Manager, Claims

🔥 12 minutes ago

🇺🇸 United States – Remote

💵 $49.5k - $92.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 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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Luminare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Luminare Health is a leading provider of self-funded health plan administration services with over 50 years of industry experience. The company specializes in offering flexible and innovative solutions for hospitals, health systems, and direct-to-employer initiatives, focusing on administration, cost management, and digital reporting tools. Luminare Health is dedicated to being a reliable partner in managing healthcare costs and supporting strategic growth for its clients. The company emphasizes a member-centered approach to healthcare while delivering significant savings through expert claim analysis and management of high-cost claims.

📋 Description

• Supervise and manage a team or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff • Ensure team quality, production, and service expectations are achieved • Develop staff • Implement new clients into the Unit • Retain existing clients • Answer complex or difficult claim or customer service questions • Advise team members regarding claim processing or customer service procedures • Provide support to ensure all department goals are met • Manage multiple Claim Units, complex or visible clients, and/or outsourced vendor relationships as applicable

🎯 Requirements

• High School Diploma or GED equivalent • 3-5 years claim processing experience • Previous supervisory or management experience • Self-directed individual who works well with minimal supervision • Excellent verbal and written communication skills • Strong leadership, organizational and interpersonal skills • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form • Ability to effectively deal with problems in varying situations and reach resolution • Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) • Flexible; open to continued process improvement • Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word • Bachelor’s degree preferred • Self-Funded Insurance/Benefits and/or TPA experience preferred

🏖️ 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 • Annual incentive bonus plan subject to the terms and conditions of the plan • Remote work from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii