Customer Service Representative - LHB

New
Continental United States, excluding: Alaska, New York, California, or HawaiiFull-TimeMiddle
Salary20 - 22 USD per hour
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Job Details

Experience
Minimum 1 year previous customer service experience
Required Skills
Microsoft Excel

Requirements

  • 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
  • Strong reasoning and analytical skills
  • Ability to 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
  • Ability to adapt to various system platforms
  • Ability to effectively use MS Excel/Word
  • Possess private, dedicated workspace free from distractions with secure, consistently reliable high speed Internet
  • Ability to hardwire via Ethernet cable
  • Prior experience in a fast-paced call center (Preferred)
  • Self-Funded Insurance/Benefits and/or TPA experience (Preferred)
  • Knowledge of medical procedure and diagnosis coding (Preferred)
  • Knowledge of medical terminology (Preferred)
  • Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools (Preferred)
  • Experience working in a performance measured environment with quality metrics (Preferred)

Responsibilities

  • Provide quality service by accurately and respectfully responding to telephonic, written and electronic inquiries
  • Respond to inquiries from employees/members, providers and clients in a high volume call center
  • Handle inquiries on topics such as benefits, eligibility, claim status, and claim disposition
  • Seamlessly navigate multiple system applications/screens, various resources and tools
  • Accurately respond to inquiries while on the phone
  • Thoroughly and accurately document all inquiries and actions taken using applicable software applications
  • Follow Luminare Health guidelines
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20 - 22 USD per hour
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