Remote New

Plan Builder - LHB

Health Care Service Corporation
life insurance, parental leave, paid time off, paid holidays, tuition reimbursement, 401(k)
United States
Nov 26, 2024
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThe primary responsibility of this position is to build health benefit plans in our claims administration system to adjudicate benefits according to those written into each Summary Plan Description. Plan Builders set up files from health benefit plans which have been developed and enter the necessary codes and parameters into the system to achieve timely and accurate claim processing. This position tests all new benefit setups to verify system payments are according to benefit plan design and is also responsible for accurately maintaining and updating existing plans. Required Job Qualifications: Minimum of 1 -2 years' experience in a Claims/Customer Service/Benefits environment. Working knowledge of PowerSTEPP, claims processing software. Strong math and analytical skills Ability to conceptualize Excellent problem solving and organizational skills with attention to detail and the ability to manage multiple priorities under strict timeframes The ability to work reliably as part of a larger team Commitment to exceed quality standards and produce exceptional products and services Must possess strong verbal and written communication skills with the ability to explain complex processes and procedures An inherent customer service mindset is vital in this position as is a superior work ethic which includes good attendance and self-motivation Preferred Job Qualifications: Prior plan building experience highly advantageous SQL or other coding experience that demonstrates programmatic thought process preferred Please note: While this role is based remotely, candidates must live in one of the following states to be considered: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TX or WI. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! EEO Statement: We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Pay Transparency Statement: At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $40,400.00 - $75,800.00