1199SEIU Benefit and Pension Funds
Quality Control Reviewer II
1199SEIU Benefit and Pension Funds, New York, New York, us, 10261
Quality Control Reviewer II
1199SEIU Benefit and Pension Funds
Join to apply for the Quality Control Reviewer II role at 1199SEIU Benefit and Pension Funds.
Requisition # 7387
# 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.
Qualifications
High School Diploma or GED required; some College or Degree preferred.
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.
Seniority level Entry level
Employment type Full-time
Job function Administrative
Industries Hospitals and Health Care
#J-18808-Ljbffr
Join to apply for the Quality Control Reviewer II role at 1199SEIU Benefit and Pension Funds.
Requisition # 7387
# 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.
Qualifications
High School Diploma or GED required; some College or Degree preferred.
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.
Seniority level Entry level
Employment type Full-time
Job function Administrative
Industries Hospitals and Health Care
#J-18808-Ljbffr