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    Job · 18274438

    Health Care Service logo

    Customer Service Representative - LHB

    Health Care Service · Remote · remote · Posted 84d ago

    Not disclosed1+ yrsfulltimeSourced fromWorkday

    About a minute. You'll make an account on the way through.

    About this role

    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 **** Remote employees must live within the continental United States, excluding: Alaska, New York, California, or Hawaii. *******

    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.

    This position requires candidates to physically reside in the United States and be able to complete employer‑verified I‑9 documentation.

    This is a Telecommute (Remote) role. Remote employees must live within the continental United States, excluding Alaska, New York, California, or Hawaii.

    Training & Work Schedule This position requires completion of a 4–6 week paid training program, held:

    Monday–Friday 8:00 AM – 4:00 PM CST After training, standard work hours transition to:

    11:00 AM – 7:00 PM CST

    Operating Hours: Our department operates 7:00 AM – 7:00 PM CST, seven days a week, and this role includes rotating Saturday and Sunday shifts as part of the normal schedule.

    This position is 100% remote with a pay range from $20.00-$22.00 per hour and eligible for annual bonus incentive. Required Job Qualifications: 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

    Preferred Job Qualifications: 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.

    #LI-JJ1 #LI-Remote

    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 employer dedicated to providing a welcoming environment where the unique differences of our employees are 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, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for  associates .     The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan  subject to the terms and the conditions of the plan.

    Min to Max Range: $14.97 - $28.12 Exact compensation may vary based on skills, experience, and location.

    Sourced from workday

    Skills

    Process Improvementexcel

    About Health Care Service Corporation

    Health Care Service logo

    Health Care Service

    Chicago

    US

    About

    Health Care Service Corporation is a customer-owned health insurance company. Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest non-investor-owned health insurer in the United States and fourth largest overall, operating through their Blue Cross and Blue Shield® Plans in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC affiliates and subsidiaries such as Dearborn National, TMG Health and Medecision, offer group life, disability and dental solutions, as well as a range of other individual solutions. The company, founded in 1936, serves nearly 14.7 million members across five states and employs nearly 23,000 people in over 60 local offices. HCSC is dedicated to expanding access to high quality, cost effective health care and equipping their members with information and tools so they can make the best healthcare decisions for themselves and their families. Their health plans were pioneers in their states, as they were the first to provide coverage for a number of procedures — ranging from heart and bone marrow transplants, to cancer and leukemia treatments. Today, they are leaders in the development of value-based care models to spur greater collaboration and accountability among various stakeholders to improve the health care experience for patients and consumers and enable them lead healthier lives. HCSC is dedicated to contributing to the well-being of the communities in which their employees and members live, work and play. They continue their longstanding tradition of community support through charitable investments with community partners, volunteerism, civic engagement, event sponsorship, employee giving, donation drives and in-kind donations.

    Industries

    Health InsuranceInsurance

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