Luminare Health ยท 11 hours ago
Sr Claims Analyst - LHB
United States
Full-time
Remote
Mid, Senior Level
$17/hr - $33/hr
3+ years expLuminare Health is a purpose-driven company that invests in the professional development of its employees. The Senior Claims Analyst role involves a variety of administrative and technical tasks to support the Claims Team, including adjudicating and processing claims and advising team members on procedures.
Health CareInsuranceTelehealth
No H1B
Responsibilities
Secure and analyze claim information to make life and disability benefit determinations in accordance with policy provisions and appropriate state and federal laws; achieving results by effective use of all appropriate resources
Calculate benefit payments and communicate claim decisions on new and continuing claims
Provide responsive and caring customer service
All tasks completed under general supervision of management
Qualification
Required
High School diploma or GED equivalent
3 years prior medical claim processing experience
Ability to work in a fast-paced, customer centric & production driven environment
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
Flexible; open to continued process improvements
Self-directed individual who works well with minimal supervision
Good leadership, organizational and interpersonal skills
Ability to effectively handle with complex situations and reach resolution
Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred
Health Insurance/Third Party Administrator Experience
This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI
Benefits
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
Other incentives
Company
Luminare Health
Luminare Health offers healthcare management services, focusing on cost control and risk management for self-funded employers.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ashley Pond
Executive Director, National Partnerships
Company data provided by crunchbase