Remote Account Manager - Health Claims Analytics

Compliance Holdings; Minnesota; A distancia; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

Lumelight is seeking an Account Manager-Claims Reporting to deliver exceptional service to clients via our health insurance analytics platform. You will be the primary point of contact, handling inquiries, coordinating data delivery, and supporting stop loss and claim reporting workflows.

Remote role within Lumelight's approved states, requiring HIPAA compliance, strong communication, and analytic capabilities to support complex healthcare benefits and client relationships with executives.

Formación

• A minimum of 3 years of administrative or client management experience. Preferably healthcare, claims processing/adjudication.
• Employee Benefit and Self-Funded Health Plan insurance knowledge a strong plus
• Health care related or prior claims auditing experience a plus.
• Must be able to understand how specific health care benefits are to be administered by reviewing the client’s plan documentation, audit findings and administrator responses.
• Proven excellence in the support and service to complex clients.
• Superior project management, time management and organizational skills and the ability to quickly adapt to multiple priorities.
• Demonstrated relationship building skills and presentation skills including engaging, persuading, and gaining credibility with senior executives within complex organizations.
• Superior problem-solving ability with client-facing experience, preferably customer service experience.
• Strong analytical critical thinking ability along with excellent written and verbal communication skills.
• Strong ethical and professional conduct with a commitment to objectivity and confidentiality.
• Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint, etc.) and video conferencing.

Responsabilidades

• Work with customers to resolve inquiries regarding Lumelight analytics platform
• Support customer questions related to stop loss tracking, plan financial tracking and projection, claim reporting, and chronic condition reporting
• Support customer workflows that require pulling and securely delivering Lumelight data
• Lead software testing of Lumelight system through specified scenarios during scheduled and unscheduled releases
• Lead projects - facilitating communication and flow of information for customers who are adding groups to Lumelight
• QA newly implemented groups comparing customer data against Lumelight data post setup
• Provide Subject Matter Expertise to the team in one of the areas of analytics, or health insurance knowledge

Conocimientos

CRM systems (SFDC/HubSpot/Zoho)

Effective communication

Excel data validation/pivot/macros

Outlook management

Meeting facilitation

Herramientas

SFDC (Salesforce)

HubSpot

Zoho

Descripción del empleo

Lumelight is seeking an Account Manager-Claims Reporting to deliver exceptional service to clients via our health insurance analytics platform. You will be the primary point of contact, handling inquiries, coordinating data delivery, and supporting stop loss and claim reporting workflows.

Remote role within Lumelight's approved states, requiring HIPAA compliance, strong communication, and analytic capabilities to support complex healthcare benefits and client relationships with executives.