Employer Service Representative-2

Responsibilities

• Resolve claim and customer service issues initiated by clients or Client Management
• Research and resolve issues
• Recommend process improvements to prevent recurrence
• Communicate with clients, Operations, and Client Management
• Track and monitor issues

Requirements

• High School diploma or GED equivalent
• Minimum five or more years claim processing or health insurance industry experience
• Solid understanding of ERISA and DOL regulations
• Ability to read, analyze, and interpret Summary Plan Descriptions (SPDs)
• Proficiency in MS Excel and Word
• Strong critical thinking and problem-solving skills

Preferred Qualifications

• Bachelor's degree
• Experience presenting and explaining benefits to groups or individuals

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Paid time off and paid parental leave
• Disability and supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement

About the Company

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