TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

• Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals.
• Identify and communicate business needs and translate business requirements into technical system and functional specifications.
• Support one or more moderately to highly complex business processes/systems for multiple business units.
• Project team member for projects medium to large in scope and high complexity.

• Strong background in healthcare benefits claims testing with a minimum two years of experience.
• Minimum two years claims processing system experience.
• Working knowledge of claims processing for all lines of business.

• Strong analytical, technical, interpersonal and communication skills.
• Knowledge of business operations, systems requirements and IT processes.
  Ability to work independently, or within a team environment.
  Other related skills and/or abilities may be required to perform this job.

• 3270 Mainframe experience.
• BFM/BFAST experience with benefit coding.
• Experience with membership/eligibility.

• TekWissen Group
  

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