Offer summary

Qualifications:

High School Diploma or GED equivalent required., 3-5 years of experience in managed care claim processing or health care payable claims., Strong leadership, organizational, and interpersonal skills are essential., Excellent verbal and written communication skills are necessary. .

Key responsabilities:

Supervise and manage a team of Claim Analysts to meet client and corporate commitments.

Ensure achievement of team quality, production, and service expectations.

Answer complex claim questions and collaborate with the department manager to meet goals.

Implement new clients into the unit and retain existing clients.

Job description

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

The Claim Supervisor is responsible for the day-to-day supervision and management of a team of Claim Analysts enabling the team to meet its client and corporate commitments. Responsibilities include, but are not limited to, successful achievement of team quality, production and service expectations, staff development, successful implementation of new clients into the Unit, and retention of existing clients. The Unit Leader is responsible for answering complex or difficult claim questions and working collaboratively with the department manager to ensure all department goals are met.

**This role is based remotely, but candidates must live within the states of IL, IN, IA, KS, MO, MT, NM, NC, OK,, PA, TX or WI **

Required Job Qualifications:

High School Diploma or GED equivalent
3-5 years of managed care claim processing, health care payable claim or Third Party Administrative experience
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Self-directed individual who works well with minimal supervision
Excellent verbal and written communication skills
Strong leadership, organizational and interpersonal skills
Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
Ability to effectively deal with problems in varying situations and reach resolution
Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
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 Job Qualifications:

Bachelor’s degree
Previous supervisory or management experience

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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:

$41,400.00 - $77,700.00

Required profile