Remote Health Claims Analytics Account Manager

Compliance Holdings; North Carolina; Remote; USD 55,000 - 85,000; Full time

Job summary

Lumelight is hiring an Account Manager-Claims Reporting to serve as the primary point of contact for clients using our health insurance analytics platform. You will ensure timely, accurate, and empathetic support while handling PHI in a HIPAA-compliant environment.

The role involves resolving inquiries, supporting stop loss, plan financial tracking, and claim reporting, and coordinating workflows that securely deliver Lumelight data.

Qualifications

• ~2+ years’ experience using CRM systems such as SFDC, HubSpot, or Zoho for customer ticket management
• ~ Communicate effectively and efficiently in a manner that builds rapport with both customers and associates
• ~ Advanced or greater level knowledge using Microsoft products including Excel with demonstrated ability to do data validation, pivot charts, and record macros for troubleshooting
• ~ Experience using Microsoft Outlook to manage incoming messages, schedule meetings, create and maintain rules
• ~ Ability to lead a meeting, demonstrating and inspiring confidence to customers
• A minimum of 3 years of administrative or client management experience. Preferably healthcare, claims processing/adjudication.

Responsibilities

• 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
• Time management enabling candidates to manage questions from multiple sources while maintaining quick resolution

Skills

CRM experience

Effective communication

Meeting leadership

Time management

Relationship building

Problem solving

Tools

SFDC (Salesforce)

HubSpot

Zoho

Excel

Outlook

PowerPoint

Video conferencing

Job description

Lumelight is hiring an Account Manager-Claims Reporting to serve as the primary point of contact for clients using our health insurance analytics platform. You will ensure timely, accurate, and empathetic support while handling PHI in a HIPAA-compliant environment.

The role involves resolving inquiries, supporting stop loss, plan financial tracking, and claim reporting, and coordinating workflows that securely deliver Lumelight data.