Supervise staff that reports to the immediate office and other field offices as assigned
Maintain HIPAA compliance while communicating with 1199SEIU members and advocates in person, via telephone or written correspondence regarding benefit eligibility, claim submissions and Pension inquires
Resolve member and retiree inquiries regarding their Benefits and Pension by contacting internal departments and external agencies
Provide assistance with medical and pension benefits, Medical and Part B claims and retiree programs
Provide benefit eligibility requirements for Pension and Retiree Health Benefits to prospective pensioners and beneficiaries
Research and establish eligibility for members and the reinstatement of terminated coverage
Update Member and/or Retiree demographic information (i.e. address, telephone number and email) as needed
Generate pension verification letters at member’s request and request duplicate 1099-R Tax Forms as needed
Mail requested Pension and Retiree Health information such as applications, direct deposit forms, Preferred Drug Lists, Medical & Part B Claim forms, Enrollment Change forms, explanation of benefits, directories, etc.
Coordinate activities of the satellite office; ensure that the location opens and closes on time
Provide coverage and support to other field locations as required
Prepare daily work to be delivered to the main office by courier
Prepare detailed weekly, monthly and annual reports utilizing Excel
Attend monthly managerial meetings
Maintain excellent working relationship with Site intake staff, Union Representatives, Organizers, Delegates and Outreach Delegates
Perform additional duties and projects as assigned by management
Qualifications
Bachelor’s degree or equivalent years of work experience required
Minimum two (2) years high volume customer service experience in a call center environment; or two (2) years health claims processing experience; or two (2) years conducting pension calculations required
Knowledge of Pension and Retiree Health Benefits provided by the Funds preferred (National Benefit Fund, Greater NY and Home Care, Hospital League, 144 Hospital Pension, etc.)
Knowledge of web-based applications, health claims systems, and call tracking systems with good navigation skills (Vitech and QNXT)
Excellent customer service skills required; able to maintain pleasant and helpful demeanor ensuring professional service is provided; Bi-Lingual or multilingual preferred
Superb communication skills both verbal and written; able to communicate in a clear and concise manner and initiate own correspondence
Able to work well under pressure, multi-task, establish priorities, meet deadlines, provide site coverage and follow through on assignments required