MEMBER SERVICES REPRESENTATIVE

Job Description:

MEMBER SERVICES REPRESENTATIVE

Established employer in Newtown Square, Delaware County, Pennsylvania, seeks a full-time Member Services Representative to join their team.

Essential duties and responsibilities for this position include, but are not limited to, assisting callers (members, dependents, providers) with membership’s health benefits (medical, dental, vision) and assistance to callers for verification of benefits, verification of eligibility, helping with problem claims, educating membership on existing Plan benefits and newly adopted Plan benefits, or directing the caller to the proper department.

The company is a dynamic administrator of multi-employer benefit plans providing health, and pension benefits to members throughout the USA.

The company offers a competitive salary and excellent employer-paid benefits, including 401(k) and Pension, in a pleasant work environment.

Telecommuting is offered upon successful completion of training

Accountabilities

1) Maintain acceptable and predictable attendance.

2) Quantity of work: Answer an average of 75 calls per day.

3) Quality of work: Must have excellent phone etiquette.

4) Must have full knowledge the health plan benefits

5) Must be able to work 10:00AM to 6:30 PM Monday through Thursday, 11:00AM to 7:30 PM Friday

Experience and Skills:

Position Requirements

1) Education Required/Preferred: 2 years of college and/or Insurance courses preferred

2) Experience Required/Preferred: Minimum two years customer service experience and/or processing online medical claims.

Skilled Required

1) Basic P.C. skills (Word, Excel, PC operating systems)

2) Knowledge of Current Procedure Terminology CPT and ICD codes.

3) Knowledge of Preferred Provider Organization (PPO) network experience helpful

4) Dental/Vision claim background helpful

5) Strong interpersonal skills.

6) Excellent oral and written communication skills- good voice tone.

E.O.E./M/F/H/V

Benefits

National Elevator Industry Benefit Plans (NEIBP) began self-administration in 1989 with the sole purpose of administrating collectively bargained employee benefits for the members and retirees of the International Union of Elevator Constructors.
Prior to 1989, these collectively bargained employee benefits were administrated by large banks and insurance companies. As technology began to mature in the 1980’s, the professionals and systems necessary to break away from the large banks and insurance companies became a cost effective desirable alternative.

In 1989 we formed our first office which was located in Philadelphia, Pennsylvania and began administrating benefits associated with the Pension fund. In 1993 our office expanded to administrate the Health & Welfare fund and moved to its current location in Newtown Square, Pennsylvania. Today, our office staff administrates benefits for over 90,000 individuals that are covered under a variety of collectively bargained employee benefits