The Sr. Reinsurance Administrator is responsible for the accurate and timely filing of excess risk claims and handling complex stop-loss claim situations. They also assist with reporting initiatives, testing, and training new reinsurance analysts.
Luminare Health
19 Remote Job Openings at Luminare Health
The Client Coordinator serves as a primary point of contact for clients, providing administrative support to Client Managers to ensure business retention. Responsibilities include responding to client inquiries, facilitating issue resolution, generating reports, and participating in client-facing meetings.
The Outbound File Technical Analyst serves as the subject matter expert for outbound file layouts, collaborating with programmers to build, test, and deploy data files for vendors. They are responsible for analyzing vendor needs, writing business requirements, and ensuring the accuracy of production data through rigorous testing and auditing.
The Associate Client Manager is responsible for managing client relationships, including implementation, problem resolution, and renewal activities. They also handle internal projects to support the client management organization and focus on retaining and growing their assigned book of business.
The Client Coordinator serves as a primary point of contact for clients, providing administrative support to Client Managers to ensure business retention. Responsibilities include responding to client inquiries, facilitating issue resolution, generating reports, and participating in client-facing meetings.
The Implementation Manager leads the implementation phase for new clients and complex renewals while coordinating cross-functional operational teams. They are responsible for mitigating client and internal risks and facilitating operational procedures in partnership with Sales and Client Management teams.
Provides telephonic support to clients to help them navigate healthcare, wellness, and incentive programs. Resolves complex benefit and claim issues while coordinating with providers and insurers.
The Intake Coordinator is responsible for accurately and respectfully triaging inquiries from members, providers, and clients via phone, email, and electronic systems. They handle various tasks including pre-certification requests, benefit verification, and status updates while maintaining high service standards.
Benefit Advocates manage and coordinate high-volume service requests via phone, email, and chat to assist employees with their healthcare benefits. They educate callers on benefit plans and provide guidance to help them maximize the value of their employer-provided incentive programs.
The Sr. Reinsurance Administrator is responsible for the accurate and timely filing of excess risk claims and handling complex stop-loss claim situations. They also provide reporting to carriers, train new analysts, and investigate reimbursement denials.
Provide quality service by responding to high-volume telephonic, written, and electronic inquiries regarding benefits, eligibility, and claim status. Accurately document all actions and navigate multiple system applications to resolve member and provider issues.
Supervise and manage a remote team of inbound and outbound customer service representatives to ensure exceptional service delivery. Focus on achieving client service expectations, meeting service objectives, and fostering staff development.
Supervise and manage a remote team of inbound and outbound customer service representatives to ensure exceptional service delivery. Responsible for meeting client service expectations, achieving health benefits objectives, and overseeing staff development.
Manage and coordinate a high volume of service requests via phone, email, portal, and chat for client employees and their families. Educate callers on navigating and maximizing the value of their healthcare benefits and incentive programs.
The Process Architect is responsible for designing, standardizing, and governing end-to-end business processes across the organization. This role ensures that processes are efficient, compliant, scalable, and aligned to enterprise optimization goals.
The Business Application Owner serves as the strategic and operational leader for core business applications, ensuring they are stable, compliant, and optimized. This role involves acting as the primary liaison between business stakeholders, IT teams, and vendors while overseeing application performance and enhancements.
The Business Optimization Architect is responsible for identifying and architecting enterprise-level optimization opportunities across the organization. This role focuses on value realization, operational efficiency, and strategic alignment by connecting business strategy to measurable outcomes.
Responsible for the accurate filing of excess risk medical claims and coordinating with stop loss carriers for reimbursements. The role involves managing appeals, distributing reports, and notifying stakeholders when claimants reach specific deductible thresholds.
The Performance and Capacity Engineer will act as a principal architect to ensure infrastructure stability, scalability, and operational excellence. You will own the 3-year Capacity and Enterprise Monitoring Roadmaps while integrating intelligent automation to optimize system performance.
