Health and Welfare Benefits Manager jobs in United States
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Southern California Pipe Trades Administrative Corporation · 12 hours ago

Health and Welfare Benefits Manager

The Southern California Pipe Trades Administrative Corporation (SCPTAC) in Los Angeles, CA is looking to hire a full-time Health & Welfare Benefits Manager to work under their CEO, managing the Health Funds Department. The successful candidate will oversee Taft-Hartley health & welfare funds, ensuring excellent customer service and managing a team of employees.

AssociationIndustrial

Responsibilities

Manage the workflow of medical, dental, vision, prescription drug, and HRA claims to ensure that benefits are paid timely and correctly
Compile, analyze, and prepare reports for the funds' Trustees and actuaries
Develop presentations and reports for senior management and the Board of Trustees when requested
Attend local union meetings and picnics to provide benefits information to members
Oversee all aspects of the working relationship between the Fund and its PPO and HMO providers
Prepare fund notices, Supplements and Summary Plan Descriptions
Research and prepare cases for the review of the Boards of Trustees' Appeals Committees
Resolving escalated participant and/or provider inquiries
Administer the Funds in compliance with applicable federal and state laws and regulations
Overseeing internal and external audit processes
Ensure the efficient and successful operation of the SCPTAC and the trust funds it administers
Manage unionized (OPEIU) non-exempt office staff (including recruitment, selection, orientation, training, coaching, counseling and reinforcing SCPTAC values, policies and procedures) in coordination with the Human Resources Department
Establish and maintain high levels of customer service
Develop, implement, document, monitor, and enforce policies, procedures, and controls
Disseminate advisories, warnings, and new techniques to employees
Appraise employee performance
Determine and effectively communicate production, productivity, quality, and customer service standards
Forecast staffing demands
Assist other Managers and the Human Resources Department to train employees
Interact with other SCPTAC managers and professionals
Maintain confidentiality in accordance with applicable law, regulations, and sound business practice
Maintain and update knowledge in the Taft-Hartley benefit field and other areas relevant to job duties by taking advantage of educational opportunities, reading professional publications, and participating in professional organizations
Monitor expenses and identify opportunities for savings
Keep accurate records of discussions and correspondence
Develop and maintain detailed schedules for projects
Detect, diagnose, and resolve problems
Identify and implement best practices and areas that need improvement
Evaluate, audit, and re-design processes
Assist with preparation of annual budget, schedule expenditures, analyze variances, and initiate corrective action
Communicate courteously and professionally by telephone, email, letter, and in person
Handle complaints
Other responsibilities as assigned by the CEO and Board of Trustees

Qualification

Taft-Hartley health fund administrationClaims processingProject managementCEBS certificationMicrosoft Office proficiencyCustomer service skillsAnalytical skillsOrganization skillsInterpersonal skillsProblem-solving skillsTime management skillsEffective communication

Required

Bachelor's degree or equivalent work experience
5+ years of experience in Taft-Hartley health fund administration, claims processing or related fields
Strong organization, prioritization, and time management skills
Excellent interpersonal and customer service skills
Ability to communicate effectively in written and verbal English
Strong project planning and project management skills
Proficient with Microsoft Office applications
Strong mathematical, analytical, and problem-solving skills

Preferred

Certification preferred (CEBS, etc.)

Benefits

Excellent health coverage with no employee contribution
Two defined benefit pension plans
Free underground parking
Generous paid time off

Company

Southern California Pipe Trades Administrative Corporation

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Southern California Pipe Trades Administrative Corporation is providing benefits for plumbing and pipe fitting workers of the USA & Canada.

Funding

Current Stage
Growth Stage

Leadership Team

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Joel Brick
CEO
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Nahuel Costilla, CPA
Chief Financial Officer/Controller
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Company data provided by crunchbase