Remote Claims Analyst Job Overview

Luminare Health is hiring for a Remote Claims Analyst Job for candidates interested in healthcare claims processing and insurance operations. This work-from-home role focuses on reviewing and processing medical, dental, vision, and related healthcare claims while following company guidelines and turnaround requirements.

The company supports employee growth through professional development and healthcare operations training. In addition, this role offers exposure to claims adjudication, claim research, and healthcare documentation review.

Medical Claims Processing Responsibilities

As a Claims Analyst, you will review and interpret claim forms and related healthcare documents. You will also determine benefit coverage using plan documents, claim reference manuals, and processing guidelines.

In addition, you may investigate claims, pend claims for additional review, and refer claims based on established procedures. Accurate documentation and timely processing are important for this role.

Healthcare Claims Research and Communication

This Remote Claims Analyst Job also includes claim research and issue resolution. You may communicate through phone, email, electronic messaging, fax, or written correspondence with members, providers, insurance carriers, and internal departments.

Also, you may support claim reinsurance research and help resolve claim-related discrepancies.

Qualifications for This Remote Claims Analyst Job

Luminare Health requires a high school diploma or GED. Candidates should also have strong communication skills, attention to detail, and the ability to work in a fast-paced production environment.

Preferred qualifications include:

• Health insurance experience
• Medical terminology knowledge
• Medical coding familiarity
• TPA or self-funded insurance experience
• Experience using Microsoft Excel and Word

Work Environment and Benefits

This role includes healthcare benefits, paid time off, parental leave, disability coverage, tuition reimbursement, retirement plans, wellness support, and incentive opportunities.

The pay range for this Remote Claims Analyst Job is $14.97 to $28.12 per hour, depending on skills, experience, and location.

Why Apply

This Remote Claims Analyst Job may be a strong fit for candidates interested in healthcare operations, insurance claims processing, medical documentation review, and backend healthcare support roles. It may also help candidates build experience in healthcare administration and claims analysis.