Member Engagement Representative

Responsibilities

 

·         Provide timely customer support through email, telephone, live chat, outbound call campaigns, and return calls

·         Demonstrate the ability to effectively educate members, non-members, retirees, dependents/spouses or a Member Representative on retirement, benefit plans and Fund services

·         Maintain HIPAA compliance while communicating with members and advocates by email, telephone, and chat regarding all 1199SEIU benefits and programs (include but not limited to Eligibility, member enrollment, Retiree Health benefits and Pension)

·         Resolve member issues related to pension, claims, benefits and payments

·         Develop collaborative relationships with various units and departments to resolve member inquiries 

·         Retrieve and respond to member and retiree voicemails received 

·         Review and verify submitted Pension applications and forms to ensure all required documentation are complete for processing

·         Schedule appointments for prospective pensioners

·         Verify, establish, and re-establish benefits for members and eligible dependents enrolled in all Funds using various systems (V3, QNXT, Express Script, etc.)

·         Generate correspondence to members and submit production reports

·         Work well under pressure, multi-task, establish priorities, meet established deadlines, and follow through on all received assignments

·         Must meet performance standards including attendance, punctuality, department policies, guidelines, and procedures

·         Perform additional duties and projects as assigned by the management from time to time

Qualifications

 

·         High School Diploma or GED required, some College or Degree preferred; plus

·         Minimum two (2) years customer service experience in a call center environment required; or two (2) years’ experience working in a member-facing position

·         Comprehensive knowledge of 1199SEIU Benefit and Pension Fund eligibility guidelines, benefit entitlements, and plan rules for multiple Funds ( 1199SEIU National Benefit Fund, 1199SEIU

Greater New York and New Jersey, 1199SEIU Home Care Fund and LPN) are required

·         Knowledge of all types of extended coverage (i.e., Disability Benefits, Family Medical Leave Act (FMLA) and Worker’s Compensation) and/or knowledge of pension eligibility, calculations and processing required

·         Knowledge of Medical, Hospital, Dental, Eligibility processing systems (i.e., V3, QNXT,  BeneFAQs, Express Scripts) required

·         Proficient in desktop applications to include Microsoft Excel, Outlook,