1199SEIU Family of Funds

About 1199SEIU Family of Funds

Responsibilities Process all life insurance and accidental death and dismemberment benefits for National Benefit Fund and Greater NY members; obtain necessary documents and information associated with deceased members Obtain and interpret information from the Pension and Records Retention departments necessary to process life insurance claims Maintain life insurance records and claims; produce letters, maintain statistical reports and update life insurance tracking system Communicate in person, via telephone and in writing with beneficiaries, employers, attorneys and other professionals regarding life insurance claims Manage burial plot assignments using plot grids and maps Assist Hotline Support as needed Maintain the daily production quota for processing claims within the appropriate error ratios Perform additional duties and projects as assigned by management Qualifications High School Diploma or GED required, some College or Degree preferred Minimum two (2) years health claims processing experience in a health insurance or benefits environment required; or two (2) years work experience assisting with life insurance claims (i.e. research and claim status, life insurance documents, communicating with beneficiaries, funeral homes, etc.) required Basic knowledge of Microsoft Excel and Word preferred Knowledge of 1199SEIU Benefit and Pension Fund eligibility guidelines, benefit entitlements, and plan rules for multiple Funds (Greater New York Benefit Fund, Home Care Employees Pension Fund) Knowledge of health claims payment systems and web-based applications (Syntonics) Comprehensive knowledge of pension and disability benefits, laws concerning guardianship, estates and transfers to minors act Familiar with health claims processing and terminology (ICD-10 codes); able to identify cause of death Excellent communications skills – oral, written and listening Must have high ethical standards and excellent interpersonal skills to handle sensitive and confidential situations Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands

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