Job Description

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.

Provides telephonic services to our Clients’ employees (and their immediate family) to assist in understanding, navigating and getting the best value out of the healthcare, wellness and employee incentive programs provided by the Client. Assists in navigating the healthcare system as they seek health and wellness services, interact with providers and insurers, find useful community resources and reduce the callers stress as well as saving time and cost. Responsible for solving complex or difficult benefit and/or claim issues on designated client cases and when necessary, escalating issues to Claims, Eligibility Supervisors, and Client Managers.

Minimum Requirements

• High School diploma or GED equivalent
• Minimum three years of insurance and/or benefits customer service experience
• Demonstrated experience with managing (research, problem solving, organizing, tracking, reporting) client advocacy cases that require one or multiple interactions with the client, providers, insurers, and community resources
• Ability to effectively organize and prioritize work demands in a dynamic, fast-paced environment
• Ability to continuously display a positive attitude and follow directions
• Possess excellent customer service skills including proper grammar, tonalities and clear dictation
• Proficient in Microsoft Office Suite, data entry and electronic mail applications
• Excellent written and verbal communication skills, including the ability to adapt communication style to persons representing diverse personal, professional, cultural and socio-economic backgrounds
• Must be able to work a flexible 37.5 hour work week in a 24/7/365 call center environment – some 3rd shift, evenings, weekends, and holidays will be required
• Ability to sit and use the phone for long periods of time

Preferred

• Health Care Reform knowledge/experience and/or Medicare/Medicaid benefit knowledge
• Associates Degree
• Bilingual in Spanish/English
• EBS, PHR, SPHR or CBP certification

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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:

$18.07 - $33.92

Exact compensation may vary based on skills, experience, and location.