Sr Claims Analyst - LHB

At Luminare Health, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.

In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate 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. Also advise team members regarding claim processing procedures.

Job Description

**This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI**

Required Job Qualifications:

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

Preferred Job Qualifications:

Health Insurance/Third Party Administrator Experience

#LI-MM1

#LI-Remote

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EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for associates.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:$17.71 - $33.25

Exact compensation may vary based on skills, experience, and location.

R0045410

Remote/Remotely/Tele/Telecommute/From home