Benefit Configuration Specialist

The Configuration Specialist is responsible for implementing and interpreting the organizations overall claims provider configuration eligibility and provider database management security and operations. The Configuration Specialist will work with internal departments and external organizations to assure secure data exchanges integrity reliability and availability; plans organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data

Job Duties:

Implementation & Configuration (The Build Phase)

Technically set up and configure a businesss existing benefits plans and enrolments from the Summary Plan Description (SPD).

Translate complex plan logic (age effective dates GI/EOI triggers rate rounding) into system field selections with flawless accuracy.

Execute critical backend configuration changes and policy updates that require expert-level permissions.

Ongoing Support & Maintenance (The Sustain Phase)

Act as the primary contact to troubleshoot enrolment deduction and eligibility discrepancies that stem from configuration errors.

Drive Annual Plan Renewals ensuring the system rebuild for the new year is accurate and timely.

Conduct training and enablement to client administrators on configuration-related platform functionality.

• • Skills Required

    Hands on Knowledge of Benefit Domains

    • Expert-level knowledge of core benefit plan administration rules (e.g. Guaranteed Issue EOI Dependent Rules Age Reductions Tier Logic) to ensure zero-defect configuration.

      2 years of demonstrated experience in analytical roles requiring technical troubleshooting complex financial analysis and uncompromising attention to detail in configuration and data handling.

      Advanced understanding of complex financial and payroll concepts (money movement payroll taxes payroll liability and payroll forms) to correctly integrate benefits logic.

      Meticulous system configuration skills using deep platform tools coupled with strong data validation skills (Excel proficiency is necessary for auditing input data quality).

      Consultative Communication: The ability to communicate complex technical system configuration solutions and resolutions clearly to customers.

      Bookkeeping & Payroll Experience (Strongly preferred).

      Payroll processing support Experience (Strongly preferred).

      Customer Service or Account Management background (Preferred).