Reinsurance Administrator

Luminare Health

Reinsurance Administrator for Luminare Health responsible for managing excess risk medical claims. Collaborating with insurers to resolve issues and handle appeals while ensuring timely submissions and reporting.

Posted 6/25/2026full-timeRemote • Alaska, California, Hawaii, New York • 🇺🇸 United StatesJuniorMid-Level💰 $18 - $34 per hourWebsite

About the role

Key responsibilities & impact

Responsible for accurate and timely filing of excess risk medical claims
Work collaboratively with excess risk companies to answer questions and resolve problems
Handle initial appeals for reinsurance
Coordinate all reporting that is supplied by the excess risk companies
Identify and prepare stop loss claims submissions to obtain client reimbursement
Communicate with Client Management, Claims, Finance and other impacted departments
Identify and notify stop loss carriers and clients of claimants that have reached 50% of the specific deductible amount
Review and process all returned checks resulting from stop loss reimbursements
Investigate carrier reimbursement denials and prepare/submit rebuttal or notification of explanation to the client
Prepare and distribute to Medical Claims Analysts and department Managers notifications of potential specific claimants requiring all claims to be processed by month-end

Requirements

What you’ll need

High School Diploma or GED equivalent
1 – 2 years of medical claims experience
Hands-on experience with stop loss (excess risk) claims processing and submissions
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
Demonstrated problem-solving and claims investigation skills

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills & Tools

medical claims processingstop loss claims processingclaims investigationrebuttal preparationclaims submission

Soft Skills

interpersonal skillscommunication skillstime managementproblem-solvingself-directed

Certifications

High School DiplomaGED equivalent