Plan Document Specialist

Job overview

Compensation is $0 per year. The Plan Document Specialist role is onsite in Wheeling, WV, with a schedule of 8:00 a.m.–5:00 p.m.; The Health Plan develops and maintains plan documents for self-funded and fully insured clients. The specialist creates, updates, and quality-checks benefit and coverage documents while supporting filings, compliance requests, pricing proposals, and related administrative processes. The work helps keep client plan materials accurate and aligned with applicable requirements.

What you'll do

• Develop and maintain Summary Plan Documents for self-funded clients and Evidence of Coverage documents for fully insured clients
• prepare amendments and restatements
• interact with state insurance departments on product form filings through SERFF
• create and maintain Summary of Benefits and Coverage and benefit plan grids
• prepare Administrative Service Agreements
• perform document quality reviews and editing
• assist with pricing proposals, quoting logs, policy and procedure maintenance, and external reporting.

What we're looking for

Skills & competencies

plan documents

summary plan documents

evidence of coverage

health insurance

serff

wheeling wv

onsite

8:00 a.m.–5:00 p.m.

the health plan of west virginia

document quality review

Work arrangement

• Weekend coverage required

Why this role

High school diploma or GED required; paralegal experience is helpful but not required.

About the employer

The Health Plan of West Virginia Inc is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.