plan, subject to its terms and conditions. Compensation varies according to job-related skills, education, knowledge, experience, and location.

Requirements

High school diploma or GED equivalent.
Minimum of five years of claim processing or health insurance industry experience.
Ability to work in a fast-paced, customer-service-driven environment.
Excellent verbal and written communication skills.
Ability to research topics, succinctly summarize findings, and develop recommendations.
Ability to work effectively with employees and members, providers, clients, and coworkers at different levels, including Client Managers and all levels of staff.
Solid understanding of ERISA and Department of Labor (DOL) regulations.
Ability to read, analyze, and interpret documents and Summary Plan Descriptions (SPDs).
Flexibility and openness to continued process improvement.
Self-directed approach and ability to work well with minimal supervision.
Good leadership, organizational, and interpersonal skills.
Demonstrated critical-thinking skills.
Ability to effectively address problems in varying situations and reach resolution.
Ability to learn new or proprietary systems, adapt to different system platforms, and effectively use MS Excel and Word.

Nice To Haves

Bachelor’s degree.
Good presentation skills.
Experience presenting and explaining benefits to a group or one-on-one.

Responsibilities

Work with external customers to resolve claim and customer service issues initiated by clients or Client Management.
Research and resolve issues.
Recommend improvements to processes and procedures to eliminate recurring issues.
Communicate with clients, Operations, and Client Management.
Track and monitor issues.