What are the responsibilities and job description for the Quality Control Reviewer II position at 1199SEIU Benefit and Pension Funds?
Requisition #:
7465 - 7466
# of openings:
1
Employment Type
Full time
Position Status
Permanent
Category
Bargaining
Workplace Arrangement
Hybrid
Fund
1199SEIU National Benefit Fund
Job Classification
Non-Exempt
Responsibilities
7465 - 7466
# of openings:
1
Employment Type
Full time
Position Status
Permanent
Category
Bargaining
Workplace Arrangement
Hybrid
Fund
1199SEIU National Benefit Fund
Job Classification
Non-Exempt
Responsibilities
- Research and determine COBRA eligibility for members, spouses, and dependents of the 1199SEIU Benefit & Pension Funds
- Review and process COBRA benefits via the eligibility and enrollment system (V3)
- Communicate with members and other professionals via telephone or written correspondence regarding COBRA eligibility and COBRA benefit related issues
- Assist Member Service Front Window staff with COBRA member inquiries
- Process COBRA election forms and create invoices based on eligibility and billing to members including - processing of refunds and adjustments
- Import payments to COBRA payment application to update coverage
- Create prescription (RX) record and maintain eligibility according to COBRA payments
- Identify trends and work with various departments to troubleshoot issues
- Perform additional duties and projects as assigned by management
- Research member’s record and forward information to various internal/external areas for update of coverage and creation of COBRA application if required
- Investigate and process COBRA adjustments and/or refunds based on eligibility review
- High School Diploma or GED required, some College or Degree preferred; plus
- Minimum two (2) years’ experience in Eligibility, COBRA, or customer service required
- Knowledge of COBRA laws and eligibility rules and regulations, benefit entitlement and plan rules for multiple funds (i.e. National Benefit Fund, Greater NY/NJ, Homecare and Home Health Aid)
- Basic skill level of Microsoft Word and Excel preferred
- Able to work well under pressure, multi-task, establish priorities, meet deadlines, and follow through on assignments
- Excellent customer service skills: ability to maintain professional manner and a pleasant attitude
- Good interpersonal and communication skills; work well independently and as a team player
- Good problem solver with excellent analytical and organizational skills
- Must meet performance standards including attendance and punctuality