Job Summary
A company is looking for a QicLink Plan Builder to join their team.
Key Responsibilities
- Build and program groups and products in QicLink for accurate claims adjudication
- Analyze plan documents and compliance materials to ensure correct system adjudication
- Manage benefit changes for renewals, amendments, and rewrites through various processes
Required Qualifications
- Four to six years of high-level claims processing and benefit knowledge
- Two to three years of QicLink system and/or VBA software experience
- One to two years of plan building experience
- Knowledge of reinsurance, specific and aggregate contracts
- General insurance knowledge and familiarity with federal laws affecting self-funding
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