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Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs - without compromising benefits - by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.
Job SummaryThe primary responsibility of this position is to build health benefit plans in our claims administration system to adjudicate benefits according to those written into each Summary Plan Description. Plan Builders set up files from health benefit plans which have been developed and enter the necessary codes and parameters into the system to achieve timely and accurate claim processing. This position tests all new benefit setups to verify system payments are according to benefit plan design and is also responsible for accurately maintaining and updating existing plans.Required Job Qualifications:
- Minimum of 1 -2 years' experience in a Claims/Customer Service/Benefits environment.
- Working knowledge of PowerSTEPP
- Strong math and analytical skills
- Ability to conceptualize
- Excellent problem solving and organizational skills with attention to detail and the ability to manage multiple priorities under strict timeframes
- The ability to work reliably as part of a larger team
- Commitment to exceed quality standards and produce exceptional products and services
- Must possess strong verbal and written communication skills with the ability to explain complex processes and procedures
- An inherent customer service mindset is vital in this position as is a superior work ethic which includes good attendance and self-motivation
Preferred Job Qualifications:
- Prior plan building experience highly advantageous
- SQL or other coding experience that demonstrates programmatic thought process preferred
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability.
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:
$40,400.00 - $75,800.00HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.