Supervisor Claims - LH
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. 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.
Requirements
- High School Diploma or GED equivalent
- 3 – 5 years claim processing experience
- Self-directed individual who works well with minimal supervision
- Excellent verbal and written communication skills
- Strong leadership, organizational and interpersonal skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
- 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
Nice To Haves
- Bachelor’s degree
- Previous supervisory or management experience
- Self-Funded Insurance/Benefits and/or TPA experience
Responsibilities
- Day-to-day supervision and management of a team of Claim Analysts
- Ensuring the team meets its client and corporate commitments
- Achieving team quality, production, and service expectations
- Staff development
- Successful implementation of new clients into the Unit
- Retention of existing clients
- Answering complex or difficult claim questions
- Working collaboratively with the department manager to ensure all department goals are met
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
