Account Manager – Claims Reporting

This is a fully remote position, open to applicants in Arizona, +21 more states.

📋 Description

• Act as the main contact point for clients utilizing Lumelight’s health insurance analytics platform.

• Address customer inquiries concerning the Lumelight analytics platform.

• Assist with questions related to stop-loss tracking, financial plan tracking and projections, claims reporting, and chronic-condition reporting.

• Facilitate customer workflows that require data extraction and secure delivery.

• Oversee software testing according to specified scenarios during both scheduled and unscheduled releases.

• Manage projects and ensure effective communication for customers integrating groups into Lumelight.

• Conduct quality assurance for newly added groups by comparing client data with Lumelight data post-setup.

• Offer expertise in analytics or health insurance knowledge.

• Manage customer accounts, providing prompt, accurate, and empathetic support.

• Comply with HIPAA regulations and best practices for data security when handling PHI.

⛳️ Requirements

• More than 2 years of experience with CRM systems such as SFDC, HubSpot, or Zoho for managing customer tickets.

• Advanced proficiency in Microsoft products, particularly Excel, with a proven ability to perform data validation, create pivot charts, and record macros for troubleshooting.

• Experience with Microsoft Outlook for managing incoming messages, scheduling meetings, and establishing rules.

• Capability to lead meetings, instilling confidence in customers.

• At least 3 years of experience in administrative or client management roles.

• Preferably has experience in healthcare or claims processing/adjudication.

• Knowledge of Employee Benefits and Self-Funded Health Plans is a significant advantage.

• Experience in healthcare-related fields or prior claims auditing is a plus.

• Must be able to comprehend how specific healthcare benefits are managed by reviewing client plan documents, audit results, and administrator feedback.

• Demonstrated excellence in support and service for complex clients.

• Exceptional project management, time management, and organizational abilities.

• Ability to swiftly adapt to multiple priorities.

• Proven relationship-building and presentation skills, including the capacity to engage, persuade, and earn credibility with senior executives within complex organizations.

• Excellent problem-solving skills with client-facing experience, preferably in customer service.

• Strong analytical and critical-thinking skills, along with excellent written and verbal communication capabilities.

• High ethical standards and professionalism with a commitment to objectivity and confidentiality.

• Proficient in Microsoft Office applications, including Word, Excel, Outlook, PowerPoint, and video conferencing tools.

• Must reside in one of the approved states as listed in the posting.

🏝️ Benefits

• Opportunity for remote work within approved Lumelight states.

• Equipment will be provided.

• Monday to Friday, 40 hours per week, adhering to an agreed-upon schedule.