Note: The job is a remote job and is open to candidates in USA. Luminare Health is committed to making healthcare simpler, better, and more affordable. They are seeking a Customer Service Representative to provide quality service by responding to inquiries from employees, members, providers, and clients in a high volume call center.
Responsibilities
- Responsible 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
Skills
- 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
- 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
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual bonus incentive
Company Overview