Manager Claims
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
💰 $48,500 - $91,000 per year
Job Level
Mid-LevelSenior
About the role
- Responsible for the day-to-day supervision and management of a team, or multiple teams, of Luminare Health Claim Analysts and/or outsourced vendor staff
- Enable the department to meet its client and corporate commitments
- Successful achievement of team quality, production and service expectations
- Staff development and successful implementation of new clients into the Unit
- Retention of 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
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, to adapt to various system platforms, and to effectively use MS Excel/Word
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claim processingcustomer serviceproblem resolutiondocument analysisSummary Plan Descriptions (SPDs)process improvementdata interpretation
Soft skills
leadershiporganizational skillsinterpersonal skillsverbal communicationwritten communicationself-directedflexibility
Certifications
High School DiplomaGED equivalent