1199SEIU Benefit and Pension Funds · 2 months ago
Quality Control Reviewer II
New York, NY
Full-time
Onsite
Entry Level
2+ years exp1199SEIU Benefit and Pension Funds is a healthcare organization focused on providing benefits to its members. The Quality Control Reviewer II will be responsible for researching COBRA eligibility, processing benefits, and communicating with members regarding their COBRA-related inquiries.
Non ProfitRetirement
Responsibilities
Research and determine COBRA eligibility for members, spouses, and dependents of the 1199SEIU Benefit & Pension Funds
Review and process COBRA benefits via the eligibility and enrollment system (V3)
Communicate with members and other professionals via telephone or written correspondence regarding COBRA eligibility and COBRA benefit related issues
Assist Member Service Front Window staff with COBRA member inquiries
Process COBRA election forms and create invoices based on eligibility and billing to members including - processing of refunds and adjustments
Import payments to COBRA payment application to update coverage
Create prescription (RX) record and maintain eligibility according to COBRA payments
Identify trends and work with various departments to troubleshoot issues
Perform additional duties and projects as assigned by management
Research member’s record and forward information to various internal/external areas for update of coverage and creation of COBRA application if required
Investigate and process COBRA adjustments and/or refunds based on eligibility review
Qualification
Required
High School Diploma or GED required, some College or Degree preferred
Minimum two (2) years' experience in Eligibility, COBRA, or customer service required
Knowledge of COBRA laws and eligibility rules and regulations, benefit entitlement and plan rules for multiple funds (i.e. National Benefit Fund, Greater NY/NJ, Homecare and Home Health Aid)
Able to work well under pressure, multi-task, establish priorities, meet deadlines, and follow through on assignments
Excellent customer service skills: ability to maintain professional manner and a pleasant attitude
Good interpersonal and communication skills; work well independently and as a team player
Good problem solver with excellent analytical and organizational skills
Must meet performance standards including attendance and punctuality
Preferred
some College or Degree preferred
Basic skill level of Microsoft Word and Excel preferred
Benefits
1199SEIU National Benefit Fund
Company
1199SEIU Benefit and Pension Funds
The 1199SEIU Funds are among the strongest and largest labor-management funds in the nation, providing a range of comprehensive benefits to 400,000 working and retired healthcare industry workers — members of 1199SEIU United Healthcare Workers East — and their families.
1001-5000 employees
H1B Sponsorship
1199SEIU Benefit and Pension Funds has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2022 (1)
Funding
Current Stage
Late StageTotal Funding
$3.72MKey Investors
Community Development Financial Institutions Fund
2023-04-10Grant· $3.72M
Leadership Team
Donna Rey
Executive Director & CEO
Recent News
Crain's New York Business
2023-12-22
Company data provided by crunchbase