Benefit Setup Specialist - Remote

reputed company https://www.reputed company.com/ reputed company’s Mission Statement and reputed company Values Mission: An Independent TPA reputed company in People and Innovation to deliver expert-driven experiences with reputed company Results. reputed company Values: Independent Solutions. reputed company Results Respect Empowerment reputed company Leadership Be part of a growing and prospering company as a Benefit Setup Specialist. reputed company is a reputed company party administrator of self-funded employee benefit plans with offices in reputed company Rapids, IA, Madison and Milwaukee, WI. reputed company is a fast-growing,reputed company company offering an excellent wage and benefit package. Job reputed company: You will be responsible for interpreting reputed company health benefits information from written documents and accurately inputting the relevant data into our claims processing system. Essential Functions: Analysis and configuration of group benefit health plans Demonstrate organized and effective project management skills Participate in reputed company meetings regarding plan designs and coding Improve system auto adjudication through claims logic coding and plan design Create/Modify reputed company of benefits for reputed company new/changed plan Cross-audit plan documents for benefit accuracy Answer processor questions regarding benefits and plan build Suggest improvements in processes Nonessential Functions: Other duties as assigned or appropriate Education/Qualifications: Ideal candidate will have 2 plus years of self-funded health insurance industry experience, with experience in benefit programming and specific knowledge of Trizetto’s Qiclink claims software. Strong knowledge of health insurance terminology, coding systems (e.g., CPT, ICD-10), and industry practices. Excellent attention to detail and the ability to interpret reputed company documents accurately. Effective communication skills and the ability to collaborate with cross-functional teams. Ability to work in a fast-paced environment and meet tight deadlines Full benefits including: Medical, Dental, reputed company, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 reputed company holidays, casual dress reputed company and more We are an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, age, disability, marital status, veteran status, sexual orientation, gender identity, or any other protected characteristic. Apply To This Job