Plan Design System Coder
Core
Configure and maintain Group Benefits plan information within administrative and claims systems by translating policy requirements into system coding.
Role type
Group Benefits Plan Design System Coder
Builds
Group Benefits plan structures, benefit codes, and system configurations
Domain
Insurance / Group Benefits
Required skills
Group Benefits plan structures, Client Group Options, system coding, claims processing impact analysis, policy interpretation, custom benefit code creation
Preferred skills
Administrative and claims systems knowledge, policy document interpretation, inconsistency identification, analytical problem-solving, multi-priority management
Technologies
Group Benefits administrative systems, claims systems
Responsibilities
Configure routine and complex new plans and amendments, translate plan design requirements into system coding, review system-generated reports, interpret policy applications and amendments, determine system functionality accommodation, create custom dental and health packages, manage plan setups and rush requests, identify coding improvement opportunities
Seniority
Individual Contributor
