Sample interview questions: How would you handle a situation where an employee has a dependent eligibility issue?
Sample answer:
Approach to Dependent Eligibility Issue Resolution:
1. Verify Eligibility Criteria:
- Review plan documents and company policy to determine the definition of “dependent” and specific eligibility requirements.
- Confirm the relationship of the dependent to the employee through appropriate documentation (e.g., birth certificates, marriage license).
2. Collect Employee Documentation:
- Request the employee to provide supporting documentation to establish the dependent’s eligibility, such as proof of birth, adoption, or marriage.
- If the employee claims a “stepchild” or “in-law,” verify the legal documentation of the parent-child or marital relationship.
3. Conduct a Thorough Investigation:
- Interview the employee to gather additional information about the dependent’s status.
- If necessary, consult with legal counsel or other third parties to verify the employee’s claims.
- Consider factors such as the employee’s past history of dependent claims, the consistency of information provided, and any potential fraud or abuse.
4. Make a Determination:
- Based on the available evidence and company policy, determine whether the dependent meets the eligibility criteria.
- Clearly communicate the decision to the employee in writing, explaining the rationale and any supporting d… Read full answer
Source: https://hireabo.com/job/1_1_44/HR%20Employee%20Benefits%20Analyst