Hybrid Claims Configuration Analyst

Delta Dental Of Illinois

Naperville (IL)

Hybrid

USD 60,000 - 75,000

Full time

14 days+

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Benefits offered by this job

On-site fitness center

Tuition reimbursement

Volunteer time off

Company bonus program

Job summary

Delta Dental of Illinois in Naperville, IL seeks a strategic Configuration Analyst to shape how claims are adjudicated and to support policy interpretation across billing, benefits, and EDI processing.

You will develop user stories and test scenarios, partner with IT and business teams in an Agile environment, and ensure accurate configuration changes align with processing guidelines and contract terms.

Qualifications

Bachelor’s degree in business, insurance, or related field (or equivalent work experience).
Strong knowledge of policy interpretation; familiarity with dental claims terminology and processing policies.
Experience interacting with business leaders and IT to translate needs into user stories, acceptance criteria, or requirements.

Responsibilities

Analyze and configure claim adjudication logic according to processing policy guidelines.
Participate in configuration activities across Accounts, Benefits, Billing, Providers, Claims, and EDI processing.
Develop user stories, acceptance criteria, or requirements and test claim scenarios.
Monitor adjudications system performance and rule application.