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Plan Document Specialist

Company: Lucent Health Solutions
Location: Nashville
Posted on: November 23, 2021

Job Description:

The Plan Document Specialist completes analysis on Summary Plan Descriptions and Summary of Benefits and Coverage. The Plan Document Specialist will assist with the analysis and coordination of implementation for new regulations and legislative requirements in relation to Summary Plan Descriptions and Summary of Benefits and Coverage.
The Plan Document Specialist provides timely creation of Plan Documents, Benefit Schedules, Plan Amendments, and Summary of Benefits and Coverage for internal use and submission to Account Executives for distribution to clients, brokers/consultants and stop loss carriers as it relates to the client's group health plan(s).
Essential Duties and/or Responsibilities
Analyze and interpret previous carrier's documents to generate a customized plan document for distribution to Internal Operational Team members for release to the Client, Stop Loss Carrier, Associated Cost Containment Vendors and Utilization Management Team.
Identify, research, develop and amend documents to support and comply with legislative requirements, client requests, and/or industry practices.
Assist in education and informational communications to internal and external clients about existing and new plan compliance requirements (annual plan notices, SBCs, etc.) due to existing and new legislative regulations;
Work with supporting departments to resolve issues or provide required information when benefit interpretation varies;
Review, develop, and update Summary of Benefits and Coverage to comply with legislative requirements, plan changes, and client requests.
Perform other projects or tasks as required.
Knowledge, Skills and Education Required:
Five years of experience in employee benefits, document drafting, or equivalent is preferred
Comprehensive knowledge of both group health insurance and employee benefits
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations.
Ability to organize material according to set standards regarding order, clarity, conciseness, style and terminology
Effective business correspondence skills, including issuing prompt and detailed accurate follow-up
Excellent interpersonal and communication skills (written and verbal)
Commitment to a team-oriented office environment
Proficient with Microsoft Word, Outlook, Excel, Adobe Pro
Strong client focus, and service-oriented
Strong planning and organizational skills
Attributes of a Successful Plan Document Specialist
Self-managed, autonomous
Detail oriented
Precise and accurate
Strong communication skills
Lucent Health is an equal opportunity employer.


Keywords: Lucent Health Solutions, Nashville , Plan Document Specialist, Other , Nashville, Tennessee

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