Customer Service Representative - LHB

Responsibilities

• Provide quality service by responding to telephonic, written, and electronic inquiries from members, providers, and clients
• Address topics including benefits, eligibility, claim status, and claim disposition
• Navigate multiple system applications and tools simultaneously while on calls
• Thoroughly document all inquiries and actions taken within software applications

Requirements

• High School diploma or GED equivalent
• Minimum 1 year of customer service experience
• Ability to work in a fast-paced, high-demand call center environment
• Strong reasoning and analytical skills for issue resolution
• Proficiency in MS Excel and Word
• Access to a private, dedicated workspace with reliable high-speed internet via Ethernet cable
• Ability to work rotating Saturday and Sunday shifts

Preferred Qualifications

• Prior experience in a fast-paced call center environment
• Experience with Self-Funded Insurance/Benefits or TPA
• Knowledge of medical terminology and diagnosis coding
• Familiarity with Summary Plan Documents (SPDs) or insurance booklets
• Experience working in a performance-measured environment with quality metrics

About the Company

Luminare Health is part of HCSC, an industry leader dedicated to expanding access to high-quality, cost-effective healthcare for over 80 years.