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Benefits Coordinator
1 month ago
As a Benefits Representative with Communications Workers of America Local 1180, you will play a critical role in providing exceptional service to our members. This position requires a self-motivated individual with strong organizational skills, excellent communication and interpersonal skills, and the ability to collaborate with all staff to maintain high-quality standards.
Key Responsibilities- Serve as the primary point of contact for members/employee inquiries regarding benefits, providing information and resolving complaints.
- Answer incoming telephone calls, determine the purpose of calls, and resolve inquiries.
- Respond to customer inquiries via phone and email, ensuring timely and accurate resolution.
- Work with Legal services as needed.
- Welcome on-site visitors, determine the nature of their business, and resolve inquiries, requests, and/or announce visitors to appropriate personnel.
- Maintain accurate records of members participation, personal data, and ensure timely processing of all benefits transactions.
- Process enrollments, changes, and terminations in the benefits systems.
- Educate members/employees on available benefits options, eligibility, and enrollment processes.
- Assist members/employees with navigating benefits portals, filing claims, and resolving benefits issues.
- Must be able to work flexible hours when needed.
Upon demonstrating proven proficiency in Member Services duties, responsibilities will expand to include processing claims, making adjustments, and managing enrollment.
- Review and process members claims for benefits such as health insurance, life insurance, disability and other programs.
- Verify claims accuracy and completeness, ensuring that required documentation is provided and correct.
- Enter claims data into the system and track the progress of claims until resolution.
- Communicate with members regarding the status of their claims and provide support in navigating the claims process.
- Liaise with insurance carriers, third-party administrators, and medical providers to resolve any issues or discrepancies.
- Ensure claims are processed within the appropriate timeframe and in compliance with organization policies and external regulations.
- Minimal, Collegiate associate degree or equivalent.
- Knowledge of NYC health benefit plans or equivalent a plus.
- Claims Processing experience preferred.
- Customer service with multi-line phone a preferred.
- Experience in a teamwork environment a plus.
- Proficient in Microsoft Office suite products a must.
- Adaptability to changes in technological needs.
