Sr Reinsurance Administrator - LHB

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 Sr. Reinsurance Administrator is responsible for accurate and timely filing of excess risk claims. The Sr. Reinsurance Administrator also works and assists on initiatives (i.e., improved reporting and working on the testing etc.) training new reinsurance analysts, takes on other responsibilities, reviews and handle more complex stop-loss claim situations, has more expertise on handling questions on reinsurance claims from carriers, client management/clients.

Provides standard reporting and some ad hoc reporting to carriers for all Trustmark offices, provides all back up information, research carrier plan and claim questions. Communicates with client management, claims, finance, and other impacted departments as needed.

Reviews more complex stop-loss claims and responds to more complex questions or concerns from the carriers, works on projects and initiatives in the development of products that impact the reinsurance claim team, trains new reinsurance analysts

Investigates carrier reimbursement denials and prepares/submits rebuttal or notification of explanation to the client.

Other duties as needed/assigned.

Required Job Qualifications

High School Diploma or GED equivalent

3 – 5 years’ medical claims experience

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

Preferred Job Qualifications

Required Job Qualifications

• High School Diploma or GED equivalent
• 3 – 5 years’ medical claims experience
• 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

Preferred Job Qualifications

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

$21.65 - $40.66

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