Remote Claims Operations Manager

Luminare Health Benefits Inc.; United States; Remote; USD 50,000 - 93,000; Full time

Benefits offered by this job

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

Job summary

Luminare Health is seeking a Claim Manager to lead Claim Analysts and possibly outsourced staff, ensuring quality, production, and client commitments are met. The role emphasizes supervision, process improvement, and cross-team coordination.

The position supports remote work from within the continental United States and requires strong communication and leadership to guide teams and optimize claim processing and customer service.

Qualifications

• High School Diploma or GED required.
• 3–5 years claim processing experience.
• Previous supervisory or management experience.
• Self-directed with minimal supervision.
• Excellent verbal and written communication skills.
• Strong leadership, organizational and interpersonal skills.
• Ability to work with clients, providers, and colleagues at all levels.
• Proficient in MS Excel/Word.

Responsibilities

• Oversee day-to-day supervision of Claim Analysts or outsourced staff.
• Achieve team quality, production and service targets; support new client implementations.
• Mentor staff and ensure adherence to procedures and policies.
• Manage multiple Claim Units or vendor relationships as needed.

Skills

Verbal communication

Written communication

Leadership

Interpersonal skills

Problem solving

Self-directed

Team management

Client interaction

Education

High School Diploma or GED

Bachelor's degree

Tools

MS Excel

MS Word

Job description

Luminare Health is seeking a Claim Manager to lead Claim Analysts and possibly outsourced staff, ensuring quality, production, and client commitments are met. The role emphasizes supervision, process improvement, and cross-team coordination.

The position supports remote work from within the continental United States and requires strong communication and leadership to guide teams and optimize claim processing and customer service.