Benefit Design and System Support Analyst
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Job Description
Benefit Design and System Support Analyst at Liviniti offering claim processing system knowledge and problem resolution support. Involves managing tickets, correcting errors, and facilitating designs for new clients.
Responsibilities:
- Provides Liviniti employees and customers with comprehensive knowledge of the claim processing system.
- Answers questions and assists with problem resolution.
- Manages tickets within a ticketing system; troubleshoots and resolves tickets that are placed in the claims processing queues in a timely manner.
- Adjudicates information on multiple software platforms.
- Enforces procedures that are put in place by the Benefit Design Supervisor, Director of Claims Processing, and other Leadership.
- Identifies and corrects Benefit Design errors within the claims processor based on client documentation.
- Provides and potentially presents audit findings to Account Management and, on occasion, the Leadership team.
- Facilitates benefit designs for new clients within the claims processor based off of documentation.
- Communicates with the Implementation team to discuss and/or ask questions regarding benefit designs for new clients.
- Works in conjunction with the Clinical team to input information into the claims processor and makes updates based on extensive testing to ensure the clinical request is to appropriate specifications.
- Assists Customer Service Representatives with troubleshooting and resolving issues within our claims processor, when appropriate.
- Works in conjunction with an external programming team to analyze and resolve programming error(s) within our claims processor.
Requirements:
- Associate or Bachelor’s degree preferred.
- 2 to 3 years’ previous experience working in PBM environment, health plan, pharmacy chain, or managed care services organization in a Systems or Plan Design capacity.
- Intermediate or advanced proficiency with MS Excel, Word, PowerPoint, Outlook
- Excellent verbal and written communication skills, establishing rapport and working with others.
Benefits:
- Medical, Dental, Vision insurance
- Disability and Life insurance
- Employee Assistance Program
- Generous Paid-Time Off
- Annual Reviews and Development Plans
- Retirement Plan with company match immediately 100% vested
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