Welfare Dependent & Beneficiary Associate
About The Position
The Dependent and Beneficiary Associate is responsible for administering dependent eligibility and beneficiary enrollment processes for the Welfare Fund. This role ensures accurate maintenance of participant records, reviews supporting documentation, processes status changes, supports Qualified Medical Child Support Order (QMCSO) administration, and assists with audits, retroactive terminations, and related member communications. The role requires strong attention to detail, sound administrative judgment, professionalism, confidentiality, and excellent member service skills in a fast-paced benefits administration environment.
Requirements
- Associate’s degree required; Bachelor’s degree preferred.
- Relevant experience in employee benefits administration, healthcare administration, insurance administration, union benefit funds, or a related field may be considered in lieu of a degree.
- Minimum of 2 years of administrative, eligibility, claims, or benefits-related experience preferred.
- Experience handling confidential information and maintaining records with a high degree of accuracy.
- Strong written, verbal, and interpersonal communication skills.
- Excellent organizational skills with strong attention to detail and accuracy.
- Ability to prioritize multiple assignments and meet deadlines in a fast-paced environment.
- Strong analytical and problem-solving abilities.
- Ability to exercise sound judgment and identify issues requiring escalation.
- Ability to work independently as well as collaboratively within a team environment.
- Professional and member-service-oriented demeanor.
- Proficient in Microsoft Word, Excel, Outlook, and database management systems.
Responsibilities
- Reviews and verifies documentation supporting dependent eligibility and beneficiary designations
- Processes dependent status changes resulting from marriage, divorce, legal separation, death, aging out, or other qualifying events.
- Reviews records for completeness and accuracy and escalates unusual findings or discrepancies to management.
- Scans, indexes, and maintains electronic records and correspondence in accordance with departmental procedures.
- Communicates with members, attorneys, agencies, healthcare providers, and other parties regarding eligibility documentation and related matters.
- Assists with the administration of Qualified Medical Child Support Orders (QMCSOs).
- Supports claim audit reviews related to retroactive terminations and eligibility changes.
- Prepares and maintains member communications and documentation regarding claim overpayments and retroactive eligibility adjustments.
- Maintains confidentiality of participant information in accordance with HIPAA and applicable federal and state regulations
- Utilizes departmental systems and software applications efficiently and accurately.
- Assists with special projects and operational initiatives as assigned.
- Meets departmental productivity, accuracy, and turnaround expectations.
Benefits
- 100% Employer-Paid Health Benefits
- Employer-Funded Annuity (Retirement Plan) – 10% of compensation
- Paid Time Off
- Professional Development Support, including CEBS and continuing education programs.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
