Luminare Health

Manager, Claims – Tribal Health

Luminare Health

full-time

Posted on:

Location Type: Remote

Location: Illinois • Iowa • United States

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Salary

💰 $48,500 - $91,000 per year

About the role

  • Responsible for the day-to-day supervision and management of a team of Claim Analysts and/or outsourced vendor staff
  • 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
  • May involve responsibility for multiple Claim Units or management of an outsourced vendor relationship

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
claim processingproblem resolutiondocument analysisSummary Plan Descriptions (SPDs)process improvementdata interpretation
Soft Skills
leadershiporganizational skillsinterpersonal skillsverbal communicationwritten communicationself-directedflexibility
Certifications
High School DiplomaGED equivalent