General Office Assistant

Department: Health & Welfare Claims Department

Employment Type: Temporary (3-6 months)

Reports To: Claims Supervisor/Claims Manager

The Claims Clerk is responsible for providing administrative support to the Claims Department by processing incoming claim documentation, maintaining claim records, responding to routine inquiries, and assisting with the accurate and timely administration of health and welfare benefit claims. The position requires strong attention to detail, organizational skills, and the ability to handle confidential information.

Employees who are offered and accept a permanent full-time position will be eligible for KBA
74's benefits package in accordance with company policies and plan requirements.

• Receive, review, sort, and distribute incoming claim documents and correspondence.
• Scan, index, and maintain electronic and paper claim files.
• Enter claim-related information into benefit administration systems.
• Verify eligibility and enrollment information as directed.
• Process routine claim-related transactions and updates.
• Respond to participant and provider inquiries regarding claim status and required documentation.
• Generate claim letters, notices, and reports.
• Maintain accurate records and ensure proper filing of all claim documents.
• Assist with coordination of appeals, audits, and special projects.
• Identify and elevate complex claim issues to supervisory staff.
• Ensure compliance with HIPAA and all applicable privacy and confidentiality requirements.
• Perform other duties as assigned.

• High school diploma or equivalent required.
• Associate degree or relevant business experience preferred.
• One to three years of administrative or claims processing experience preferred.
• Health insurance, benefits administration, or Taft-Hartley fund experience is a plus.
• Proficiency with Microsoft Office Suite.
• Strong data entry and organizational skills.
• Excellent written and verbal communication skills.
• Ability to maintain confidentiality and handle sensitive information.

• Time management
• Problem-solving
• Accuracy and quality focus
• Ability to work independently and as part of a team
• Bilingual (Spanish) a plus not necessary