Remote Senior Claims Analyst – Life & Disability

HCSC Group; United States; A distancia; USD 25.000 - 47.000; Jornada completa

Descripción de la vacante

Luminare Health is seeking a Senior Claims Analyst to support the Claims Unit and vendor staff with claim administration and technical tasks. The role includes adjudication of medical, dental, vision, and related claims in line with plan documents and processing guidelines, serving as a liaison to internal departments.

Responsibilities include advising teammates on processing procedures, determining life and disability claim outcomes, calculating benefit payments, and delivering responsive

Formación

• High School diploma or GED required.
• Bachelor’s degree preferred in medical or business field.

Responsabilidades

• Adjudicate and process medical, dental, vision, and related claims.
• Provide responsive and caring customer service while following guidelines.
• Advise team members on claim processing procedures.

Conocimientos

Excellent verbal and written comms

Fast-paced environment adaptability

Interpersonal skills

Analytical and documentation

Educación

High School diploma or GED

Four-year college degree in medical/business

Descripción del empleo

Luminare Health is seeking a Senior Claims Analyst to support the Claims Unit and vendor staff with claim administration and technical tasks. The role includes adjudication of medical, dental, vision, and related claims in line with plan documents and processing guidelines, serving as a liaison to internal departments.

Responsibilities include advising teammates on processing procedures, determining life and disability claim outcomes, calculating benefit payments, and delivering responsive