Taft-Hartley Fund seeking a Health and Welfare team member to process routine medical, disability, HRA, and death benefit claims in accordance with plan guidelines, policies, and regulatory requirements.
The role serves as a first point of contact for participants, providers, and vendors, providing customer service, answering questions about benefits and eligibility, and helping resolve claim-related issues.
Core duties include reviewing claims, applying plan rules, coordinating benefits, handling routine billing issues, maintaining confidentiality, and preparing professional written communications.
High school diploma or GED required; associate's or bachelor's degree preferred.
- 3+ years of claim adjudication experience preferred
- 1+ year of disability claim processing experience preferred
- 1+ year of HRA claim processing experience preferred
- 1+ year of death benefit experience preferred
- Knowledge of medical terminology, HCPCS, ICD-10, and CPT-4 codes
- Understanding of claims adjudication principles and procedures
- Strong customer service, verbal, and written communication skills
- Ability to calculate figures, discounts, interest, and percentages
- Proficiency with Microsoft Office tools and general computer systems
- Ability to manage shifting priorities and handle confidential information with discretion
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Location
St. Louis, Missouri, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago