
Health Benefits Claims Processing Clerk
Uniformed Sanitationmen's Association
NEW YORK, NYJobSeen 4 days agoSeen in employer's feed 4 days ago
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Job overview
The Health Benefits Claims Processing Clerk reviews and processes health benefit claims for accuracy, completeness, and compliance with Benefit Fund policies. The role administers active and retiree employee benefits, maintains enrollment records, assists participants with benefit and claim inquiries, coordinates with providers and vendors, investigates discrepancies or denials, and updates Benefit Fund databases and systems.
Skills & qualifications
Skills
Full job description
Responsibility for review and processing of health benefit claims to ensure accuracy, completeness , and compliance with the Benefit Fund policies. Responsibilities and Duties: * Review and administration of NYC active and retiree employee health benefits, including prescription drug, dental, optical and supplemental medical benefits * Maintain accurate records of employee benefits enrollment and changes * Assist participants with inquiries regarding their health benefits and claim status * Coordinate with insurance providers and other benefits vendors * Identify and investigate any claim discrepancies or denials * Assist with distribution, and inquiries related to benefits related communications and documentation * Accurately enter, update and monitor data to Benefit Fund databases and systems * Ensure compliance with Benefit Fund policies and procedures Skills and Qualifications: * Strong written and verbal communication and interpersonal skills * Ability to handle sensitive information with discretion * Attention to detail and strong organizational skills * Data entry skills * Customer service orientation * Ability to work independently and as part of a team * Problem solving abilities
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