Position Overview
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. Essential Job Functions Reviews and verifies documentation supporting dependent eligibility and beneficiary designations. Accurately enters, updates, and maintains dependent and beneficiary information within the Fund’s administration systems.
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. Participates in departmental cross-training initiatives and workflow support activities. Assists with special projects and operational initiatives as assigned. Meets departmental productivity, accuracy, and turnaround expectations.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
The N Y C District Council Carpenters Welfare Fund administers dependent eligibility and beneficiary enrollment processes. They ensure accurate participant records, review documentation, process status changes, and support QMCSO administration.