Quality Assurance Specialist II

Responsibilities

·        Review and authorize pension benefits for retired 1199SEIU members, surviving spouses, beneficiaries and their estates; ensure benefits are processed in compliance with Federal and Plan regulations

·        Verify pension calculations and medical benefit entitlements for members who receive counseling; ensure members are informed of accurate pension and medical benefits due to them upon retirement

·        Maintain counts of daily production including approvals and rejections for Quality Assurance Specialists; provide up to date information on daily production

·        Generate and review written correspondence to members based on Plan provisions; accurately inform members of retirement benefit options or reasons for denials

·        Counsel prospective retirees on pension and medical benefits as needed; provide information of various retirement options regarding payments and benefits

·        Review and authorize re-calculation of pension benefits; adjust any underpayment or overpayment in pension benefits based on additional information obtained from members, employers or Social Security Administration

·        Review and audit changes made by Pension Reconciliation Unit; ensure updated information has the proper authorization and signatures

·        Perform other duties and special projects as assigned by management

Qualifications

·        High School Diploma or GED required; Bachelor’s degree preferred

·        Minimum four (4) years pension claims processing or pension counseling experience in a benefits environment required

·        Comprehensive knowledge of pension administration, eligibility requirements, benefit provisions, and enrollment protocols required

·        Solid background with pension auditing and compliance review desirable

·        Basic skill level in Microsoft Word and Excel preferred; able to perform data analysis, pension calculations and ability to navigate pension systems (Vitech V3)

·        Ability to work well under pressure for timely payment of pension files, meet deadlines and department goals

·        Proactive and analytical problem solving required; able to communicate with management and staff on complex issues