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Audit aggregate stop loss claims, validate contract eligibility and exceptions, review enrollment and attachment-point calculations, verify funding, and prepare client audit reports and exhibits. The role also responds to TPA appeals, supports process improvements, and works independently while maintaining strong analytical, organizational, communication, and detail-oriented standards.

Provides Level 2 support for SaaS and custom insurance applications through phone, chat, email, and in-person channels. Troubleshoots access issues and data errors, supports application conversions and implementations, assists with software upgrade testing, follows security and access standards, and escalates complex issues. Requires strong customer service, application troubleshooting, communication, and problem-solving skills. The role is hybrid or remote with approximately 5% travel.

The Associate Data/EDI Architect will manage implementation projects for employee benefits software, mentor teammates, and ensure quality execution while cultivating customer relationships.