Jobs
Health and Welfare Representative
Position Type: Full Time/nonexempt
Reports to Position: Health and Welfare Supervisor
Hours of Operation: Monday – Friday 8:00-5:00
City: Anchorage
Job Description and Primary Functions:
- Claims Management: Receive, sort, scan, and mail Health and Welfare claims (Medical and Dental) for the plan participants and their dependents to the TPA for processing.
- Communication: Contact participants and/or providers to obtain the necessary documentation to process claims. This will require you to call and draft letters to request any additional information.
- Customer Service: Address participant and provider inquiries regarding payment status, covered benefits, eligibility and other issues. This role involves heavy phone interaction and in-person communication with walk-in participants.
- Payment Resolution: Research and resolve payment queries. Confirm if payments have been made and if claims were processed accurately.
- File Maintenance: Assist with maintaining participant files, including scanning and other office-wide projects.
- Research and Preparation: Support research and preparation of information for appeal meetings, stop-loss filings and subrogation cases.
- Compliance: Ensure compliance with HIPAA privacy policy and confidentiality requirements.
- Multi-tasking: Operate efficiently in a fast-paced environment with the ability to manage multiple tasks.
- Additional Duties: Perform other duties as assigned.
Qualification Requirements:
Education: High school diploma or equivalent.
Skills and Experience:
- Strong customer service and phone communication skills.
- Basic computer skills: experience with AS400 and online service platforms is advantageous.
- Good working knowledge of Microsoft Word, Excel, and Outlook.
- Experience in Employee Benefits is a plus
- Strong interpersonal, written and oral communication skills.
- Team player with self-motivation, excellent attendance & punctuality.
Please submit your resume to Robert Garcia at Robert_G@aetf.com.
Pension Representative
Position Type: Full Time/Nonexempt
Reports to Position: Pension Supervisor
Hours of Operation: Monday – Friday 8:00-5:00
City: Anchorage
Job Description and Primary Functions:
- Customer Service: Answer inquiries and correspondence related to pension benefits and the pension fund. Provide comprehensive advice on what options a participant has.
- Data Management: Maintain records on “active” plan participants and “retired” plan participants, Verify hours reported, vesting of benefits, reciprocity, pro-rata reciprocity, forfeiture of pension benefits.
- Retirement Processing: Calculation of retirement benefits, processing monthly retirement income checks and Retirement Savings Plan distributions, and answer inquiries regarding retiree HRA.
- Benefit Management: Send letters and track status for under/over payment of benefits.
- Participant Support: Responding to inquiries regarding death benefits, life insurance, beneficiary H&W coverage, divorces, division of benefits calculations, and pension attachments, (i.e., QDROs, IRS levies, child support).
- File Maintenance: Assist with the maintaining participant files, check register files, and agreement files.
- Administrative Assistance: Assist in regular mail runs, special mail outs, and return mail.
- Compliance: Ensure compliance with HIPAA privacy policy and confidentiality requirements.
- Additional duties: Perform other duties as assigned.
Qualification Requirements:
Education – High school diploma or equivalent.
Skills & Experience:
- Strong math skills
- Excellent attention to detail.
- Basic computer skills; experience with AS400, and online services is a plus.
- Good working knowledge of Microsoft Word, Excel, and Outlook.
- Excellent customer service skills.
- Strong interpersonal, written and oral communication skills.
- Team player with self-motivation, excellent attendance & punctuality.
Please submit your resume to Robert Garcia at Robert_G@aetf.com.
