Employer Service Representative - LHB

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 Summary This 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 equivalent Minimum five or more years claim processing/health insurance industry experience Ability to work in a fast-paced, customer service driven environment Excellent verbal and written communication skills Ability to research various topics, succinctly summarize findings and develop a recommendation Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff Solid understanding of ERISA and DOL regulations Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) Flexible; open to continued process improvement Self-directed individual who works well with minimal supervision Good leadership, organizational and interpersonal skills Demonstrated critical thinking skills Ability to effectively deal with problems in varying situations and reach resolution Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS E