Aetna Sr Plan Document Writer in Amherst, New York
Req ID: 55452BR
Serves as a Sr. Plan Document Writer in the Plan Document Drafting department of a benefits administration company. In this role the successful candidate will draft, analyze and review health plan documents, including summary plan descriptions (SPD), plan amendments and Summary of Benefits and Coverage (SBC) for self-funded plans.
Translate complex benefit information, including non-standard plan language into crisp, compliant, easy-to-understand plan language for self-funded plans. This includes analyzing, drafting, editing and reviewing all legal and regulatory plan documentation (i.e., SPDs, plan amendments. SBCs and restates) for our self-funded plan customers.
Basic understanding of regulations, laws, and internal procedures impacting self-funded health plans with attention to ensuring the plan and company remain in compliance with federal and state law.
Provides technical expertise critical for achieving key performance measures.
Deliver high-quality documentation ensuring department standards are met with a focus on ensuring all errors in spelling, grammar and formatting are corrected before the document is sent to the customer.
Other duties as assigned, requested or required.
3-5 years recent and related experience required.
Extensive plan writing experience supporting self-funded and/or fully insured plans.
Interpersonal skills to include written and verbal communication, critical thinking, persuasiveness, advising and counseling skills.
Ability to anticipate workload needs and to follow through with minimum direction.
Effective time management, organizational and prioritization skills.
Able to lead change and innovation.
Strong attention to detail and accuracy.
Ability to perform at high levels in a fast paced and constantly changing work environment.
Ability to give and receive constructive feedback.
Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications.
Experience supporting custom products and/or services.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Legal/Paralegal Certificate is desired
Functional - Administration / Operations/Document production & distribution/4-6 Years
Functional - Customer Service/Customer Service - Plan Sponsor - Account installation/4-6 Years
Functional - Customer Service/Customer service - production environment/1-3 Years
Functional - Human Resources/Benefits Program Design - Health/1-3 Years
Functional - Sales & Service/Self insured/stop loss products/4-6 Years
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/Power User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/Power User
General Business/Communicating for Impact/ADVANCED
General Business/Maximizing Work Practices/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
Service/Demonstrating Service Discipline/ADVANCED
Service/Providing Solutions to Constituent Needs/ADVANCED
Technology/Selecting and Applying Technology Solutions/FOUNDATION
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Customer Service
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.