Configuration Specialist

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