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Member Services Representative
2 months ago
Are you looking for a short term contract opportunity with one of Concord’s premier employers?
Are you looking for a Monday-Friday normal business schedule at a cutting edge facility in the Bay Area? Then this opportunity might be the right company for you We are actively partnering with one of the Bay’s lead benefits administration companies for *member service representatives *These roles are available in person in Concord, CA
Working with TEKsystems – you will have access to not only our openings, but the market knowledge & professional experience that comes with nearly a decade of serving the Bay Area’s professionals & clients. Feel free to inquire regarding resume consultation, interview advice, or general career direction
*Member Service Representative / Open Enrollment*
*Start Date: *Monday, September 9th 2024 or September 16th 2024
*Pay Range: *$22-30/hr
*Contract Length: *3 month contract with limited potential for extension / conversion
*Worksite Location: *Concord, CA 94520
*Schedule: *Mon-Fri 8am-5pm PST
*Job Description:*
· Communicates via telephone, in person and written correspondence, answers questions regarding the Plans' Benefits, eligibility, claims processing and claims appeal
· Obtains all pertinent information to determine specific purpose of call and/or walk-in.
Writes an eligibility appeal, sick leave and/or basic medical appeal if necessary.
· Initiates and prepares correspondence and other documentation to resolve questions and provide information to members and others in accordance with Plans' rules, regulations, and practices.
· Initiates and reviews various applications, notices, forms, certifications, self-payments, COBRA, stop payments, clear claim notices. -Identifies and
corrects information on Computer system and/or refers to appropriate staff for correction.
· Determines eligibility in accordance with Plan rules and resolves eligibility issues and questions. Confirms or denies coverage based on eligibility rules of the
members plan.
· Maintains appropriate documentation of all calls & walk-ins. Handles walk-ins in a courteous and professional manner.
· Discerns needs and verifies forms from a walk-in and refers to appropriate personnel based on needs.
· Acts as liaison between member and provider to communicate plan benefits and facilitate claims processing.
· Calculates sick leave banks.
· Refers calls, members, union locals, and others to appropriate department.
* *
*Company Information:*
Our client is a world class benefits administrator dedicated to serving their members.
At the Trust Fund Office, every one of the staff is committed to providing efficient, responsive, and friendly service and accurate information to serve all of our constituencies: our Members, Dependents, Local Unions, Employers, and Service Providers.
*Work Environment:*
The office campus offers a park-like courtyard complete with shaded walkways, benches, fire pit and an impressive man-made lake. The campus provides covered
and surface parking to tenants and visitors at no charge. In addition to its proximity to the many amenities and services offered at the adjacent Shopping
Center, work site is also conveniently located within walking distance to Buchanan Field Airport and Buchanan Fields Golf Course. Business casual work
environment (T-Shirts without images, jeans, etc).
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
