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Claims Analyst - LHB

雇主

Luminare Health

地点

美国

待遇

$USD 14 - USD 28 / hourly

工作模式

远程

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岗位摘要

At Luminare Health, our people are what set us apart.

岗位职责

At 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
NACLAIMS ANALYST
Required JobQualifications:
High Schooldiploma or GED equivalent
Ability to work in a fast-paced, customer centric and production driven environment
Effective verbal and written communication skills
Ability to work effectively with team members, employees/members, providers, and clients
Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
Flexible; open to continued process improvement
Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred JobQualifications:
1 year Health Insurance experience
Self-Funded Insurance/Benefits and/or TPA experience
Knowledge of medical procedure and diagnosis coding
Knowledge of medical terminology
Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools
LIFE & DISABILITY - CLAIMS ANALYST
Required JobQualifications:
An understanding of claims examining; solid investigation, analytical and organizational skills, and attention to detail.
Must have strong math and decision-making skills.
Must be able to work in a deadline driven, fast-paced environment.
Self-motivated with high learning agility.
Must have excellent verbal and written communication skills with a passion for helping others.
Must be a self-starter with strong time management skills to prioritize workload, manage and follow-up on numerous tasks.
Capable of making decisions in the absence of specific directions with minimal supervision.
Ability to effectively cope with change and shift gears accordingly in a dynamic environment.
Must display a strong commitment to teamwork and have the ability to work in a collaborative environment.
Effective in the use of personal computers and related software. Proficiency in working with Word, Excel and Outlook.
High Schooldiploma or GED equivalent
Preferred JobQualifications:
Four-year college degree in medical and/or business field.
Life and/or Disability claim knowledge.
Knowledge of medical terminology.
Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools.
Proficiency in working with Microsoft Access.
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 TransparencyStatement:
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:
$14.97 - $28.12Exact compensation may vary based on skills, experience, and location.
Originally posted on Himalayas

申请条件

- 高中文凭或同等学历(GED)
- 能在快节奏、以客户为中心和生产驱动的环境中工作
- 有效的口头和书面沟通能力
- 能与团队成员、员工/会员、供应商和客户有效合作
- 能运用常识理解并执行口头、书面或图表形式的指示
- 灵活,对持续流程改进持开放态度
- 能学习新/专有系统,适应不同系统平台,并有效使用MS Excel/Word
- 具备索赔审查理解能力,扎实的调查、分析和组织技能,注重细节
- 强大的数学和决策能力
- 能在截止日期驱动的快节奏环境中工作
- 自我激励,学习敏捷性高
- 出色的口头和书面沟通能力,热衷于帮助他人
- 主动性强,具备优秀的时间管理能力,能优先处理工作负载,管理并跟进多项任务
- 能在缺乏具体指示时做出决策
- 优先条件:1年健康保险经验
- 优先条件:自筹资金保险/福利或TPA经验
- 优先条件:了解医疗程序和诊断编码
- 优先条件:了解医学术语
- 优先条件:熟悉Summary Plan Documents(SPDs)/保险手册或其他福利描述工具

雇主简介

Luminare Health is a healthcare company focused on making healthcare simpler, better, and more affordable, with a purpose-driven team dedicated to service excellence.

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数据来源:Himalayas

岗位信息来源于公开渠道,版权归原作者所有