Retirement Claims Examiner

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.

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.
• Calculate estimated and actual retirement income benefits based on various retirement options, leave without pay, workers’ compensation, and disability pension contributions.
• Calculate Survivor Benefits for widow/widower based on the death benefits formula for active‑service associates and adjust surviving spouse benefit to age 60 plus applicable COLA(s). Calculate Survivor Benefit for death after retirement plus applicable COLA(s).
• Calculate excludable amounts for retiree(s) contributions, interest amounts, and retro‑annuity payment.
• Establish and initiate retirement payment accounts in the retirement vendor system.
• Input all retired personal data, tax deductions, and survivor annuity information. Update income tax information, address, and bank account changes in the retirement vendor system as applicable.
• Enter start and stop dates, upload cash‑out and reversal of over payment documents into the retirement vendor system when applicable.
• Complete income and portability verifications for retirees from the appropriate NAF or Agency.
• Provide 401(k) and pension verification letters for active and retired associates.
• Update the HRIS 401(k) contribution field in accordance with updates received from the 401(k) vendor data feed regarding participation contribution. Make other updates as needed.
• Prepare and maintain statistical worksheets, records files, and logs on retirement deaths, estimates of Option B(s), and death benefits. Prepare statistical listings 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.
• Support projects as needed resulting from system updates and implementations.
• Maintain liaison with field activities and provide advice and guidance on proper completion of forms. Provide explanations of benefits determinations and advise on status of claims to field activities, active associates’ survivors, and retirees.
• Carry out a courtesy policy and service. Exercise tact, good manners, and courtesy when working with fellow associates and customers. Respond to inquiries and provide assistance promptly and friend lily. Actively seek knowledge of store policies and services offered to meet the requirements of this position.
• Work under the general supervision of a designated supervisor who is available to provide advice and assistance with unusually difficult problems. Perform assignments independently, being knowledgeable of the various employee benefit plans. Work is reviewed for accuracy, technical adequacy, conformance, and timeliness.
• Perform other related duties as assigned.

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

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.

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.