Retiree Health Benefits (Rhb) Coordinator

Responsibilities

• Assist with Social Security merges
• Perform additional duties and projects as assigned by management
• Perform additional duties and projects as assigned by management
• Preparing daily/weekly Aetna MAPD operational files for submission to Aetna
• Understanding and resolving complex MAPD member inquiries while handling daily workflow processing
• Assist with QNXT inquiries and issues
• Tracks and log monthly retiree inquiries, Aetna MAPD updates and prepare metrics report
• Process Qualifying Medical Support Court Orders
• · Oversee and ensure the retirees are enrolled timely and accurately and the deliverables are completed timely to the Aetna MAPD plan
• Communicating and liaising with TPA vendors to review and resolve eligibility issues
• · Establish and maintain effective working relationships with various departments
• Establish Retiree Health Benefits for Medicare and Non-Medicare eligible retirees and their spouses
• Validate information on the Aetna MAPD exception reports and other retiree TPA exception reports
• Perform the monthly Disability (DBL) report updates in the eligibility system
• Create and maintain current Standard Operating Procedures for daily processes.
• Resolve enrollment and eligibility issues for retirees and spouses as needed

Qualifications

• Good knowledge of 1199SEIU eligibility benefits for all Funds (i.e., National Benefit Fund, Greater New York and Homecare)
• Ability to prioritize work with tight schedules and target dates
• Good problem solver with ability to work independently and as a team player
• Excellent oral and written communication skills and ability to speak in a clear and concise manner
• Excellent customer service skills a must; able to maintain a pleasant and helpful demeanor
• Intermediate skill level in Microsoft Excel, Outlook and Word required
• Demonstrated organizational skills with ability to multitask and follow up
• Minimum two (2) years Eligibility experience and one (1) year experience resolving eligibility matters and updating eligibility systems (Vitech,Medco) required
• High School Diploma or GED required, some College or Degree preferred