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Performs advanced technical review and adjudication of medical and dental claims, coordinates appeals and predeterminations, manages third-party recovery and refunds, processes time-loss claims, interprets benefit plans, tests benefits, and supports staff with resources and occasional backup processing or phone coverage.

Manage benefit billing operations for Taft-Hartley trust funds: perform audits and complex financial reconciliations, ensure eligibility and billing accuracy, develop controls and procedures, resolve escalated issues, support renewals and compliance, and collaborate with vendors, auditors, trustees, and legal counsel.

The Client Services Assistant performs administrative tasks supporting the client-facing team, including correspondence, file management, invoice preparation, and meeting coordination.

Oversee daily office support staff and reception/mail operations, assign and monitor work quality, train and coach employees, manage mail/postage/accounts, maintain supplies and equipment, coordinate with property management and couriers, and improve procedures to ensure timely, professional office services.

The Eligibility & Enrollment Processor manages enrollment operations, maintains member records, resolves inquiries, and supports documentation related to coverage and benefits.

The Supervisor, Claims leads a Claims team, manages workflow, ensures compliance, oversees claims processing, and develops staff through performance management.

Process routine health and welfare claims (medical, dental, vision, prescription, disability, life, AD&D, workers' comp) per plan rules. Provide customer service via phone/written/electronic channels, document interactions, apply coding knowledge (ICD-10/CPT-4), and handle confidential PHI/PII with discretion.

Lead and manage a defined book of business, strengthen client relationships, execute account strategies, pursue cross-sell/upsell/renewals, oversee vendor relationships, ensure regulatory compliance, mentor staff, coordinate with operations, and drive revenue and profitability for assigned clients.

Perform trust-accounting tasks including reconciliations, payroll tax deposits, journal entries, trust financial statements, vendor invoice review, money transfers, disbursements, and occasional accounts payable support.

The Contribution Accounting Processor handles customer inquiries, processes payments and contracts, reconciles reports, and maintains account records ensuring compliance with company guidelines.