Strategic Claims Configuration Analyst

Deltadentalil; Naperville, Northern (IL, KY); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Bonus program

Tuition reimbursement

Volunteer time off

On-site fitness center

Hybrid work schedule

Free dental for employees and depend­-

Job summary

Delta Dental of Illinois, based in Naperville, IL, is hiring a Configuration Analyst to optimize claim adjudication logic and support multiple business areas including Accounts, Benefits, Billing and Claims. The role emphasizes analytical configuration work, documenting user stories, and ensuring policy compliance.

The position offers a hybrid work schedule, a comprehensive benefits package, tuition reimbursement, and a company-wide bonus program.

Qualifications

• Bachelor’s degree in business, insurance, or related field or equivalent work experience.
• Strong knowledge of policy interpretation and dental claims terminology.
• Experience translating business needs into user stories, acceptance criteria or requirements.
• Proficiency with Microsoft Office; familiarity with data tools & databases is highly desired.

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 for correct rule application and policy compliance.

Skills

Policy interpretation

Analytical skills

Requirements gathering

Education

Bachelor's degree in business, insurance, or related field

Tools

SQL

Business Objects

Footprints

Salesforce

Crystal Reports

Excel

Job description

Delta Dental of Illinois, based in Naperville, IL, is hiring a Configuration Analyst to optimize claim adjudication logic and support multiple business areas including Accounts, Benefits, Billing and Claims. The role emphasizes analytical configuration work, documenting user stories, and ensuring policy compliance.

The position offers a hybrid work schedule, a comprehensive benefits package, tuition reimbursement, and a company-wide bonus program.