Manager Claims - LHB

hcsc; United States; Remote; USD 50,000 - 93,000; Full time

Job summary

Luminare Health is seeking a seasoned claims supervisor to oversee processing workflows across our care networks. You will lead a small team, optimize claims operations, and ensure timely and accurate adjudication while maintaining compliance and quality standards.

The ideal candidate has 3–5 years in claim processing and prior supervisory experience, with strong communication and leadership skills. Remote work is available nationwide (excludes CA, NY, AK, HI) and benefits are provided.

Qualifications

• 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.

Skills

Supervisory experience

Communication skills

Leadership

Self-directed

MS Excel/Word

Problem solving

SPD interpretation

Education

Bachelor's degree

Tools

MS Excel/Word

Job description

Job Summary

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.

Required Job Qualifications

• 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

Preferred Job Qualifications

• Bachelor's degree


• Self-Funded Insurance/Benefits and/or TPA experience

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

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.

Min to Max Range: $49,500.00 - $92,800.00. Exact compensation may vary based on skills, experience, and location.