Benefits Eligibility & Beneficiary Specialist

N Y C District Council Carpenters Welfare Fund; New York (NY); On-site; USD 59,000 - 72,000; Full time

Job summary

NYCDCC Benefit Funds seeks a Dependent and Beneficiary Associate to administer dependent eligibility and beneficiary enrollment. You will maintain participant records, review documentation, process status changes, and support QMCSO administration with strong attention to confidentiality.

This role involves precise data entry, communication with members and external parties, and adherence to HIPAA in a fast-paced benefits environment. Salary is $65,000 with comprehensive benefits.

Qualifications

• Bachelor’s degree required.
• Minimum of 2 years of administrative, eligibility, claims, or benefits-related experience preferred.
• Experience handling confidential information and maintaining records with a high degree of accuracy.

Responsibilities

• Reviews and verifies documentation supporting dependent eligibility and beneficiary designations.
• Enters, updates, and maintains dependent and beneficiary information within the Fund’s administration systems.
• Processes dependent status changes resulting from qualifying events (e.g., marriage, divorce, death).
• Communicates with members, attorneys, agencies, providers regarding eligibility documentation.
• Assists with QMCSO administration.
• Supports claim audit reviews related to retroactive terminations and eligibility changes.
• Prepares and maintains member communications regarding claim overpayments and retroactive adjustments.
• Maintains confidentiality of participant information per HIPAA and laws.

Skills

Written communication

Verbal communication

Interpersonal skills

Organizational skills

Attention to detail

Multitasking

Microsoft Office

Education

Bachelor’s degree

Tools

Database management systems

Job description

NYCDCC Benefit Funds seeks a Dependent and Beneficiary Associate to administer dependent eligibility and beneficiary enrollment. You will maintain participant records, review documentation, process status changes, and support QMCSO administration with strong attention to confidentiality.

This role involves precise data entry, communication with members and external parties, and adherence to HIPAA in a fast-paced benefits environment. Salary is $65,000 with comprehensive benefits.