Senior Reinsurance Administrator

🔥 1 hour ago

🐻 Alaska, California, +2 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote 🗽 New York – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟠 Senior

🖥️ Administration

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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

• Responsible for accurate and timely filing of excess risk claims • Works and assists on initiatives (i.e., improved reporting and working on the testing etc.) • Training new reinsurance analysts • Takes on other responsibilities • Reviews and handle more complex stop-loss claim situations • Has more expertise on handling questions on reinsurance claims from carriers, client management/clients • Provides standard reporting and some ad hoc reporting to carriers for all Trustmark offices • Communicates with client management, claims, finance, and other impacted departments as needed • Investigates carrier reimbursement denials and prepares/submits rebuttal or notification of explanation to the client.

🎯 Requirements

• High School Diploma or GED equivalent • 3 – 5 years’ medical claims experience • Proficient experience with MS Word, Excel and Outlook • Previous knowledge of employee benefits, third party benefit administration or reinsurance • Self-directed individual that works well with minimal supervision • Flexible; open to change and finding better ways to operate efficiently • Excellent interpersonal and communication skills with all levels of an organization • Ability to effectively present information and respond to questions • Strong time management skills: including the ability to organize and coordinate multiple tasks, communicate information in a timely fashion and with appropriate sense of urgency • Demonstrated problem-solving and claims investigation skills and the ability to analyze and interpret claims data.

🏖️ Benefits

• Health insurance • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement