Remote

Work From Home (HB)

Full time

R0050688

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

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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.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

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Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

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