Manager, Claims

Health Care Service Corporation

. Supervise and manage a team or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff .

Posted 10/6/2026full-timeRemote • United StatesMid-LevelSenior💰 $49,500 - $92,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong leadership and organizational skills in managing teams of Claim Analysts and vendor staff, ensuring quality and production goals are met while providing exceptional customer service. Proficient in claim processing with the ability to analyze and interpret complex documents and adapt to various systems.

Highest-signal resume keywords

Claim Processing ExperienceSupervisory ExperienceLeadership SkillsExcellent Communication SkillsSelf-Funded Insurance Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim ProcessingDocument AnalysisProblem ResolutionProcess ImprovementCustomer Service Procedures

Soft Skills

LeadershipOrganizational SkillsInterpersonal SkillsSelf-Directed WorkFlexibility

Tools & Technologies

MS ExcelMS WordProprietary Systems

Industry Keywords

Self-Funded InsuranceTPA ExperienceClient ManagementClaim UnitsService Expectations

About the role

Key responsibilities & impact

Supervise and manage a team or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff
Ensure achievement of team quality, production and service expectations
Develop staff
Implement new clients into the Unit
Retain existing clients
Answer complex or difficult claim or customer service questions
Advise team members regarding claim processing or customer service procedures
Provide support to ensure department goals are met
Manage multiple Claim Units, complex or visible clients, and/or outsourced vendor relationships as applicable

Requirements

What you’ll need

High School Diploma or GED equivalent
3-5 years claim processing experience
Previous supervisory or management 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
Preferred: Bachelor’s degree
Preferred: Self-Funded Insurance/Benefits and/or TPA experience

Benefits

Comp & perks

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
Other incentives
Annual incentive bonus plan subject to the terms and conditions of the plan
Remote work from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii