Configuration Specialist

Job Summary

Configuring and maintaining health benefit plans within the claims administration system, the full-time Configuration Specialist will validate plan configurations, support claims adjudication, and resolve configuration issues while working remotely.

Key responsibilities

• Configure health benefit plans using approved documents and client requirements
• Develop and execute claim test scenarios to verify benefit calculations and claims processing
• Document configuration changes and testing results in accordance with established procedures

Required qualifications

• High school diploma or equivalent; two or four-year degree in a related field preferred
• Minimum two years of experience in health benefit administration or plan configuration
• Experience with third-party administrator (TPA) environments preferred
• Familiarity with healthcare coding and HIPAA-related claims standards preferred
• Proficiency in Microsoft Office and ability to learn claims administration systems