Benefit Design and System Support Analyst

Liviniti

Benefit Design and System Support Analyst at Liviniti offering claim processing system knowledge and problem resolution support. Involves managing tickets, correcting errors, and facilitating designs for new clients.

Posted 4/11/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Provides Liviniti employees and customers with comprehensive knowledge of the claim processing system.
Answers questions and assists with problem resolution.
Manages tickets within a ticketing system; troubleshoots and resolves tickets that are placed in the claims processing queues in a timely manner.
Adjudicates information on multiple software platforms.
Enforces procedures that are put in place by the Benefit Design Supervisor, Director of Claims Processing, and other Leadership.
Identifies and corrects Benefit Design errors within the claims processor based on client documentation.
Provides and potentially presents audit findings to Account Management and, on occasion, the Leadership team.
Facilitates benefit designs for new clients within the claims processor based off of documentation.
Communicates with the Implementation team to discuss and/or ask questions regarding benefit designs for new clients.
Works in conjunction with the Clinical team to input information into the claims processor and makes updates based on extensive testing to ensure the clinical request is to appropriate specifications.
Assists Customer Service Representatives with troubleshooting and resolving issues within our claims processor, when appropriate.
Works in conjunction with an external programming team to analyze and resolve programming error(s) within our claims processor.

Requirements

What you’ll need

Associate or Bachelor’s degree preferred.
2 to 3 years’ previous experience working in PBM environment, health plan, pharmacy chain, or managed care services organization in a Systems or Plan Design capacity.
Intermediate or advanced proficiency with MS Excel, Word, PowerPoint, Outlook
Excellent verbal and written communication skills, establishing rapport and working with others.

Benefits

Comp & perks

Medical, Dental, Vision insurance
Disability and Life insurance
Employee Assistance Program
Generous Paid-Time Off
Annual Reviews and Development Plans
Retirement Plan with company match immediately 100% vested

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claim processingticket managementproblem resolutionadjudicationbenefit designdata analysisprogramming error resolutionextensive testingdocumentation review

Soft Skills

communicationcollaborationproblem-solvingrapport buildingpresentation skills