Sr Claims Analyst

Luminare Health; United States; Remote; USD 25,000 - 45,000; Full time

Job summary

Luminare Health is seeking a Senior Claims Analyst to support a claim unit and vendor staff, adjudicating medical, dental, vision, and related claims in a fast-paced environment.

You will serve as a liaison with internal departments and ensure adherence to plan documents, guidelines, and turnaround times while maintaining responsive customer service.

Qualifications

• High school diploma or GED required.
• 3 years medical claim processing experience.
• Strong verbal and written communication skills.

Responsibilities

• Adjudicate and process medical, dental, vision, or related claims.
• Handle related correspondence and electronic inquiries for assigned groups.
• Advise team members regarding claim processing procedures.

Skills

Verbal communication

Written communication

Critical thinking

Customer service

Interpersonal skills

Self-direction

Leadership

Problem solving

Education

High School diploma or GED

Bachelor's degree (preferred)

Tools

MS Excel

MS Word

Job description

## Sr Claims AnalystApply: Remote: Work From Home (HB): Full time: Posted 2 Days Ago: End Date: September 8, 2026 (5 days left to apply): R0055451At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.# **Job Summary**This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments. In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures. Life & Disability - Sr Claims Analyst Secure and analyze claim information to make life and disability benefit determinations in accordance with policy provisions and appropriate state and federal laws; achieving results by effective use of all appropriate resources. Calculate benefit payments and communicate claim decisions on new and continuing claims. Provide responsive and caring customer service. All tasks completed under general supervision of management.Required Job Qualifications:* High School diploma or GED equivalent* 3 years prior medical claim processing experience* Ability to work in a fast-paced, customer centric & production driven environment* Excellent verbal and written communication skills* Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff* Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form* Flexible; open to continued process improvements* Self-directed individual who works well with minimal supervision* Good leadership, organizational and interpersonal skills* Ability to effectively handle with complex situations and reach resolution* Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)* Ability to adapt to various system platforms, and to effectively use MS Excel/WordPreferred Job Qualifications:* Health Insurance/Third Party Administrator Experience# Preferred:* Four-year college degree in medical and/or business field a plus.* Understanding of medical terminology**Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**## EEO Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.**Pay Transparency Statement:**At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.**Min to Max Range:**$18.07 - $33.92Exact compensation may vary based on skills, experience, and location.