Sr Reinsurance Administrator - LHB
About The Position
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. The Sr. Reinsurance Administrator is responsible for accurate and timely filing of excess risk claims. The Sr. Reinsurance Administrator also works and assists on initiatives (i.e., improved reporting and working on the testing etc.) training new reinsurance analysts, takes on other responsibilities, reviews and handle more complex stop-loss claim situations, has more expertise on handling questions on reinsurance claims from carriers, client management/clients. Provides standard reporting and some ad hoc reporting to carriers for all Trustmark offices, provides all back up information, research carrier plan and claim questions. Communicates with client management, claims, finance, and other impacted departments as needed. Reviews more complex stop-loss claims and responds to more complex questions or concerns from the carriers, works on projects and initiatives in the development of products that impact the reinsurance claim team, trains new reinsurance analysts Investigates carrier reimbursement denials and prepares/submits rebuttal or notification of explanation to the client. Other duties as needed/assigned.
Requirements
- High School Diploma or GED equivalent
- 3 – 5 years’ medical claims experience
- Proficient experience with MS Word, Excel and Outlook
- Previous knowledge of employee benefits, third party benefit administration or reinsurance
- Self-directed individual that works well with minimal supervision
- Flexible; open to change and finding better ways to operate efficiently
- Excellent interpersonal and communication skills with all levels of an organization
- Ability to effectively present information and respond to questions
- Strong time management skills: including the ability to organize and coordinate multiple tasks, communicate information in a timely fashion and with appropriate sense of urgency
- Demonstrated problem-solving and claims investigation skills and the ability to analyze and interpret claims data
Responsibilities
- Accurate and timely filing of excess risk claims.
- Works and assists on initiatives (i.e., improved reporting and working on the testing etc.).
- Trains new reinsurance analysts.
- Reviews and handles more complex stop-loss claim situations.
- Handles questions on reinsurance claims from carriers, client management/clients.
- Provides standard reporting and some ad hoc reporting to carriers for all Trustmark offices.
- Provides all back up information.
- Researches carrier plan and claim questions.
- Communicates with client management, claims, finance, and other impacted departments as needed.
- Reviews more complex stop-loss claims and responds to more complex questions or concerns from the carriers.
- Works on projects and initiatives in the development of products that impact the reinsurance claim team.
- Investigates carrier reimbursement denials and prepares/submits rebuttal or notification of explanation to the client.
- Performs other duties as needed/assigned.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
