Claims Analyst - LHB

Luminare Health; United States; On-site; USD 21,000 - 39,000; Full time

Job summary

Luminare Health is seeking a dedicated Claims Analyst to adjudicate and process medical, dental, vision, and related claims for assigned groups. You will handle inquiries according to plan documents and established turnaround times.

The role emphasizes strong analytical skills, meticulous attention to detail, and effective communication with providers, members, and clients. Health insurance experience is preferred but not required.

Qualifications

• High School diploma or GED equivalent.
• Fast-paced, customer-centric environment.
• Strong verbal and written communication.
• Ability to work with providers, clients.
• Experience with MS Excel/Word.

Responsibilities

• Adjudicate and process medical, dental, vision, or related claims.
• Handle related correspondence and electronic inquiries.
• Follow plan documents, claim processing guidelines, and turnaround times.
• Maintain accurate records and documentation.

Education

High School diploma or GED equivalent

Tools

MS Excel

MS Word

Job description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

Job Summary

The Claims Analyst is responsible for 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.

CLAIMS ANALYST

Required Job Qualifications:

• High School diploma or GED equivalent
• Ability to work in a fast-paced, customer centric and production driven environment
• Effective verbal and written communication skills
• Ability to work effectively with team members, employees/members, providers, and clients
• Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
• 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

Preferred Job Qualifications:

• 1 year Health Insurance experience
• Self-Funded Insurance/Benefits and/or TPA experience
• Knowledge of medical procedure and coding
• Knowledge of medical terminology
• Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools

LIFE & DISABILITY - CLAIMS ANALYST

Required Job Qualifications:

• An understanding of claims examining; solid investigation, analytical and organizational skills, and attention to detail.
• Must have strong math and decision-making skills.
• Must be able to work in a deadline driven, fast-paced environment.
• Self-motivated with high learning agility.
• Must have excellent verbal and written communication skills with a passion for helping others.
• Must be a self-starter with strong time management skills to prioritize workload, manage and follow-up on numerous tasks.
• Capable of making decisions in the absence of specific directions with minimal supervision.
• Ability to effectively cope with change and shift gears accordingly in a dynamic environment.
• Must display a strong commitment to teamwork and have the ability to work in a collaborative environment.
• Effective in the use of personal computers and related software. Proficiency in working with Word, Excel and Outlook.
• High School diploma or GED equivalent

Preferred Job Qualifications:

• Four-year college degree in medical and/or business field.
• Life and/or Disability claim knowledge.
• Knowledge of medical terminology.
• Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools.
• Proficiency in working with Microsoft Access.

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

$14.97 - $28.12

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