Benefit Setup Specialist - Remote

Auxiant • Madison, WI

just now • Remote

About The Position

Auxiant is a growing and prospering company seeking a Benefit Setup Specialist. Auxiant is a third-party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. This is a fast-growing, progressive company offering an excellent wage and benefit package. The role involves interpreting complex health benefits information from written documents and accurately inputting the relevant data into our claims processing system.

Requirements

• 2 plus years of self-funded health insurance industry experience
• Experience in benefit programming
• Specific knowledge of Trizetto’s Qiclink claims software
• Strong knowledge of health insurance terminology, coding systems (e.g., CPT, ICD-10), and industry practices
• Excellent attention to detail and the ability to interpret complex documents accurately
• Effective communication skills and the ability to collaborate with cross-functional teams
• Ability to work in a fast-paced environment and meet tight deadlines

Responsibilities

• Analysis and configuration of group benefit health plans
• Demonstrate organized and effective project management skills
• Participate in internal and external meetings regarding plan designs and coding
• Improve system auto adjudication through claims logic coding and plan design
• Create/Modify summary of benefits for each new/changed plan
• Cross-audit plan documents for benefit accuracy
• Answer processor questions regarding benefits and plan build
• Suggest improvements in processes

Benefits

• Medical
• Dental
• Vision
• Flexible Spending
• Gym Membership Reimbursement
• Life Insurance
• LTD
• STD
• 401K
• 3 weeks vacation
• 9 paid holidays
• casual dress code

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed