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  Member Services Representative

 

POSITION PURPOSE:

The Member Services Representative is responsible for assisting a large population of active and retired union members including their eligible dependents via in-person and telephone regarding their benefits including but not limited to Health and Welfare, Pension, Annuity, Scholarship and Vacation. This is a demanding, fast-paced environment.  Strong in-person and telephone communication skills are required.

ESSENTIAL JOB FUNCTIONS

  • Problem-solve issues regarding benefit eligibility, pension inquires and vacation inquiries in an effective and timely manner
  • Review incoming documents for accuracy and completion, obtain missing information as necessary
  • Maintain records of member interactions and transactions; record details of inquiries, comments, complaints, and details of actions taken
  • Perform member verifications
  • Follow HIPAA and organizational procedures for maintaining confidentiality; exercise independent judgment consistent with these guidelines
  • Multitask and prioritize workload under tight deadlines in a demanding environment; must escalate appropriate issues to management in a timely fashion
  • Learn from written material; review and refer to plan documents for assisting member
  • Follow department procedures as outlined in the URBAN user guides and SOP’s

KNOWLEDGE, SKILLS AND ABILITIES:

  • Bi-Lingual (English/Spanish) a plus
  • Typing 45 -55 WPM
  • Professional ability to manage high volume and high energy callers
  • High School Diploma or equivalent is required; some college preferred
  • Two (2) years’ experience in a customer service capacity is preferred
  • Proficient in Microsoft Word, Outlook and Excel with ability to learn customer service software applications
  • Ability to work under minimal supervision, independently and or as a member of a team
  • Must be detail oriented with strong attention to accuracy

NYCCBF offers competitive salaries and comprehensive benefits. The Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.

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 Welfare Associate

 

Position Summary: 

The Welfare Associate is responsible for the administration of the Funds’ Insurance programs and assists all eligible members and dependents regarding their Welfare benefits coverage. The position includes daily communication with members and dependents via telephone, in person and in writing, as required.

Essential Job Functions:

  • Administers retiree premiums and dependent information
  • Reviews relevant forms and documents for accuracy and completion
  • Requests missing information as necessary to complete enrollments
  • Determines coverage by examining Fund records
  • Reviews and processes retiree and member eligibility
  • Updates and maintains member information in database
  • Assists members and retirees with eligibility and enrollment
  • Ensures proper enrollment with third party vendors
  • Assists with inquiries from members and eligible dependents concerning claims issues
  • Tracks the eligibility dates of dependents

Required Knowledge, Skills and Abilities:

  • Bachelor Degree or equivalent combination of education and experience
  • Strong math and analytical skills
  • Excellent verbal, telephonic and written communication skills
  • Enjoys being an individual contributor and a team-player
  • Able to prioritize, organize and work efficiently, complete tasks with deadlines, transition from task-to-task and maintain focus
  • Detail-oriented and have an ability to troubleshoot
  • Proficiency in Microsoft Word, Power Point, and Outlook; advanced knowledge of Excel

Preferred Experience:

  • Familiarity with health and welfare claims processing (ICD-9, HCFA coding)
  • Experience working with multiple, complex benefit plans including union plans
  • Working knowledge of ERISA and related amendments, as well as HIPAA

NYCCBF offers competitive salaries and comprehensive benefits. The Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.

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Eligibility Associate

 

The Eligibility Associate is responsible for verifying eligibility for the Funds’ Welfare insurance programs and assisting all members and dependents regarding their Welfare benefits coverage.

Essential Job Functions:

  • Audit weekly eligibility files for accuracy
  • Reviews relevant forms and documents for accuracy and completion
  • Requests missing information as necessary to complete enrollments
  • Determines coverage by examining Fund records
  • Reviews and processes retiree and member eligibility
  • Updates and maintains member information in database
  • Assists members and retirees with eligibility and enrollment
  • Ensures proper enrollment with third party vendors
  • Tracks the eligibility dates of dependents

Knowledge, Skills and Abilities:

  • Bachelor Degree or equivalent combination of education and experience
  • Strong math and analytical skills
  • Excellent verbal, telephonic and written communication skills
  • Familiar with health and welfare claims processing (ICD-9, HCFA coding) is preferred
  • Enjoys being an individual contributor and a team-player
  • Able to prioritize, organize and work efficiently, complete tasks with deadlines, transition from task-to-task and maintain focus
  • Detail-oriented and have an ability to troubleshoot
  • Proficiency in Microsoft Word, Excel and Outlook
  • Ability to learn new technology systems

NYCCBF offers competitive salaries and comprehensive benefits. The Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, disability or genetic information. Interested candidates should submit a cover letter and resume to resume@nyccbf.org.

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Variance Analyst

 

DEPARTMENT:                                  Employer Services – SSR Variance

POSITION REPORT TO:                   Internal Delinquencies Manager

POSITION PURPOSE:

The Variance Analyst is responsible for comparing benefit contributions to Shop Steward Report (SSR) information to determine if there are any benefit contributions due; Contact companies and request further action; Collect funds for hours that are erroneously reported.

ESSENTIAL JOB FUNCTIONS:

  • Process benefit shortage claims received from members and business agents
  • Review claims to verify hours with pay stubs, and confer with the Audit Department and Employer Assistance Department when needed
  • Review the outstanding benefit shortage list for any reporting errors or identify any issues that need to be remedied/escalated
  • Contact employers when benefits are owed to determine when payment will be submitted; follow up until rectified
  • Conduct analysis of SSR data versus the benefits paid by the employers
  • Generate reports for internal departments and the District Council
  • Review companies designated as delinquent to ensure accuracy of report prior to sending out letters to employers
  • Request the addition and removal of companies from the District Council’s Further Action List
  • Assist employers to correctly understand the SSR variance information, locate discrepancies and correct errors
  • Make changes to electronic data of SSRs when errors are verified
  • Review open cases to ensure timeliness of follow-up, resolve all outstanding cases and to ensure final information is accurate and complete
  • Verify the accuracy of electronic data changes entered in the system
  • Verify the accuracy of responses sent by companies
  • Inform Out of Work List Department of any consistent inaccuracies with shop steward reporting
  • Update the database to reflect all communications and status with companies
  • Maintain files that contain all variance records, including documents submitted by the employers in response to the variance letters
  • Review District Council’s further action list to determine companies working since their shutdown date and update database with the correct information
  • Utilize cross-reference program within URBAN to link all unrecognized UBC numbers to the proper member
  • Maintain database of errors by shop stewards to determine if certain stewards are consistently reporting inaccurately, causing inconsistencies in record-keeping
  • Inform Member Services when employees have more than one active SSN in the system so the issue can be promptly resolved
  • Notify Benefit Funds departments of all issues that may impact their process
  • Notify technology vendors of issues that affect reports or for assistance with information retrieval; suggest program or technology upgrades that will increase departmental efficiency
  • Perform ad-hoc delinquency analysis and initiate arbitration whenever necessary

KNOWLEDGE, SKILLS AND ABILITIES:

  • High school diploma or equivalent required; Bachelor’s degree preferred
  • Knowledge of Microsoft Word, Excel, and Outlook
  • Strong analytical & organizational skills
  • Strong oral and written communication skills
  • Strong time management skills
  • Must be flexible and able to adapt to a fast paced department
  • Must be detailed oriented
  • Willing to learn new systems

NYCCBF offers competitive salaries and comprehensive benefits. The Benefit Funds is an equal opportunity employer and encourages applications from all qualified candidates regardless of gender, race, ethnicity, age, sexual orientation, marital status, religion, or disability. M/F/D/V Interested candidates should submit a cover letter and resume to resume@nyccbf.org.