Job Overview
Location
Work From Home (HB)
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 13, 2026
Full Job Description
đź“‹ Description
- • The Employer Service Rep - LHB role at Health Care Service Corporation supports Tribal ESR operations by resolving claim and customer service issues for a highly visible Tribal customer group, ensuring high levels of service, professionalism, and responsiveness to meet unique business partner needs.
- • Day-to-day responsibilities include researching and resolving claim issues initiated by clients or brokers, providing timely written or verbal status updates, following up on outstanding issues, tracking and documenting resolutions, recommending process improvements to prevent recurrence, and maintaining strong relationships with clients, Client Management, and Claims & Customer Service personnel.
- • The role involves assisting with benefit fairs or meetings, completing special client requests or projects as directed, and performing other duties as assigned, all within a fast-paced, customer service-driven environment requiring minimal supervision.
- • HCSC is a purpose-driven organization that invests in employee development through curated growth plans, offering a supportive environment where employees can build fulfilling careers while contributing to meaningful healthcare services for Tribal communities.
- • This position offers the opportunity to deepen expertise in health insurance claims, ERISA and DOL regulations, and Tribal-specific benefits administration, while developing leadership, organizational, interpersonal, and critical thinking skills through autonomous problem-solving and process improvement initiatives.
🎯 Requirements
- • Tribal experience required
- • High School diploma or GED equivalent
- • Minimum five or more years of claim processing or health insurance industry experience
- • Excellent verbal and written communication skills
- • Ability to research topics, summarize findings, and develop recommendations
- • Solid understanding of ERISA and DOL regulations
- • Ability to read, analyze, and interpret documents and Summary Plan Descriptions (SPDs)
- • Self-directed individual who works well with minimal supervision
- • Demonstrated critical thinking skills
- • Ability to learn new/proprietary systems and effectively use MS Excel/Word
🏖️ Benefits
- • Health and wellness benefits
- • 401(k) savings plan
- • Pension plan
- • Paid time off and paid parental leave
- • Disability insurance and supplemental life insurance
- • Employee assistance program
- • Paid holidays
- • Tuition reimbursement
- • Annual incentive bonus plan (subject to plan terms and conditions)
Skills & Technologies
About Health Care Service Corporation
Health Care Service Corporation is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It provides medical, dental, vision, life, and disability coverage to nearly 17 million members through individual, employer, and government programs. The company emphasizes community health investments, digital services, and value-based care initiatives. Founded in 1936 and headquartered in Chicago, HCSC is licensed as a mutual legal reserve company and governed by its policyholders.
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