Junior Claims Processor

Southern California Pipe Trades Administrative Corporation • Los Angeles, CA

5d • $28 - $35

About The Position

The Southern California Pipe Trades Administrative Corporation administers comprehensive benefits to members under the terms of the Collective Bargaining Agreements between Southern California Pipe Trades District Council #16 of the United Association of Journeyman and Apprentices of the Plumbing and Pipe Fitting Industry of the United States and Canada and Employers in the plumbing and pipefitting industry in Southern California. We are looking for a Junior Claims Processor for our Health & Welfare Benefits Department.

Requirements

• High school diploma or GED.
• Experience with Microsoft Office including Word, Excel, and Outlook.
• Must be detail-oriented and have strong organizational skills.
• Must have the ability to expedite work to meet deadlines with minimum supervision.
• Must maintain confidentiality of documents processed.

Nice To Haves

• Knowledge of Taft- प्रमाणित Hartley employee benefit plans preferred.

Responsibilities

• Review and resolve participant repayment accounts, including determining amounts owed and issuing repayment notices through the WEX online benefits platform.
• Process ACH refunds and apply appropriate adjustments to applicable claims through the WEX online benefits platform, as needed.
• Review and resolve vision auto-adjudication claims, including approving claims and requesting additional information through the WEX online benefits platform.
• Place participant accounts on hold when necessary, until required information or documentation is received and reviewed.
• Communicate courteously and professionally by telephone, email, letter, and in person.
• Maintain current knowledge of Taft-Hartley benefits and other areas relevant to job duties through ongoing education and professional development.
• Maintain confidentiality in accordance with applicable law, regulations, and sound business practice.
• Maintain and update knowledge of current systems used in conjunction with job duties.
• Maintain and update knowledge of current processing rules and benefits.

What This Job Offers

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