Onsite Member Services Representative (Bilingual - Spanish) - LHB

Luminare Health Benefits•Mesquite, TX

8d•Onsite

About The Position

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 This position is responsible for working onsite at the client’s office/facility – up to 5 days a week for the entire workday. Minimal working hours will be spent in a work-from-home office or in a Luminare Health office. The associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, assist with Open Enrollment activities, and support the Human Resources team with the benefits offered to its employees. The position also meets face-to-face with the client’s Human Resources personnel as needed under the direction of the Client Manager. The associate must project a high level of professionalism as they are an onsite representation of Luminare Health to members and the client. Responsibilities include research and resolution of issues; recommendations for improvement of processes and procedures to eliminate recurrence of issues; professional and clear communication with members, clients, Operations and Client Management. Bilingual (English/Spanish) preferred.

Requirements

High School diploma or GED equivalent
Bilingual (English/Spanish) strongly preferred
Ability to travel to the client(s) office/facility on a regular basis.
Prior claim processing/health insurance experience
Ability to work in a fast-paced, client centric environment
Excellent verbal and written communication skills
Ability to research and summarize findings and develop solutions or recommendations for resolution
Ability to work effectively with employees/members, providers, clients and various levels of staff
Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
Flexible; open to continued process improvements
Self-directed individual who works well with minimal supervision
Good leadership, organizational and interpersonal skills
Demonstrated critical thinking skills
Ability to effectively handle varying situations and reach resolution
Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Good presentation skills

Nice To Haves

Bilingual (English/Spanish) strongly preferred
Bachelor’s degree
Experience presenting and explaining benefits to an individual or group

Responsibilities

Research and resolution of issues
Recommendations for improvement of processes and procedures to eliminate recurrence of issues
Professional and clear communication with members, clients, Operations and Client Management