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.Job SummaryThis position is responsible for working with external customers to resolve claim and customer service issues initiated by clients or Client Management. Responsibilities include research and resolution of issues; recommendations for improvement of processes and procedures to eliminate recurrence of issues or to prevent future issues; communication with clients, Operations and Client Management; and tracking/monitoring of issues. This position may not service all clients.Required Job Qualifications:High School diploma or GED equivalentMinimum five or more years claim processing/health insurance industry experienceAbility to work in a fast-paced, customer service driven environmentExcellent verbal and written communication skillsAbility to research various topics, succinctly summarize findings and develop a recommendationAbility to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staffSolid understanding of ERISA and DOL regulationsAbility to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)Flexible; open to continued process improvementSelf-directed individual who works well with minimal supervisionGood leadership, organizational and interpersonal skillsDemonstrated critical thinking skillsAbility to effectively deal with problems in varying situations and reach resolutionAbility to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/WordPreferred Job Qualifications:Bachelor’s degreeGood presentation skillsExperience presenting and explaining benefits to a group or one-on-oneAre 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:$42,200.00 - $79,300.00Exact compensation may vary based on skills, experience, and location.