Luminare Health is a purpose-driven company that values employee development and growth. The Customer Service Representative is responsible for providing quality service by responding to inquiries from employees, providers, and clients in a high volume call center environment.
Responsibilities:
- Providing quality service by accurately and respectfully responding to telephonic, written and electronic inquiries from employees/members, providers and clients in a high volume call center
- Navigating multiple system applications/screens, various resources and tools to accurately respond to inquiries while on the phone
- Thoroughly/accurately documenting all inquiries and actions taken using applicable software applications while following Luminare Health guidelines
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
- 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
- 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