Customer Service Representative - LHB

HCSC Group; United States; Remote; USD 21,000 - 39,000; Full time

Benefits offered by this job

Annual bonus eligibility

Remote work from within the US

Job summary

Luminare Health is seeking a remote customer service specialist to handle inquiries from employees, members and providers. This role requires navigating multiple applications and documenting interactions accurately while maintaining high service standards.

Requires 1 year of experience, a HS diploma or GED, and strong communication skills. The position operates during CST hours with weekend rotations and a dedicated home workspace.

Qualifications

• High School diploma or GED required.
• Minimum 1 year of customer service experience.
• Ability to work in a fast-paced, structured service environment.
• Excellent verbal and written communication skills.

Responsibilities

• Respond to telephonic, written and electronic inquiries from employees, members, providers and clients.
• Navigate multiple systems to document inquiries and actions taken.
• Ensure accurate and respectful handling of benefits, eligibility and claim status questions.
• Support remote team members while adhering to company policies.

Skills

Customer service

Communication

Problem solving

Adaptability

Education

High School diploma or GED

Tools

MS Excel

MS Word

Job description

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

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.

Sponsorship is not available

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 forassociates.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject 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.