Summary – This is a fast paced, call center environment. The primary responsibilities in this position are to answer participant and dependent phone calls regarding eligibility and enrollment as well as determine, maintain and terminate member and/or dependent eligibility for health care and benefits.

Qualifications – Excellent customer service skills are a must. Proficient in the use of Word, Outlook and Excel.

Preferred Qualification - Spanish speaking.

Education and/or Experience – Post-High School education or prior related work experience preferred.

Language Skills – Good oral and written communication skills. Ability to read and interpret eligibility rules as outlined in the SPD, user manuals for on-line services, department rules and procedures manual, COBRA Compliance manual. Ability to speak clearly and effectively explain to members, dependents, providers and union officials the month-to-month eligibility rules and requirements for coverage.

Mathematical Skills – General math skills with the ability to calculate hours and rates to determine self-payments and hour banks.

Reasoning Ability – Must be capable of thoroughly analyzing vendor invoices and all month-end reports, find discrepancies in member’s eligibility, make necessary corrections based on department procedures, understand Plan rules and analysis of member’s eligibility.

Physical Demands – Must be able to sit for up to eight hours each day answering incoming calls and preparing various correspondence using a variety of office equipment. Must be able to stand for one-to-three-hour intervals while completing filing tasks, organizing department fulfillment center, standing at copy machines to make packages. Occasional lifting of paperwork, eligibility packages, Summary Plan Description boxes. Must be able to move to different workstations as position needs warrant.

Work Environment – Fast-paced department. Phone calls are continuous and occasionally unpleasant. Must be able to maintain composure with difficult callers. Most work is done independently. Must be able to multi-task. Must be detail oriented. May have to manage several projects at one time and may be interrupted frequently to meet the needs and requests of multiple clients. The environment is busy, noisy and requires excellent organizational, time, and stress-management skills to complete the required tasks.

Work Schedule - Full time. Monday – Friday, 8:00am - 4:30pm. Required in office (No at-home days).