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 navigating and using health and welfare benefit plans. The role is a primary contact for benefit inquiries and claim-related questions, with a focus on benefits administration, customer service, and accurate claim processing. The advisor helps members understand and access their available benefits, maintains records in proprietary and partner systems, and coordinates with internal teams and external health partners. This contract-to-hire position is fully onsite in Lanham, Maryland, with a Monday through Friday schedule from 8:00 a.m. to 5:00 p.m. The position offers $26.87–$36.06 per hour.

Requirements

• At least three years of experience in administration and/or benefits processing work.
• High school diploma or equivalent education.
• Experience in benefits administration or closely related administrative functions.
• Strong customer service skills, including 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 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 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 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 after 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.

Benefits

• Medical, dental, and vision coverage, subject to eligibility.
• Critical Illness, Accident, and Hospital coverage, subject to eligibility.
• 401(k) retirement plan with pre-tax and Roth post-tax contributions available, subject to eligibility.
• Voluntary Life and AD&D insurance for the employee and dependents, subject to eligibility.
• Short- and long-term disability coverage, subject to eligibility.
• Health Spending Account (HSA), subject to eligibility.
• Transportation benefits, subject to eligibility.
• Employee Assistance Program, subject to eligibility.
• Time off/leave, including PTO, vacation, or sick leave, subject to eligibility.

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED