Claims examiner Jobs in Virginia Beach, VA

Job Summary

Performs duties relating to the administration of the retirement plan for Navy Exchange associates and U.S. Coast Guard activities including determining estimated actual retirement benefits and death benefits.

Duties and Responsibilities :

• Review research and assemble information from multiple sources Navy Exchange Coast Guard Non-Appropriated and Appropriated Funds Activities to determine the appropriate benefit that is payable at retirement.
• Ensure corrections to employment retirement and payroll records to include records maintained by various NAFs and APF activities.
• Calculates estimated and actual retirement income benefits based on various retirement options leave without pay workers compensation and disability pension contributions payments.
• Calculates Survivor Benefits for widow widower based on death benefits formula for active service associates and adjusts surviving spouse benefit to age 60 plus applicable COLA s.
• Calculates Survivor Benefit for Death after retirement plus applicable colas.
• Calculate excludable amount for retiree s contributions interest amounts and retro annuity payment.
• Establish and initiate retirement payment accounts in retirement vendor system.
• Input all retire personal data tax deductions and survivor annuity information.
• Update income tax information address and bank account changes into retirement vendor system as applicable.
• Enter start and stop dates upload cash out and reversals of overpayments documents into retirement vendor system when applicable.
• Complete income and portability verifications for retiree s from the appropriate NAF or Agency.
• Provide 401K and pension verification letters for active and retired associates.
• Update HRIS 401K contribution field iaw updates received from 401K vendor data feed regarding participate contribution.
• Makes other updates as needed.
• Prepares and maintains statistical worksheets records files logs on retirement deaths estimates Option B s and death benefits.
• Prepares statistical listing for file maintenance necessary to incorporate all changes affecting participation in the plan.
• Perform actuarial review of retirement claims for Willis Towers Watson Data Services.
• Supports projects as needed resulting from system updates and implementations.
• Maintains liaison with field activities and provides advice and guidance on proper completion of forms.
• Provides explanations of benefits determinations and advises on status of claims to field activities active associates survivors and retirees.
• Carries out policy of courtesy and service.
• Exercises tact good manners and courtesy when working with fellow associates and customers.
• Tactfully responds to inquiries and provides assistance in a prompt and friendly manner.
• Actively seeks to become knowledgeable concerning store policies and services offered to carry out the requirements of this position.
• Works under the general supervision of a designated supervisor who is available to provide advice and assistance with unusually difficult problems.
• Assignments are performed independently and incumbent is required to be knowledgeable of the various employee benefit plans.
• Work is reviewed for accuracy technical adequacy conformance and timeliness.
• Performs other related duties as assigned

GENERAL EXPERIENCE

Three years of experience in administrative or other responsible work that enabled the applicant to gain general knowledge of retirement and benefit claims.

OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE

One year of academic study above the high school level may be substituted for nine months of experience up to a maximum of a four-year bachelor s degree for three years of general experience.

AND SPECIALIZED EXPERIENCE

Six months of experience in the application and adjudication of retirement and benefits claims and the various laws regulations and provisions of an organization s retirement plan or other related retirement benefits claims experience of a non-clerical nature.