Aetna Legal Benefit Writer / Plan Documents in Amherst, New York

Req ID: 50795BR

POSITION SUMMARY

Serves as the Team Lead 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 and will provide guidance, instruction and direction to junior plan document writers as needed.

Fundamental Components:

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.

Mentors, coaches and assists with the development of junior staff regarding benefit language and provides technical expertise critical for achieving key performance measures.

Successfully negotiate deadlines when appropriate; influences change/enhancement to business processes, policies and system infrastructure to improve information quality, availability, and access.

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.

May participate in implementation of department projects as needed.

Other duties as assigned, requested or required.

BACKGROUND/EXPERIENCE desired:

3-5 years recent and related experience required.

Extensive plan writing experience supporting self-funded 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 effectively motivate others and lead change and innovation.

Strong attention to detail and accuracy performing 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.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

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

TECHNOLOGY EXPERIENCES

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

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

General Business/Maximizing Work Practices/ADVANCED

Service/Creating a Differentiated Service Experience/ADVANCED

DESIRED SKILLS

Technology/Selecting and Applying Technology Solutions/FOUNDATION

Service/Demonstrating Service Discipline/ADVANCED

Service/Providing Solutions to Constituent Needs/ADVANCED

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 candidate'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.