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 Welfare Associate

 

Position Summary: 

The Welfare Associate is responsible for the administration of the Funds’ Insurance programs and assists all eligible members and dependents regarding their Welfare benefits coverage. The position includes daily communication with members and dependents via telephone, in person and in writing, as required.

Essential Job Functions:

  • Administers retiree premiums and dependent information
  • Reviews relevant forms and documents for accuracy and completion
  • Requests missing information as necessary to complete enrollments
  • Determines coverage by examining Fund records
  • Reviews and processes retiree and member eligibility
  • Updates and maintains member information in database
  • Assists members and retirees with eligibility and enrollment
  • Ensures proper enrollment with third party vendors
  • Assists with inquiries from members and eligible dependents concerning claims issues
  • Tracks the eligibility dates of dependents

Required Knowledge, Skills and Abilities:

  • Bachelor Degree or equivalent combination of education and experience
  • Strong math and analytical skills
  • Excellent verbal, telephonic and written communication skills
  • Enjoys being an individual contributor and a team-player
  • Able to prioritize, organize and work efficiently, complete tasks with deadlines, transition from task-to-task and maintain focus
  • Detail-oriented and have an ability to troubleshoot
  • Proficiency in Microsoft Word, Power Point, and Outlook; advanced knowledge of Excel

Preferred Experience:

  • Familiarity with health and welfare claims processing (ICD-9, HCFA coding)
  • Experience working with multiple, complex benefit plans including union plans
  • Working knowledge of ERISA and related amendments, as well as HIPAA

NYCCBF offers competitive salaries and comprehensive benefits. The Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.

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Welfare Manager

 

The Welfare Manager is responsible for the management of the Funds’ staff of nine claims examiners and two Assistant Managers who process benefit claims, such as disability, vision & hearing supplemental claims and vacation benefits.  They also perform various tasks in connection with reconciliation of services, claims and billings for benefits provided by third party vendors such as for hospital, medical, dental, prescription, accidental death and dismemberment and life insurance benefits. The Manager also oversees compliance with the Funds’ eligibility rules and appeal procedures & actively participates in research, analysis and writing of welfare appeals.

Essential Job Functions:

  • Responsible for all benefit materials that are distributed to participants including Summary Plan Descriptions (SPD’s), ensuring accuracy and compliance
  • Oversees compliance of and adherence to plan design, policies, programs, procedures, contracts, coverage, reporting and disclosure requirements
  • Ensures compliance by Welfare Department staff with various local, state, federal and governmental regulations including Employment Retirement Income Security Act (ERISA), Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act, Health Care Reform,  Consolidated Omnibus Budget Reconciliation Act (COBRA), Employer Group Waiver Plan (EGWP) coverage under Medicare, Mental Health Parity, the Patient Protection and Affordability Care Act (PPACA), and Medicare Secondary Payer in consultation with Fund Counsel as appropriate
  • Assist in the development of  internal  procedures, guidance and training for staff to facilitate superior service to participants
  • Ensuring efficient, timely and accurate workflow
  • Manages nine direct reports, distributing workload & reviewing work, overseeing appropriate training and communicating performance feedback
  • Monitors, reviews and approves all vendor billing

Knowledge, Skills and Abilities

  • Bachelor’s degree (advanced degree and/or CEBS certification preferred)
  • 5+ years’ experience in health and welfare benefit plan administration preferably in a multi-employer environment
  • 3-5 years of management experience
  • Extensive knowledge of medical and hospital claims administration procedures
  • Strong management skills
  • Strong communication skills, both oral & written
  • Superior organization skills and demonstrate ability to effectively manage multiple priorities and people at all levels of the organization
  • Demonstrate leadership and judgment skills

NYCCBF offers competitive salaries and comprehensive benefits. The Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.

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Systems Administrator

 

POSITION PURPOSE:

The Systems Administrator is responsible for effective provisioning, installation/configuration, operation, and maintenance of systems hardware, software, and related infrastructure. This individual ensures that system hardware, operating systems, software systems, and related procedures adhere to organizational values, enabling staff to service the participants and contributing employers. This individual participates in technical research and development to enable continuing innovation within the infrastructure.

ESSENTIAL JOB FUNCTIONS:

  • Install new / rebuild existing servers and configure hardware, peripherals, services, settings, directories, storage, etc. in accordance with Funds’ and industry standards and project/operational requirements.
  • Install, configure, maintain, and report on systems such as support infrastructure and applications.
  • Develop and maintain installation, configuration, operation, support, and reporting procedures.
  • Contribute to and maintain system standards.
  • Research and recommend innovative, and where possible automated approaches for system administration tasks. Identify approaches that leverage our resources and provide economies of scale.
  • Perform daily system monitoring, verifying the integrity and availability of all hardware, server resources, systems and key processes, reviewing system and application logs, and verifying proper operation and completion of scheduled jobs such as backups.
  • Perform regular security monitoring to identify any possible intrusions or potential vulnerabilities.
  • Engineering of systems-related solutions for various project and operational needs.
  • Perform regular storage maintenance, including data reorganization and purging, as necessary, in accordance with existing data retention policies.
  • Add, modify, and delete user accounts per request.
  • Provide Tier II/III/other support per request from various constituencies. Investigate and troubleshoot issues.
  • Repair and recover from hardware or software failures. Coordinate and communicate with impacted constituencies.
  • Apply OS patches and upgrades on a regular basis, and upgrade administrative tools and utilities. Configure and add new services and tools as necessary.
  • Upgrade and configure systems and software that supports infrastructure and applications per project or operational needs.
  • Perform periodic performance reporting to support capacity planning and aid in system design and enhancement.
  • Perform ongoing performance tuning, hardware upgrades, and resource optimization as required.
  • Maintain data center environmental and monitoring equipment.

ADDITIONAL JOB FUNCTIONS:

  • Point of contact for contractors performing data and power work at the Funds, District Council, and Carpenters Training Center offices.
  • Assist Technical Systems Manager in research and implementation of new systems, software, and technologies.

REQUIREMENTS/EDUCATION:

  • Bachelor’s degree in Computer Science or equivalent combination of education, experience and certifications.
  • Ten (10) plus years of hands on IT experience.
  • Excellent oral and written communication, organizational, technical and analytical skills.
  • Ability to work on multiple projects simultaneously.
  • Excellent organizational, task, and time management skills.
  • Microsoft Certified Professional preferred.
  • VMware VCP Certification preferred.

OTHER SKILLS & ABILITIES:

  • VMware
  • EMC
  • MSFT Server

NYCCBF offers competitive salaries and comprehensive benefits. The Fund Office is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.