Health & Welfare Benefits Advisor

Aston Carter•Lanham, WV

3d•$27 - $36•Onsite

About The Position

The Health & Welfare Benefits Advisor educates members, providers, and health partners on navigating and using health and welfare benefit plans. The role serves as a primary contact for benefit inquiries and claim-related questions, with a focus on benefits administration, customer service, and accurate claim processing so members understand and can access their available benefits. This is an onsite contract-to-hire position based in Lanham, Maryland, with a Monday-through-Friday schedule from 8:00 a.m. to 5:00 p.m. The work takes place in an office setting using computer systems, proprietary software, and health partner portals. A transition to a full-time role may be available. The stated pay range is $26.87–$36.06 per hour. Eligible benefits for this temporary role may include medical, dental, and vision coverage; Critical Illness, Accident, and Hospital coverage; a 401(k) Retirement Plan with pre-tax and Roth post-tax contributions; voluntary life and AD&D insurance for employees and dependents; short- and long-term disability; a Health Spending Account (HSA); transportation benefits; an Employee Assistance Program; and time off or leave, including PTO, vacation, or sick leave. Eligibility and plan terms apply.

Requirements

At least three years of experience in administration and/or benefits processing.
High school diploma or equivalent education.
Experience in benefits administration or closely related administrative functions.
Strong customer service skills and the ability to handle inquiries and concerns professionally and empathetically.
Professional verbal and written communication skills.
Computer literacy and the 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 when processing claims, updating member records, and maintaining documentation.

Nice To Haves

Prior experience with employee benefits plans, particularly health and welfare plans.
Familiarity with or 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 navigating and effectively using health and welfare benefit plans.
Respond promptly and professionally to member and provider inquiries, questions, 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 in accordance with 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 and 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, verbally and in writing.