• Job Description

  Req#: R0043951
  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 Claims Analyst is responsible for 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.
  
  Required Job Qualifications:
  
  High School diploma 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 Job Qualifications:
  
  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
  
  This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI
  
  #LI-CH2
  #LI-REMOTE
  INJLF
  
  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:
  $14.68 - $27.57
  
  Exact compensation may vary based on skills, experience, and location.

• About the company

  The best remote jobs for you

Notice