Manager, Claims

Luminare Health

Claims Manager supervising healthcare claims teams and outsourced vendors for Luminare Health, a third-party administrator. Ensuring quality, service delivery, client implementation, staff development, and client retention.

Posted 8/5/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $49,500 - $92,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong leadership and organizational skills in managing teams of Claim Analysts and vendor staff, ensuring quality and production goals are met while providing exceptional customer service. Proficient in claim processing with the ability to analyze and interpret complex documents and Summary Plan Descriptions.

Highest-signal resume keywords

Claim Processing ExperienceSupervisory ExperienceLeadership SkillsMS Excel ProficiencySelf-Funded Insurance Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim ProcessingDocument AnalysisProblem ResolutionCustomer Service ProceduresProcess Improvement

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal SkillsOrganizational SkillsSelf-Directed Work

Tools & Technologies

MS ExcelMS WordProprietary Systems

Industry Keywords

Self-Funded InsuranceThird Party Administrator (TPA)Client ManagementClaim UnitsVendor Relationships

About the role

Key responsibilities & impact

Supervise and manage one or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff
Ensure team quality, production, and service expectations are achieved
Develop staff
Successfully implement new clients into the Unit
Retain existing clients
Answer complex or difficult claim and customer service questions
Advise team members on claim processing and customer service procedures
Provide support to ensure department goals are met
Manage multiple Claim Units, complex or highly visible clients, and/or outsourced vendor relationships as applicable

Requirements

What you’ll need

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, Client Managers, and all levels of staff
Ability to use common sense understanding to carry out oral, written, or diagrammed instructions
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 and open to continued process improvement
Ability to learn new/proprietary systems and adapt to various system platforms
Effective use of MS Excel and Word
Preferred: Bachelor’s degree
Preferred: Self-Funded Insurance/Benefits and/or TPA experience

Benefits

Comp & perks

Thoughtful development opportunities
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