Job Summary
A health insurance company has a current position open for a Telecommute Benefits Analyst III.
Must be able to:
- Identify complex business needs and translate the needs into application software requirements in support of operations, productions and projects
- Design and build new complex non-standard benefit plans, review and analyze benefit summaries; and identify best approach to code/develop benefits to achieve optimum adjudication levels
- Maintain avoidance to negative financial, regulatory, and operational impact
Qualifications for this position include:
- BA/BS in a related field and minimum of 3 years experience in claims processing, previous medical health care, analytical experience, or project management experience; OR
- 5 years of benefit coding experience; or any combination of education and experience
- Ability to perform testing and quality assurance of new product developed
- Ability to research and analyze RFP proposals, and product projects
- Ability to create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality
- Ability to research and respond to complex inquiries from various departments
