Quality Assurance Specialist II jobs in United States
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1199SEIU Benefit and Pension Funds · 1 month ago

Quality Assurance Specialist II

1199SEIU Benefit and Pension Funds is seeking a Quality Assurance Specialist II to manage and review pension benefits for retired members and their beneficiaries. The role involves ensuring compliance with regulations, verifying calculations, and maintaining production counts while also providing counseling and support to members regarding their benefits.

Non ProfitRetirement

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

Qualification

Pension claims processingPension administrationPension auditingMicrosoft ExcelData analysisProblem solvingCommunication skills

Required

High School Diploma or GED required
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
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

Preferred

Bachelor's degree preferred
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)

Company

1199SEIU Benefit and Pension Funds

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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.

Funding

Current Stage
Late Stage
Total Funding
$3.72M
Key Investors
Community Development Financial Institutions Fund
2023-04-10Grant· $3.72M

Leadership Team

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Donna Rey
Executive Director & CEO
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Company data provided by crunchbase