Welfare Eligibility and Claims Associate

job
  • Beacon Hill Staffing Group
Job Summary
Location
New York ,NY
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
06 Feb 2025
Share
Job Description

Benefit Fund located in West Village, Manhattan is seeking to hire a seeking a dedicated and detail-oriented Welfare Eligibility and Claims Associate to add to their team. This role is responsible for verifying eligibility for the Funds' Welfare insurance programs and assisting approximately 20,000 Union members, 8,000 retirees and their dependents regarding their Welfare benefits coverage. The individual will work in collaboration with the members and insurance vendors for any issues that may arise for both eligibility and claim inquiries. This position requires 5 days on-site from 9am-5pm (35 hour week) offering 50-57K DOE great benefits when perm. ESSENTIAL JOB FUNCTIONS: Requests missing information as necessary to complete enrollments Determines coverage by examining Fund records Reviews and processes retiree and member eligibility Updates and maintains member information in database Assists members and retirees with eligibility and enrollment Ensures proper enrollment with third party vendors Tracks the eligibility dates of dependents Maintains accurate records of all incoming claims inquiry Communicates with vendors to ensure timely resolution of claims Interacts, responds and resolves claim inquiries via multiple channels including phone, email and written correspondence Responsible for maintenance and review of Benefit Grids Answer questions from Member Services, and/or Vendors regarding the eligibility and status of members in ULTRA Identify and support implantation of process improvement and recommendations of enhancements to processes Performs multiple work roles with expanded knowledge and skill sets such as data entry, processing multifaceted transaction, and handling eligibility inquiries under minimal supervision Performs other duties as assigned or required EDUCATION & EXPERIENCE: Associate's degree preferred Experience in health and welfare benefit plan administration preferably in a multi-employer environment a plus Experience with electronic data interchange systems a plus Experience in claims operations including claims data analyzation, eligibility, and auditing activities a plus REQUIRED SKILLS/ABILITIES: Excellent verbal and written communication skills Superior organization skills Requires independent decision making in complex situations Demonstrated ability to effectively manage multiple priorities High attention to detail Excellent problem solving and analytical skills required Knowledge of ISSI systems or knowledge of benefit administration systems and strong ability to learn new systems Proficient in Microsoft Excel Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you. Beacon Hill. Employing the Future (TM)

Other Smiliar Jobs
 
  • Philadelphia, PA
  • 2 Days ago
  • Chicago, IL
  • 7 Hours ago
  • Chicago, IL
  • 3 Days ago
  • Chicago, IL
  • 2 Days ago
  • Chicago, IL
  • 2 Days ago
  • Cleveland, OH
  • 2 Days ago
  • Philadelphia, PA
  • 2 Days ago
  • New York, NY
  • 3 Days ago
  • Schiller Park, IL
  • 1 Days ago