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About the Role

The Dependent and Beneficiary Associate administers dependent eligibility and beneficiary enrollment processes for the Welfare Fund, ensuring accurate record maintenance, documentation review, status changes, QMSCO administration, and support for audits and member communications. This role demands attention to detail, administrative judgment, professionalism, confidentiality, and excellent member service skills in a fast-paced benefits administration environment.

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.

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.

Skills

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.

Location

Office-based

Work Type

Full-time

Experience Level

Minimum of 2 years of administrative, eligibility, claims, or benefits-related experience preferred.

Education Level

Associate’s degree required; Bachelor’s degree preferred.

Salary/Compensations

$50,000 – $53,000

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.

About the Company

The NYCDCC Benefit Funds are committed to a policy of Equal Employment Opportunity.

Equal Opportunity

The NYCDCC Benefit Funds are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, creed, religion, color, national origin, ancestry, alienage, pregnancy, disability, age, uniform service member status, veteran status, marital status, caregiver status, familial status, status as a victim of domestic violence, sexual violence or stalking, membership in a domestic partnership, sex, gender (including gender identity, gender expression or status as a transgender person), genetic information, sexual orientation (including an individual’s actual or perceived romantic, physical or sexual attraction to other persons, or lack thereof, on the basis of gender), sexual and reproductive health decisions, or on any other characteristic protected by applicable federal, state, or local law.
If reasonable accommodation is needed to participate in the job application or interview process, please contact Krystal Higgins at (212) 366-7516.