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Claim Configuration Jobs (NOW HIRING)

CEDENT

QNXT Configuration Architect

$40 - $60/hr

... Claim Processing, Billing, Plan/Product. • Experience with Healthcare domain. • Strong ... configuration experience. • Hands-on configuration experience within the product QNXT module ...

Healthfirst

AVP Payment Configuration

Manhattan, NY · On-site

... successful claim and benefit configuration, provider onboarding, and maintenance of provider ... records. The incumbent provides strategic leadership and oversight to establish plans and ...

Cook Children's

Claim Auditor I

Fort Worth, TX

The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit ...

HealthOne Alliance

Configuration Analyst I

Dalton, GA · On-site

... claim processing system for new and existing benefit plans Documents the configuration of new plans as well as changes in existing plans Provides feedback to Configuration Analyst II regarding ...

LIBERTY DENTAL

System Configuration Analyst

Tustin, CA · On-site

Analyze and process complex claim and UM scenarios * Assist with benefit implementation and claims/UM system configuration * Coordinate with cross-functional teams to implement and maintain member ...

Cook Children's

The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit ...

Cook Children's

Claim Auditor I

Fort Worth, TX · On-site

The Claim Auditor I ensures that claims payment integrity aligns with regulatory standards, timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit ...

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Claim Configuration information

See salary details

$37.5K

$95.9K

$144.5K

How much do claim configuration jobs pay per year?

As of Sep 10, 2026, the average yearly pay for claim configuration in the United States is $95,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $112,000.00 per year, depending on experience, location, and employer.
Infographic showing various Claim Configuration job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 2% Part Time, and 10% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $95,935 per year, or $46.1 per hour.

Benefits Plan Configuration Specialist

Anderson, IN • On-site

Unified Group Services
Insurance Services • 11 - 50 employees
Learn more about Unified Group Servicesexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Key responsibilities

  • Configure and maintain benefit plan structures within the WLT adjudication system.

  • Set up new groups, coordinate vendor connections, load PPO fee schedules, and implement updates for existing clients.

  • Troubleshoot claim processing issues and work with internal teams to interpret client intent and ensure plan functionality.

Job description

Overview

Do you thrive in roles where accuracy matters, problem-solving energizes you, and building systems that work seamlessly is second nature? Unified Group Services in Anderson, IN is seeking a full-time Benefits Plan Configuration Specialist to join our dedicated team. As an in-office position, with the possibility of remote work, this is your chance to use your expertise in plan building and claims systems in a rewarding, stable role. If this sounds like the perfect fit, we encourage you to apply today!

Pay

Pay: We offer our Benefits Plan Configuration Specialist a competitive hourly wage.

Benefits
  • Health, dental, and vision insurance
  • 401(k) with company match
  • Education assistance
  • Employee assistance program
  • PTO
  • Growth opportunities
  • HSA/FSA
  • Life insurance
  • Short- and long-term disability coverage
  • Wellness programs
  • Sponsored health clinic
  • Company parties
Qualifications
  • Prior experience with plan building and a health plan claims system (required for remote work)
  • Ability to troubleshoot claim processing issues
  • Experience in auditing plan designs and reporting system errors
  • Strong writing skills with proper grammar and structure
  • Knowledge of ACA and ability to stay current on regulatory updates
  • Ability to collaborate with multiple internal departments

Experience with plan building and claims adjudication systems, proficiency in Microsoft Office, familiarity with ACA, strong math, organizational skills, and attention to detail are preferred.

Your Day-to-Day as a Benefits Plan Configuration Specialist

This full-time position runs Monday through Friday, 8 am to 5 pm, with available overtime and an optional remote arrangement.

As our Benefits Plan Configuration Specialist, you'll spend your day configuring and maintaining benefit plan structures within the WLT adjudication system. You'll set up new groups, coordinate vendor connections, load PPO fee schedules, calculate DRG pricing, and implement updates for existing clients. When claim issues appear, you'll jump in as the technical problem-solver, working closely with internal teams to interpret client intent and ensure every plan functions exactly as expected, accurately, efficiently, and compliantly.

About Unified Group Services

At Unified Group Services, we prioritize our customers and our mission focuses on you-whether you're a customer or a team member. Since 1996, we've been a full-service third-party administrator (TPA) for self-funded group health insurance plans, empowering our clients with innovative programs and cutting-edge technology to control costs and ensure access to high-quality benefits. Our experienced team delivers personal attention with speed and care, and we emphasize our values through employee training. If you want to make a real impact in your work, Unified Group Services is the place for you.

Take the Next Step

If you're ready to grow, contribute, and succeed, apply today! Our initial application is fast, easy, and mobile-friendly.

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