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. The Customer Service Representative is responsible for providing quality service by responding to inquiries from employees and clients in a high volume call center, requiring effective communication and problem-solving skills.
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 incentive bonus plan subject to the terms and the conditions of the plan
Company Overview