Health Insurance Client Setup Specialist

4 days ago


Philadelphia, Pennsylvania, United States Insight Global Full time
Job Overview:
A leading health insurance company is seeking a skilled Client Set Up Analyst. The ideal candidate will have a background in office administration, customer service, or related fields. In this role, you will be responsible for conducting pre-implementation audits of client benefits and setup, as well as performing comprehensive group setup audits to ensure accuracy and compliance.

About the Role:
This is a hybrid position requiring 3 days on-site work per week. As a Client Set Up Analyst, you will review test claims to verify that benefits are correct. Proficiency with HealthEdge applications (HealthRules) or similar benefits/claims processing software is essential.

Key Responsibilities:
* Conduct pre-implementation audits of client benefits and setup
* Perform comprehensive group setup audits to ensure accuracy and compliance
* Review test claims to verify benefit accuracy
* Collaborate with the Configuration team to build benefit plans

Requirements:
* 4 years of experience working at a health insurance company
* Proficiency with benefits/claims processing software (Health Rules experience preferred)
* Bachelor's degree (or equivalent experience)
* Strong analytical and problem-solving skills

Salary Range:
$60,000 - $80,000 per year, depending on experience

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