Member Services Representative Ii - Aurora, United States - UNITE HERE HEALTH

UNITE HERE HEALTH

Verified Company

Aurora, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

UNITE HERE
HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity

The Member Services Representative shares the UNITE HERE HEALTH message by encouraging the utilization of benefits, according to plan benefits and best healthcare value, while optimizing the member's service experience.

Our Member Services Representative is the face of our business to our member. They provide benefit, eligibility, claim and health care education, and issue resolution to this multi-cultural community. We are looking for a Spanish bi-lingual addition to our San Jose, CA team.

ESSENTIAL JOB FUNCTIONS AND DUTIES:

Serves as the main point of contact for the Fund's members, unions, employers, providers, and vendors on benefit, claims and eligibility issues, education, and questions
The ability to travel (Yosemite and Monterey, CA) up to 20%
Receives and records walkin and telephone inquiries regarding plan benefits, claims, and eligibility
Serves as the face of the Fund at all onsite enrollment events and benefit presentations, as needed
Performs telephonic enrollment functions and inperson outreach as needed
Encourages members to take steps to get involved in programs to improve their health
Recognizes and communicates issues to management, including trends and anomalies
Research benefit, eligibility, and claim issues and initiate corrective action with relevant departments
Maintains uptodate knowledge of all systems and sources relating to plan benefits, processes, policies, etc., that will affect performance of daily tasks
Assists in special projects as requested by management

ESSENTIAL QUALIFICATIONS:

1 ~ 2 years of direct experience minimum in a healthcare, insurance, Union, or community engagement environment
Fluent Spanish bilingual
The ability to travel (Yosemite and Monterey, CA) up to 20%

, with a willingness to take public transportation

Working knowledge and experience in enrollment requirements and processes
Experience in a call center and/or customer service duties in person and/or over the phone

Salary range for this position:
Salary $22.26 to $27.28 hourly.

Actual hourly rate may vary based upon, but not limited to:

relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) in a multi-office, hybrid / remote setting.

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short
- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).