[Hiring] Plan Document Specialist @Leading Edge Administrators LLC

Role Description

The Plan Document Specialist supports the Document Team in the creation, maintenance, and revision of plan documentation for both new and renewing business. This role is responsible for drafting and updating key materials such as:

• Summary of Benefits & Coverage (SBC)
• Summary Plan Descriptions (SPD)
• Benefit Plan Descriptions (BPD)
• Summaries of Material Modifications or Reductions (SMM/SMR)

The specialist ensures all documents are accurate, compliant, and aligned with client and regulatory requirements.

Duties and Responsibilities

• Support Plan Document Writers by preparing and updating medical benefit plan documents.
• Assist with incorporation of pre-approved document language changes resulting from administrative or legislative updates.
• Track document inventory and status, monitoring timelines from intake through delivery, ensuring deadlines are met.
• Edit and format plan documents using established templates or existing documents with guidance from senior team members.
• Submit assigned document updates and support tasks within defined Service Level Agreement (SLA) timeframes.
• Collaborate with internal stakeholders to verify document details and ensure accurate implementation of plan information.
• Perform research to support Plan Document Writers, using internal systems and regulatory resources to validate content accuracy.
• Maintain data integrity across multiple platforms for internal use and recordkeeping.
• Contribute to the development and maintenance of team procedure guides under direction of senior staff.
• Provide general documentation support and coordination to help ensure document readiness for internal and external use.

Qualifications

• Bachelor’s degree or equivalent work experience, preferably in a healthcare or benefits TPA setting.
• 2+ years of experience in a healthcare, insurance, claims handling, quality control or plan document role.
• Strong familiarity with medical and employee benefit terminology.
• Ability to make sound decisions by proactively identifying issues and effectively utilizing available resources.
• Meticulous approach to reviewing and producing accurate content.
• Willingness to work outside of regular business hours during peak periods.
• Solid working knowledge of standard computer applications including MS Word, Excel, Outlook, and PowerPoint.
• Ability to communicate clearly and professionally with internal and external customers.
• Work effectively individually and collaborate as part of a team.
• Demonstrate collaborative interactions with peers to reach a common goal.
• Pay close attention to detail in all aspects of the job.
• Maintain confidentiality and discretion.
• Identify and resolve problems in a timely manner.
• Share knowledge with associates by effectively communicating and providing follow-up.
• Open to others' ideas and exhibits a willingness to try new things.
• Demonstrate accuracy and thoroughness; monitor work to ensure quality.
• Prioritize and plan work activities to use time efficiently.
• Adapt to changes in the work environment and manage competing demands.
• Follow instructions, respond to direction, and solicit feedback to improve.
• Act in such a way to instill trust from management and customers.
• Work overtime as required.

Requirements

• Constant: Talk, hear, speak, and use hands and fingers to operate a computer, telephone, keyboard/mouse; occasionally move about the office.
• Constant: Visual ability such as close vision, distance vision, color and peripheral vision, depth perception and ability to adjust focus.
• Occasional: Lift and/or move up to 10 pounds.
• Constant: Regular, predictable attendance in the office is required.
• Constant: While performing the duties of this job, the employee is regularly sitting for the full shift.
• Constant: The cognitive skills needed to complete tasks include learning, remembering, focusing, categorizing, and integrating information.

Work Environment

• The physical environment is indoors in a controlled climate, office setting.
• The noise level may be low to moderate.

Benefits

• Pay may vary based on location.
• Offers will be adjusted based on an individual's experience, education, and other job-related factors as permitted by law.
• Pay range is: $25-32/hr.