Communicates medical, prescription drug, dental, vision, life, and other plan features to plan participants and their beneficiaries.

ESSENTIAL FUNCTIONS:

• Coordinates projects assigned by the Administrator
• Provides customer service in Health & Welfare for all benefit programs
• Resolves improper processing of eligibility, medical, HRA accounts, prescription, dental, and vision claims
• Processes Eligibility maintenance for Open Enrollment, Special/Qualifying Enrollments
• Coordinates and attends annual health fairs
• Prepares eligibility packets
• Process and posts member self-payments
• Assists with Open Enrollment functions

JOB REQUIREMENTS AND QUALIFICATIONS:

• Three or more years of comparable work experience
• Proficiency with Microsoft Word and Excel
• Knowledge of ERISA, the governing law
• Knowledge of ACA
• Complete understanding of CPT (Current Procedure Terminology) codes, ICD-10 codes, HCPCS (Healthcare Common Procedure Coding System) codes and CDT (dental and nomenclature) codes
• Knowledge of Coordination of Benefits
• Ability to effectively communicate complex issues in both written and verbal form
• Ability to understand the Summary Plan Description for Health & Welfare and articulate the provisions to participants

OTHER INFORMATION:

Will be required to attend some Union meetings. Will be required to travel.  Under ERISA, the Employer Service Corporation is prohibited from hiring felons.  Background checks will be conducted on all employees. Submit resume to denniec@959trusts.com