Benefit Advocate - LHB

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.

Answer incoming/make outgoing calls, emails, on-line chats and secure instant messages from the clients employees and their covered family members and identify their immediate needs and determine the appropriate resolution action(s):

• Respond to benefit inquiries (e.g. medical, dental, life, STD, LTD)
• Assist members with questions regarding annual enrollment, new hire benefits, and life events. Educate member on plan details including FSA and HSA
• Conduct outreach to providers, networks and suppliers to resolve issues or gain information on members behalf
• Identify and escalate member issues by routing to appropriate Operations Team, Care Champions or Supervisor for immediate resolution
• Connect members with healthcare and wellness resources
• Provide member with healthcare and/or wellness options and information to resolve questions or issue at hand
• Ensure accurate and timely data entry of applicable call information in appropriate systems
• Maintain privacy/confidentiality of participants and employee information following HIPAA and company guidelines and actively participates in URAC and company quality management activities as so requested
• Make outbound calls when necessary
• Support open enrollment
• Other duties as needed/assigned

Required Job Qualifications:

• High School diploma or GED equivalent
• Minimum one year of insurance and/or benefits customer service experience
• 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 Job Qualifications:

• Associates Degree
• Bilingual in Spanish/English
• EBS, PHR, SPHR or CBP certification

Please note: We are hiring for a training class that will begin on January 13, 2025. Training will be 10 weeks and requires full attendance working the hours of 8:00 am - 4:00 pm CST Monday - Friday. After training, you will work your regular hours of 12:00 - 8:00 pm CST from Monday - Friday. You will also be required to work rotational Saturdays (averaging every 5 weeks) and some holidays.

This role is based remotely, however candidates must live in one the following states: IL, MT, IN, IA, KS, MO, NC, NM, OK, PA, TX or WI.

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

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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 Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

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

Min to Max Range: