Health & Welfare Benefits Advisor

Aston Carter•Lanham, WV

4d•$27 - $36•Onsite

About The Position

The Health & Welfare Benefits Advisor educates members, providers, and health partners on how to navigate and use health and welfare benefit plans. The role serves as a primary point of contact for inquiries and claim-related questions, with a focus on benefits administration, customer service, and detailed claim processing so members can understand and access their available benefits. This is a contract-to-hire position based onsite in Lanham, Maryland, with a Monday through Friday schedule from 8:00 a.m. to 5:00 p.m. The office-based role uses computer systems, proprietary software, and health partner portals to support benefits administration and member services. The position offers an opportunity to transition to a full-time role.

Requirements

At least three years of experience in administration and/or benefits processing.
High school diploma or equivalent education.
Demonstrated experience in benefits administration or closely related administrative functions.
Strong customer service skills and ability to handle inquiries and concerns professionally and empathetically.
Professional verbal and written communication skills for interacting with members, providers, and health partners.
Computer literacy and ability to learn and use proprietary software and online portals.
Ability to analyze claim inquiries and accurately apply plan provisions.
Organizational skills to manage multiple inquiries, claims, and dependent-related processes simultaneously.
Attention to detail in claim processing, member-record updates, and documentation.

Nice To Haves

Prior experience with employee benefits plans, particularly health and welfare plans.
Familiarity with, or a strong interest in, health and welfare functions and Taft-Hartley labor management fund administration.
Experience working with healthcare benefits and related administrative processes.
Ability to collaborate effectively with health partners and internal teams.
Interest in converting to a full-time role where applicable.

Responsibilities

Educate members, providers, and health partners on how to navigate and effectively use health and welfare benefit plans.
Respond promptly and professionally to member and provider inquiries and concerns about health and welfare benefits.
Coordinate with health partners to research and resolve inquiries using partner portals and related systems.
Analyze and process member annual out-of-pocket maximum claim inquiries according to plan provisions.
Review and analyze member and provider claim inquiries to determine claim consideration and appropriate next steps.
Process Accident and Sickness (Disability) claims, Supplemental Occupational Benefit claims, and member reimbursement claims accurately and within established guidelines.
Manage dependent-related processes, including adding or disenrolling dependents and updating records for marital-status changes.
Assist with setting up and handling subrogation cases, including documentation and coordination.
Participate in member education initiatives by explaining coverage, procedures, and available resources.
Maintain accurate records, documentation, and data in proprietary and partner systems.
Communicate clearly and professionally with members, providers, and internal partners.