Supervisor, Claims

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $42.2k - $79.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of Luminare Health

Luminare Health

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 of Claim Analysts day to day • Enable the team to meet client and corporate commitments • Achieve team quality, production and service expectations • Develop staff • Successfully implement new clients into the Unit • Retain existing clients • Answer complex or difficult claim questions • Work collaboratively with the department manager to ensure department goals are met

🎯 Requirements

• High School Diploma or GED equivalent • 3 – 5 years claim processing 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, to adapt to various system platforms, and to effectively use MS Excel/Word • Preferred: Bachelor’s degree • Preferred: Previous supervisory or management experience • Preferred: Self-Funded Insurance/Benefits and/or TPA experience

🏖️ 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

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