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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 required

EDUCATION & 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 Excel A1406145NY-Temp_1738698329 To Apply for this Job Click Here