Senior Plan Documents Specialist

New
C
CentivoHealth Insurance
This position is full remote.Full-TimeSenior
Salary$75K - $85K
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Job Details

Experience
3–5 years of employee benefits paralegal or similar professional experience
Required Skills
HIPAA

Requirements

  • 3–5 years of employee benefits paralegal or similar professional experience.
  • 3–5 years of experience in Health and Welfare benefits consulting with ERISA and Non-ERISA plans.
  • 3–5 years of experience in client management related to self-funded plan document creation and management.
  • Demonstrated knowledge of ERISA, Internal Revenue Code, HIPAA, MSP, COBRA, ACA, and WHCRA.
  • Strong organizational, multi-tasking, and time management skills.
  • Demonstrated ability to meet performance goals, including accuracy and productivity.
  • Ability to work independently with minimal supervision.
  • Typing speed of 60–70 WPM.
  • Bachelor’s degree or equivalent job experience preferred.
  • Experience with Phia Group’s PDM online portal or similar document management platforms preferred.
  • Experience working with DOL Summary of Benefits and Coverage (SBC) templates and the SBC Coverage Examples Calculator preferred.

Responsibilities

  • Verify eligibility status and plan requirements to ensure accurate inclusion in plan documents.
  • Draft, finalize, and maintain non-standard or moderately complex benefit plan documents (including SBCs, SPDs, and SMMs).
  • Resolve client and internal department inquiries regarding SBC and SPD language, compliance, or customization.
  • Manage and maintain a book of business for Mid-Market, Enterprise, or Strategic accounts.
  • Support the training of Analysts, Junior team members, or newly hired Senior team members.
  • Collaborate with the Plan Documents Manager on vendor communications and federal/state mandate discussions.
  • Facilitate client communications, including introductory client calls.
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$75K - $85K
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