Configuration Specialist - Plan & Benefits Configuration

As a Plan & Benefits Configuration Specialist III, you will focus on understanding, translating, and configuring medical and dental plan designs into the core claims platform to ensure accurate processing of claims.

Requirements

• Create the blueprint for configuration of the plan from plan documents and/or plan standards.
• Build, validate and test medical and dental plan benefits and associated code mapping logic.
• Make necessary plan building and logic revisions when plans are amended.
• Build auto-adjudication logic and test for integration with plan.
• Resolve system issues and act as contact for opening and closing jobs on the core claims platform job list.
• Test upgrades on new releases from the core claims platform and troubleshoot problems prior to loading into production.
• Troubleshoot system problems, develop resolutions and/or 'work around' procedures.
• Work with Department Managers, Supervisors, Team Leaders, and other applicable personnel to improve efficiency within the company.
• Coordinates the development of solutions for system related issues that may prevent the use of automated or standard processing methods.
• Communicate changes to other departments and help with any required training necessary because of system changes.

Benefits

• Generous Paid Time Off
• 401k Matching
• Tuition Reimbursement
• Relocation Assistance