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Reinsurance Administrator (Stop Loss) - LH
Luminare Health —Remote
- $18.07 - $33.92 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Paid holidays
Claims Ceded Reinsurance Access Specialist
EMC Insurance —Remote
- $72,726 - $109,786 a year
- Full-time
- Remote
- 5 years
- Research
- Finance
- Work from home
7d
Property Claim Specialist
Colorado School Districts Self Insurance Pool —Centennial, CO
- $99,886 - $129,101 a year
- Full-time
- Microsoft Word
- Background check
- Clean driving record
- Health savings account
- Health insurance
Quick Apply
Commercial Lines Underwriter
Erie and Niagara Insurance Association —Williamsville, NY
- $56,500 - $66,500 a year
- Full-time
- Background check
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
Regional Production Specialist Sr, Excess & Surplus Lines
Lexington Specialty Insurance Agency, Inc. —Chicago, IL
- $125,000 - $173,000 a year
- Email
- Office
- Analysis skills
- Senior level
- Health insurance
Quick Apply
Director of Internal Audit
Virginia Farm Bureau —Richmond, VA
- $170,000 - $190,000 a year
- Full-time
- Hybrid work
- Senior level
- Leadership
- Communication skills
- Wellness program
- Health savings account
Quick Apply
Director of Data Analytics (P&C Insurance, Underwriting, Reinsurance)
Church Pension Group Services Corporation —Bennington, VT
- $150,000 - $175,000 a year
- Full-time
- Hybrid work
- Computer Science
- Office
- Bachelor's degree
- Commuter assistance
- AD&D insurance
Senior Claims Adjuster, General Liability
Applied Underwriters —Omaha, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Paid holidays
Quick Apply
Senior Claims Adjuster, Commercial Auto
Applied Underwriters —Omaha, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Paid holidays
Quick Apply
Staff Accountant
SBLI —Woburn, MA
- $60,000 - $63,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Staff / Senior Accountant
GoAuto Management Services LLC —Baton Rouge, LA
- Full-time
- Hybrid work
- CPA
- Mid-level
- Office
- Paid holidays
- Disability insurance
Claims Adjuster - Professional Liability & Coverage (JD Required)
Applied Underwriters —Omaha, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Paid holidays
Quick Apply
Senior Director, Data Architecture
Starr Companies —New York, NY
- $200,000 - $275,000 a year
- Full-time
- Azure
- Computer Science
- 11+ years
- Health savings account
- Health insurance
Quick Apply
MGA Transportation Program Manager
Dynamic Specialty Inc. —Boston, MA
- Extended hours
- Background check
- Data analysis skills
- 11+ years
Quick Apply
2d
Associate Account Manager (JD Preferred)
Resolute Management, Inc. —Chicago, IL
- $85,000 - $105,000 a year
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Lead Underwriting Consultant
Penn Mutual —Remote
- $125,000 - $165,000 a year
- Full-time
- 7 years
- Customer service
- Research
- Opportunities for advancement
Controller
Nonprofits' United —Sacramento, CA
- $125,000 - $150,000 a year
- Full-time
- Microsoft Word
- CPA
- Office
- Health insurance
- Dental insurance
Quick Apply
Actuary & Director - PCS
AIG PC Global Services, Inc. —New York, NY
- $146,000 - $204,000 a year
- Email
- 6 years
- Office
- SQL
- Health insurance
Quick Apply
FM Affiliated Production Underwriter ( I, II, III or SR. )
FM —Woodland Hills, CA
- $94,000 - $198,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Disability insurance
- Health insurance
Sr. Underwriter, Account Executive Officer
Travelers —Saint Paul, MN
- $104,000 - $171,700 a year
- 6 years
- Bachelor's degree
- Children
- Wellness program
- Paid holidays
12d

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Reinsurance Administrator (Stop Loss) - LH

Luminare Health -
Remote

Apply Now

Job Details

Full-time
$18.07 - $33.92 an hour

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
401(k)
Tuition reimbursement
Paid time off
Pension plan
Parental leave
Employee assistance program
Life insurance

Qualifications

Microsoft Word
Customer communication
Microsoft Outlook
High school diploma or GED
Medical claims submission
Filing patient billing claims

Full Job Description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

Job Summary

The Reinsurance Administrator is responsible for accurate and timely filing of excess risk medical claims. In this role, you will work collaboratively with excess risk companies to answer questions, resolve problems on filings, and handle initial appeals for reinsurance. The Reinsurance Administrator will also be responsible for coordinating all reporting that is supplied by the excess risk companies and distributing as required. This is a role that requires a high level of detail and the ability to work with time sensitive deadlines.

Identify and prepare stop loss claims submissions to obtain client reimbursement over their specific deductible amount. Communicate with Client Management, Claims, Finance and other impacted departments.
Identify and notify stop loss carriers and clients of claimants that have reached 50% of the specific deductible amount.
Review and process all returned checks resulting from stop loss reimbursements.
Investigate carrier reimbursement denials and prepare/submit rebuttal or notification of explanation to the client.

Prepare and distribute to Medical Claims Analysts and department Managers notifications of potential specific claimants requiring all claims to be processed by month-end.
Other duties as needed/assigned.

Required Job Qualifications:

High School Diploma or GED equivalent
1 – 2 years of medical claims experience, including hands-on experience with stop loss (excess risk) claims processing and submissions

Proficient experience with MS Word, Excel and Outlook
Previous knowledge of employee benefits, third party benefit administration or reinsurance
Self-directed individual that works well with minimal supervision

Flexible; open to change and finding better ways to operate efficiently
Excellent interpersonal and communication skills with all levels of an organization

Ability to effectively present information and respond to questions
Strong time management skills; including the ability to organize and coordinate multiple tasks, communicate information in a timely fashion and with appropriate sense of urgency

Demonstrated problem-solving and claims investigation skills and the ability to analyze and interpret claims data

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Required Job Qualifications:

High School Diploma or GED equivalent
1 – 2 years of medical claims experience, including hands-on experience with stop loss (excess risk) claims processing and submissions
Proficient experience with MS Word, Excel and Outlook
Previous knowledge of employee benefits, third party benefit administration or reinsurance
Self-directed individual that works well with minimal supervision
Flexible; open to change and finding better ways to operate efficiently
Excellent interpersonal and communication skills with all levels of an organization
Ability to effectively present information and respond to questions
Strong time management skills; including the ability to organize and coordinate multiple tasks, communicate information in a timely fashion and with appropriate sense of urgency
Demonstrated problem-solving and claims investigation skills and the ability to analyze and interpret claims data

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii .

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:

$18.07 - $33.92

Exact compensation may vary based on skills, experience, and location.

Apply Now

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