Eligibility Coordinator
1199SEIU Benefit and Pension Funds · New York City, New York, US
Responsibilities • Liaison between members, staff, and eligibility department to resolve hotline eligibility and enrollment matters at the 1199SEIU Benefit a...
Job description
Responsibilities: - Liaison between members, staff, and eligibility department to resolve hotline eligibility and enrollment matters at the 1199SEIU Benefit and Pension Funds - Resolve issues related to QNXT system, Call Tracking Report, QNXT Discrepancy Report, QNXT Discrepancy file for Medical Department and QNXT Alternate Payee requests. - Resolve issues related to DMS, Member Portal system, Member mobile application, workflows, TPA external eligibility exception reports and discrepancies. - Ensure member eligibility issues for active working members and retirees are resolved and benefits accurately processed in the eligibility system timely. - Ensure HCRA monthly member exceptions are reviewed and processed in the eligibility system timely, tracking and reporting. - Resolve QNXT eligibility inquiries, QNXT Discrepancies, QNXT Alternate Payee requests timely and the nightly/daily eligibility batch exception reports, daily Executive Lives report and BI unit exception control reports. - Resolve and respond to JSF, CCF, TEF and Retiree Health Benefit inquiries – including tracking of unresolved issues, communicate with various department and members to ensure benefit enrollment upd...