Employer Service Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $42.2k - $79.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Luminare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Luminare Health is a leading provider of self-funded health plan administration services with over 50 years of industry experience. The company specializes in offering flexible and innovative solutions for hospitals, health systems, and direct-to-employer initiatives, focusing on administration, cost management, and digital reporting tools. Luminare Health is dedicated to being a reliable partner in managing healthcare costs and supporting strategic growth for its clients. The company emphasizes a member-centered approach to healthcare while delivering significant savings through expert claim analysis and management of high-cost claims.

📋 Description

• Work with external customers to resolve claim and customer service issues initiated by clients or Client Management • Research and resolve issues • Recommend improvements to processes and procedures to eliminate recurrence or prevent future issues • Communicate with clients, Operations and Client Management • Track and monitor issues • Service assigned clients as applicable

🎯 Requirements

• High School diploma or GED equivalent • Minimum five or more years claim processing/health insurance industry experience • Ability to work in a fast-paced, customer service driven environment • Excellent verbal and written communication skills • Ability to research various topics, succinctly summarize findings and develop a recommendation • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff • Solid understanding of ERISA and DOL regulations • Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) • Flexible; open to continued process improvement • Self-directed individual who works well with minimal supervision • Good leadership, organizational and interpersonal skills • Demonstrated critical thinking skills • Ability to effectively deal with problems in varying situations and reach resolution • Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word • Preferred: Bachelor’s degree • Preferred: Good presentation skills • Preferred: Experience presenting and explaining benefits to a group or one-on-one

🏖️ 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 conditions of the plan • Remote work