Senior Claims Analyst
Luminare Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Illinois, Iowa, Kansas, Montana, New Mexico, North Carolina, Oklahoma, Pennsylvania, Tennessee, Texas, Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $18 - $33 per hour
Job Level
Senior
About the role
- Includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff
- Responsible for adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups
- All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times
- Advise team members regarding claim processing procedures.
Requirements
- High School diploma or GED equivalent
- 3 years prior medical claim processing experience
- Ability to work in a fast-paced, customer centric & production driven environment
- Excellent verbal and written communication skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
- Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
- Flexible; open to continued process improvements
- Self-directed individual who works well with minimal supervision
- Good leadership, organizational and interpersonal skills
- Ability to effectively handle with complex situations and reach resolution
- Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
- Ability to adapt to various system platforms, and to effectively use MS Excel/Word.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical claim processingadjudicationclaims correspondenceelectronic inquiriesdocument analysisSummary Plan Descriptions (SPDs)
Soft skills
verbal communicationwritten communicationcritical thinkingflexibilityself-directionleadershiporganizational skillsinterpersonal skillsproblem-solvingadaptability
Certifications
High School diplomaGED equivalent