Claims Configuration Jobs in Milwaukee, WI (NOW HIRING)

Under moderate supervision, the Workflow Systems Configuration Analyst I is responsible for working with business teams in defining and maintaining Windward Workflow configuration, including queues, reject codes, reject actions and pends, key words, suspend reasons, RFS codes, holds, queue security, and other configuration data that drives claims processing.  The Workflow Systems Configuration Analyst I is also responsible for defining and maintaining system reference, global system settings and building bulk data loads for other configuration data such as fees and client data, and ensuring proper use of core systems functionality in alignment with corporate goals.  Consults with operations, business implementation and IT development teams to understand the impact of functional changes to systems configuration, assists in developing system solutions, and debugs system issues. The Workflow Systems Configuration Analyst I understands business problems and/or requirements, recommends solutions to meet/solve those requirements using existing system functionality and provides excellent support to UM, Claims Operations, Underwriting, and Dental Management and other operational departments to enable them to best serve our customers. 

JOB RESPONSIBILITIES:

• Works with UM, Claims Operations, Underwriting, and Dental Management and/or other operational teams in the implementation of new business and other enterprise projects involving the Workflow configuration of our dental systems, including aspects of client configuration.
• Manages and maintains configuration data required for core claims processing system settings.  
• Troubleshoots, researches, and corrects assigned tickets/issues that may be related to system configuration, in order to determine root causes including process and validation gaps, training, system defects, etc.
• Translates client requirements into solutions using core systems configuration settings.
• Works with IT systems analysts and developers in order to help solve system defects, providing subject matter expert input into use cases, as well as supporting testing of new system functionality or hotfixes related to Workflow and Client systems configuration.
• Understand, specify, test, and approve relational database scripts designed by configuration development resources.
• Manage and specify user interface requirements for effective configuration management.
• Ensures accuracy of system configuration pre and post implementation
• Ability to define and generate test plans for new configuration settings and systems coding
• Supports total quality and continuous improvement by recommending standards, procedures and process improvements.
• Working with Client Configuration, customers, vendors and management, analyzes requirements against current system functionality, develops and deploys proposed solutions to business requirements of moderate complexity.
• Works closely with internal departments and operations management to streamline systems processes.
• Maps coding and temporary/pre-production data to build SQL scripts and relationship statements and maintain configuration data.
• Consults on system/technical aspects of new business implementations and core system enhancements, as they relate to Client configuration as assigned.
• Adhere to DentaQuest business processes.
• Other duties as assigned.