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Plan Document Writer

Amherst, NY

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New York
Req ID: 52074BR
Timely and accurate creation of Plan Documents, Summary Plan Descriptions, amendments and Summaries of Benefits and Coverage for dissemination to Clients, Brokers & Stop Loss Carriers and for internal use. Research and amend documents in order to comply with legislative requirements, client requests, industry practices and organizational policy.
Prepare, reviews and/or edit summary plan descriptions and related documents according to pre-determined standards; ensures benefits are mapped accordingly and drafts all legislatively mandated documents requested by plan sponsors.
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.
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.
Provides support with general benefit plan drafting issues with new and renewal clients; partners with other internal parties to effectively resolve case specific benefit/legislative issues, and/or other customer inquiries or benefit related matters.
Analyze and interpret previous carriers documents and other available resources in responding to both standard and non-standard benefit drafting requests; when appropriate, prepares language modifications to comply with regulatory requirements.
Executes thorough risk assessment of summary plan descriptions in order to avoid any unintended liability on the part of both the organization and the plan sponsor.
Maintain knowledge of State and Federal Mandates and internal procedures impacting self funded employee benefit plans to include Medical, Flex, Short Term Disability, Dental and Vision Plan Documents. Attention to ensuring the plan and company remain in compliance with federal and state law.
Compare plan documents with reinsurance contracts in order to identify and track any discrepancies and notify the appropriate personnel.
Extensive plan writing experience supporting self-funded or fully insured plans.
Effective time management, organizational and prioritization skills.
Strong attention to detail, precision and accuracy performing at high levels in a fast paced and constantly changing work environment. Have the ability to organize material according to set standard regarding order, clarity, conciseness, style and terminology
Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications.
Comprehensive knowledge of group health insurance and employee benefits.
Excellent writing and problem solving skills.
Strong communication skills
Ability to handle multiple simultaneous projects efficiently and effectively
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Customer Service/Customer service - production environment/1-3 Years
Functional - Communications/Member communications/1-3 Years
Functional - Communications//
Technical - Desktop Tools/Microsoft Word/4-6 Years/Power User
General Business/Communicating for Impact/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
Work locations include: Linthicum, MD, Lansing, MI and Plymouth, MN. Telework considered for current WAH internal candidates or for unique circumstances.
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

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