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Benefit Plan Builder at Staff4Me. We are seeking a highly skilled and detail-oriented. Benefit Plan Builder. to configure and maintain client benefit plans using the RIMS processing system. This role is critical to ensure accurate and automated claims adjudication. . As a “super user” of RIMS,. you’ll collaborate with management and IT, troubleshoot processing issues, test software releases, and support special projects tailored to client needs.. Responsibilities . Plan Setup & Administration. • Build new group and product plans in RIMS, including run-in plans. • Use internal tools and checklists to ensure accurate configuration. Plan Design Review. • Analyze plan documents, amendments, policies, and mandates. • Recommend improvements for system-based adjudication. Documentation & Reporting. • Maintain records of active plan build tasks. • Document processing notes, exception codes, and upload finalized . data. Renewals, Amendments & Rewrites. • Manage benefit changes and test updates before finalizing. • Freeze/release updates in RIMS based on approvals. Compliance Monitoring. • Implement benefit changes per group policies and state regulations. Claim Support. • Respond to claims inquiries and troubleshoot system issues. • Manage mailbox and make necessary RIMS updates. Plan Testing & Auditing. • Conduct system testing and peer audits to ensure plan accuracy. Collaboration & Communication. • Communicate updates to departments (ID cards, billing, consultants). • Coordinate with other plan builders and attend meetings. Training & Support. • Train internal teams on new or updated plans using documentation. System Optimization. • Work with IT to enhance RIMS functionality and share improvements. Special Projects & Provider Arrangements. • Collaborate on provider contracts and automate processing. • Document and train others on unique arrangements. Other Duties . • Support reporting, special assignments, and tasks from management. Technical & Industry Knowledge. • Experience with QicLink or VBA platforms. • 2–3 years of RIMS system experience. • 1–2 years of plan building experience. • 4–6 years of high-level claims processing and benefit knowledge. • Reinsurance and contract knowledge (specific & aggregate). • Familiarity with federal laws affecting self-funding. • Medical terminology and coding proficiency. Core Competencies . • Strong problem-solving and multitasking abilities. • Excellent written and verbal communication, especially technical . writing. • Mathematical proficiency and attention to detail. • Ability to work independently and collaboratively. • Reliable, punctual, flexible, and emotionally mature. • Initiative-driven, with leadership potential and composure under . pressure. • Professional and respectful team player. Schedule: Monday to Friday, 8:00 AM – 6:00 PM E.S.T | 8PM-6AM PHT. Company Location: Philippines.