Welfare Analyst

Job Description

Job Description

EMPLOYER:                 Hollow Metal Trust Fund and Pension Fund

POSITION: Welfare Analyst

REPORTS TO:              Supervisor/Executive Director

FLSA STATUS:             Non-exempt

SALARY:                      $65,000*

We are a small fund with a staff of 7 employees, and our mission is to properly administer the plans benefits and deliver superior service to our members in all respects. The Welfare Fund has a close total of 750 active members participating in the plan, along with dependents. The Welfare Analyst is responsible for assisting members with welfare claims, member eligibility and general support to the members, beneficiaries, and employers. In addition, maintaining contract rates and monitoring providers.

ESSENTIAL JOB FUNCTIONS:

• Administer and maintain Eligibility for all active participants and dependents
• Assist participants via phone or walk-in members, dependents, and employers participating in the Plan
• Manage and process weekly/monthly Remittance Reports; Make sure to verify all hours/wages are entered in the system correctly
• Manage and process Short-Term Disability applications and payments on a weekly basis
• Maintain Employer rates in ISSI according to CBA’s and/or MOAs provided by the District Council
• Educate participants and dependents on features of the Welfare Benefits and limits of the Plan so they can utilize the Plan effectively
• Verify all participants’ necessary documents are on file and accurate (i.e. birth certificates for members and dependents, marriage Certificates, divorce decrees, beneficiary cards, etc.); follow up on missing information to determine benefits eligibility
• Monitor and review claims and eligibility through our providers portal access
• Assist participants and providers to resolve outstanding welfare claims as needed
• Assist in ordering insurance cards and provide Certificate of Coverage when requested
• Process death benefits application to beneficiaries, by gathering all documents and information necessary to process with Amalgamated Life Insurance Company
• Collect, validate welfare appeals for Trustee Meeting
• Monitor and process any Welcome Packages and COBRA Notices on a weekly to monthly basis
• Prepare and execute correspondence, letters, and affidavits to the participants
• Prepare and review reports requested on a monthly or quarterly basis i
• Review 1095B Data for recipients
• Assist on preparing and processing Stop Loss claims through Amalgamated Insurance

REQUIREMENTS/EDUCATION:

• Bilingual (Spanish / English preferred)
• Bachelor’s Degree required or High School Diploma with at least 5 years of experience in the processing of welfare benefit plans or an equivalent combination of training
• Must understand the principles, practices, methods and techniques of welfare benefit programs administration, including eligibility determination, enrollment, benefits reporting; federal, state and local laws and regulations governing the administration of welfare benefit plans and maintenance of plan/employee records
• Intermediate level working knowledge of Microsoft Office (Word, Excel, Outlook)
• Ability to handle and maintain confidentiality of records and information
• Able to act independently and work with little to no supervision, but also able to work with a team when needed
• Must have exceptional customer service and analytical skills
• Effectively prepare clear, concise and accurate records, reports, correspondence and other written materials
• Able to multitask and meet deadlines

SALARY AND BENEFITS:

• *Rate is based on a minimum salary range which will be based on relevant skills, education, experience, and qualifications.
• The Fund offers the following benefits package:

o   Health Insurance paid by Employer (Vision, Dental, Medical, and Pharmacy)

o   10% of salary annuity contributions paid by Employer

o   Life-Insurance covered by Employer for all active employees

o   Paid Time Off

o   CEBS and other educational programs

Please note that this is not a remote position and requires in-office presence.

The Hollow Metal Fund 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.

The Hollow Metal Benefit Funds is maintained and administered by a join Board of Trustees on which labor and management are equally represented. The Board of Trustees is responsible for making and enforcing Plan rules and it is responsible for interpreting the Plan provisions uniformly for all participants, with the assistance of the Executive Director and its staff members.

Company Description

The Hollow Metal Benefit Funds is maintained and administered by a join Board of Trustees on which labor and management are equally represented. The Board of Trustees is responsible for making and enforcing Plan rules and it is responsible for interpreting the Plan provisions uniformly for all participants, with the assistance of the Executive Director and its staff members.