Manager, Claims

🔥 4 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 one or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff • Ensure team quality, production, and service expectations are achieved • Develop staff • Successfully implement new clients into the Unit • Retain existing clients • Answer complex or difficult claim and customer service questions • Advise team members on claim processing and customer service procedures • Provide support to ensure department goals are met • Manage multiple Claim Units, complex or highly 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, Client Managers, and all levels of staff • Ability to use common sense understanding to carry out oral, written, or diagrammed instructions • 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 and open to continued process improvement • Ability to learn new/proprietary systems and adapt to various system platforms • Effective use of MS Excel and Word • Preferred: Bachelor’s degree • Preferred: Self-Funded Insurance/Benefits and/or TPA experience

🏖️ Benefits

• Thoughtful development opportunities • 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