Care Champion

Responsibilities

• Provide telephonic services to assist clients and their families in navigating healthcare, wellness, and employee incentive programs
• Assist in navigating the healthcare system, interacting with providers and insurers, and finding community resources
• Solve complex benefit and claim issues on designated client cases
• Escalate issues to Claims, Eligibility Supervisors, and Client Managers when necessary

Requirements

• High School diploma or GED equivalent
• Minimum three years of insurance and/or benefits customer service experience
• Experience managing client advocacy cases involving research, problem solving, and tracking
• Proficiency in Microsoft Office Suite and electronic mail applications
• Ability to work a flexible 37.5 hour work week in a 24/7/365 call center environment, including evenings, weekends, and holidays
• Excellent written and verbal communication skills

Preferred Qualifications

• Knowledge of Health Care Reform and/or Medicare/Medicaid benefits
• Associate's Degree
• Bilingual in Spanish/English
• EBS, PHR, SPHR, or CBP certification

About the Company

Luminare Health, a wholly owned subsidiary of Health Care Service Corporation (HCSC), is a third-party administrator dedicated to making healthcare simpler, better, and more affordable for clients and members.