Remote Senior Claims Analyst – Life & Disability Benefits

Luminare Health Benefits Inc.; United States; Remote; USD 25,000 - 47,000; Full time

Job summary

Luminare Health seeks a Senior Claims Analyst to support adjudication of life and disability claims and assist the claims team and vendor staff. The role handles medical, dental, and vision claims per plan documents and guidelines, advising teammates on processing procedures.

Responsibilities include securing claim data, analyzing information for determinations, calculating benefits, and delivering timely, customer-focused communication to all stakeholders across departments and levels.

Qualifications

• Must have a High School diploma or GED.
• Minimum 3 years of medical claim processing experience.
• Ability to work in a fast-paced, customer-centric environment.
• Excellent verbal and written communication skills.
• Ability to interact with members, providers, clients and staff at all levels.

Responsibilities

• Secure and analyze claim information to make benefit determinations.
• Calculate benefit payments and communicate claim decisions.
• Provide responsive and caring customer service under supervision.

Skills

Excellent verbal and written comms

Fast-paced environment

Self-directed

Leadership and interpersonal skills

Education

High School diploma or GED

Four-year college degree in medical or business field a plus

Job description

Luminare Health seeks a Senior Claims Analyst to support adjudication of life and disability claims and assist the claims team and vendor staff. The role handles medical, dental, and vision claims per plan documents and guidelines, advising teammates on processing procedures.

Responsibilities include securing claim data, analyzing information for determinations, calculating benefits, and delivering timely, customer-focused communication to all stakeholders across departments and levels.