Account Manager – Claims Reporting

🕒 Outubro 9

🌵 Arizona, Florida, +20 estados a mais – Remoto

🌵 Arizona – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote

💵 $60.000 - $65.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💰 Gerente de Contas

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Lumelight

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2025

🏥 Saúde

🛡️ Seguros

💼 Consultoria

Healthcare • Insurance • Consulting

A Lumelight é uma empresa de conformidade e administração de benefícios que auxilia empregadores, corretores e sistemas de saúde a gerenciar riscos regulatórios, otimizar as operações de benefícios e reduzir custos. A empresa oferece serviços de conformidade, análises de sinistros, verificação de elegibilidade de dependentes, soluções fiduciárias, auditorias e orientação de consultores seniores/jurídica para apoiar relatórios do ACA, revisões de PBM e prescrições e otimização de benefícios. A Lumelight foca em melhorar a precisão, reduzir a responsabilidade dos empregadores e oferecer economias mensuráveis por meio de consultoria integrada e soluções especializadas.

Descrição

• Serve as the primary point of contact for clients using Lumelight’s health insurance analytics platform • Resolve customer inquiries regarding the Lumelight analytics platform • Support questions related to stop-loss tracking, plan financial tracking and projection, claim reporting, and chronic-condition reporting • Support customer workflows requiring data to be pulled and securely delivered • Lead software testing through specified scenarios during scheduled and unscheduled releases • Lead projects and facilitate communication for customers adding groups to Lumelight • QA newly implemented groups by comparing customer data against Lumelight data after setup • Provide subject-matter expertise in analytics or health insurance knowledge • Handle customer accounts and provide timely, accurate, and empathetic support • Adhere to HIPAA compliance and data-security best practices when handling PHI

🎯 Requisitos

• 2+ years’ experience using CRM systems such as SFDC, HubSpot, or Zoho for customer ticket management • Advanced or greater level knowledge using Microsoft products, including Excel, with demonstrated ability to do data validation, pivot charts, and record macros for troubleshooting • Experience using Microsoft Outlook to manage incoming messages, schedule meetings, and create and maintain rules • Ability to lead a meeting, demonstrating and inspiring confidence to customers • A minimum of 3 years of administrative or client management experience • Preferably healthcare, claims processing/adjudication experience • Employee Benefit and Self-Funded Health Plan insurance knowledge a strong plus • Health care related or prior claims auditing experience a plus • Must be able to understand how specific health care benefits are administered by reviewing client plan documentation, audit findings, and administrator responses • Proven excellence in support and service to complex clients • Superior project management, time management, and organizational skills • Ability to quickly adapt to multiple priorities • Demonstrated relationship-building and presentation skills, including engaging, persuading, and gaining credibility with senior executives within complex organizations • Superior problem-solving ability with client-facing experience, preferably customer service experience • Strong analytical and critical-thinking ability, with excellent written and verbal communication skills • Strong ethical and professional conduct with a commitment to objectivity and confidentiality • Proficiency with Microsoft Office, including Word, Excel, Outlook, and PowerPoint, and video conferencing • Must work from one of the approved states listed in the posting

🏖️ Benefícios

• Remote work within approved Lumelight states • Equipment will be provided • Monday through Friday, 40 hours a week, following an agreed-upon schedule