Claims Configuration Jobs in Indiana (NOW HIRING)

Work for Indiana
Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.
About the Indiana State Personnel Department (INSPD):As an agency operating a shared services model, we provide the executive branch of state government with top-notch HR services. INSPD has a dedicated team of human resources professionals working in many capacities, including director-level, generalists and specialists in each discipline of human resources. Joining our team will open the door to many opportunities for lateral and upward mobility.
Role Overview:
We are seeking a detail-oriented and solutions-focused Benefits professional to support the administration, compliance, and continuous improvement of our employee benefit programs. This role plays a key part in ensuring our plans operate efficiently, meet all regulatory requirements, and provide an excellent experience for employees. The ideal candidate is analytical, collaborative, and comfortable working in a fast-paced, data-driven environment.
Salary Statement:
The salary for this position traditionally starts at $67,314.00, but may be commensurate with education or work experience.
A Day in the Life:
• Ensure all benefit programs adhere to applicable federal and state regulations.
• Manage day-to-day operations for health, dental, vision, life, and disability plans.
• Conduct detailed audits of vendors, benefit programs, and industry trends to ensure compliance with contracts, regulations, policies, and best practices.
• Compile, analyze, evaluate, and interpret large data sets from systems such as PeopleSoft, vendor reports, contracts, and state/federal regulations; develop reports and provide data-driven recommendations.
• Establish new processes and implement required changes based on evolving federal and state legislation.
• Troubleshoot and resolve benefits-related issues, including HRIS discrepancies, vendor errors, and contract administration concerns.
• Perform user acceptance testing (UAT) for the HRIS benefits module and partner with IT/IOT teams on system configuration updates.
• Monitor application systems to ensure accurate processing and strong performance.
• Serve as project manager for complex, statewide benefit initiatives with fiscal impact.
• Independently review and resolve benefit appeal requests through data analysis and contract interpretation.
• Oversee and resolve eligibility, billing, and claims disputes with vendors, agencies, or employees.
• Serve as a technical expert and team lead by providing guidance and support to Benefits Specialists.
• Evaluate Requests for Proposals (RFPs) for benefit program vendors.
• Audit legal compliance documents such as Summary Plan Descriptions and manage annual compliance notice distribution.
• Coordinate Medicare Secondary Payer (MSP) claims with CMS.
• Lead employee benefit training sessions and informational presentations.
• Identify, calculate, and resolve premium errors based on individual employee circumstances.
• Detect and correct data entry errors impacting employee benefits or job status by collaborating with necessary stakeholders.
• Recommend process improvements based on metrics, analysis, and operational trends.
• Act as a liaison between vendors, agencies, and employees to ensure effective communication and issue resolution.
What You'll Need for Success:
• Experience in benefits administration, HRIS, or related fields
• Strong analytical and auditing skills
• Ability to interpret benefit contracts, regulations, and system data
• Excellent problem-solving and communication skills
• Experience with PeopleSoft or similar HR systems preferred
Benefits of Employment with the State of Indiana:
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards
• Health savings account, which includes bi-weekly state contribution
• Deferred compensation 457(b) account (similar to 401(k) plan) with employer match
• Two (2) fully-funded pension plan options
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
  • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
  • Up to 15 hours of paid community service leave
• Combined 180 hours of paid vacation, personal, and sick leave time off
• 12 paid holidays, 14 on election years
• Education Reimbursement Program
• Group life insurance
• Referral Bonus program
• Employee assistance program that allows for covered behavioral health visits
• Qualified employer for the Public Service Loan Forgiveness Program
• Free Parking for most positions
• Free LinkedIn Learning access

Equal Employment Opportunity:
The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.
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