Account Manager – Claims Reporting

🔥 4 minutes ago

🌵 Arizona, Florida, +20 more states – Remote

🌵 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

💵 $60k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lumelight

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2025

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Lumelight is a benefits compliance and administration firm that helps employers, brokers, and health systems manage regulatory risk, streamline benefits operations, and reduce costs. The company provides compliance services, claims analytics, dependent eligibility verification, fiduciary solutions, audits, and senior consultant/legal guidance to support ACA reporting, PBM and prescription reviews, and benefits optimization. Lumelight focuses on improving accuracy, lowering employer liability, and delivering measurable savings through integrated consulting and specialized solutions.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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