Welfare Eligibility and Claims Associate

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 enrollmentsDetermines coverage by examining Fund recordsReviews and processes retiree and member eligibilityUpdates and maintains member information in databaseAssists members and retirees with eligibility and enrollmentEnsures proper enrollment with third party vendorsTracks the eligibility dates of dependentsMaintains accurate records of all incoming claims inquiryCommunicates with vendors to ensure timely resolution of claims Interacts, responds and resolves claim inquiries via multiple channels including phone, email and written correspondenceResponsible for maintenance and review of Benefit GridsAnswer questions from Member Services, and/or Vendors regarding the eligibility and status of members in ULTRAIdentify and support implantation of process improvement and recommendations of enhancements to processesPerforms multiple work roles with expanded knowledge and skill sets such as data entry, processing multifaceted transaction, and handling eligibility inquiries under minimal supervisionPerforms other duties as assigned or requiredEDUCATION & EXPERIENCE:Associate's degree preferredExperience in health and welfare benefit plan administration preferably in a multi-employer environment a plusExperience 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 skillsSuperior organization skillsRequires independent decision making in complex situationsDemonstrated ability to effectively manage multiple priorities High attention to detailExcellent problem solving and analytical skills requiredKnowledge of ISSI systems or knowledge of benefit administration systems and strong ability to learn new systemsProficient in Microsoft ExcelBeacon 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: https://jobs.beaconhillstaffing.com/eeoc/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 www.bhsg.com. 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)