Health & Welfare Benefits Advisor

Job Description

Job Description

Job Title: Health & Welfare Benefits Advisor

Job Description

The Health & Welfare Benefits Advisor educates members, providers, and health partners on how to navigate and utilize health and welfare benefit plans, while serving as a primary point of contact for inquiries and claim-related questions. This role focuses on benefits administration, customer service, and detailed claim processing, ensuring members fully understand and can access the benefits available to them.

Responsibilities

• Educate members, providers, and health partners on how to navigate and effectively utilize health and welfare benefit plans.
• Respond promptly and professionally to member and provider inquiries, questions, and concerns regarding all health and welfare benefits.
• Coordinate with health partners to research and resolve member inquiries and concerns using health partner portals and related systems.
• Analyze and process member annual out-of-pocket maximum claim inquiries in accordance with plan provisions.
• Review and analyze member and provider claim inquiries to determine claim consideration and appropriate next steps.
• Process Accident and Sickness (Disability) claims, Supplemental Occupational Benefit claims, and member reimbursement claims accurately and within established guidelines.
• Manage all processes involving dependents, including adding dependents, disenrolling dependents, and updating records for changes in marital status.
• Assist with the set-up and ongoing handling of subrogation cases, ensuring proper documentation and coordination.
• Participate in member education initiatives related to the benefits package, including explaining coverage, procedures, and available resources.
• Maintain accurate records, documentation, and data within proprietary and partner systems to support benefit administration and claim processing.
• Communicate clearly and professionally in both verbal and written formats with members, providers, and internal partners.

Essential Skills

• Minimum of three years of experience in administration and/or benefits processing work.
• High school diploma or equivalent education.
• Demonstrated experience in benefits administration or closely related administrative functions.
• Strong customer service skills with the ability to handle inquiries and concerns in a professional and empathetic manner.
• Professional verbal and written communication skills suitable for interacting with members, providers, and health partners.
• Computer literacy with the ability to learn and use proprietary software and online portals.
• Ability to analyze claim inquiries and apply plan provisions accurately.
• Organizational skills to manage multiple inquiries, claims, and dependent-related processes simultaneously.
• Attention to detail in processing claims, updating member records, and maintaining documentation.

Additional Skills & Qualifications

• Prior experience with employee benefits plans, particularly health and welfare plans, is preferred.
• Familiarity or strong interest in health and welfare functions and Taft-Hartley labor management fund administration.
• Experience working with healthcare benefits and related administrative processes.
• Ability to collaborate effectively with health partners and internal teams.
• Interest in converting to a full-time role where applicable.

Work Environment

This position is based on-site and follows a Monday through Friday schedule from 8:00 a.m. to 5:00 p.m. The role involves working with computer systems, proprietary software, and health partner portals in an office setting focused on benefits administration and member support. The environment supports professional communication, attention to detail, and collaboration with internal teams and external partners, offering the opportunity to transition to a full-time role.

This is a Contract to Hire position based out of Lanham, MD.

The pay range for this position is $26.87 - $36.06/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

This is a Contract to Hire position based out of Lanham, MD.

This position is anticipated to close on Oct 29, 2026.

This is a fully onsite position in Lanham,MD.

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on ziprecruiter.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.