Member Service Representative (Tinley Park, IL)
Tinley Park, IL Tinley Park, IL Full-time Full-time $22 - $26 an hour $22 - $26 an hour 20 hours ago 20 hours ago 20 hours ago Member Service Representative (Tinley Park, IL) Summary - Responds to incoming telephone calls pertaining to the funds they are trained in from members and providers.
Essential Duties and Responsibilities include but not limited to Communicates with customers face to face, electronically or via telephone Assist callers with questions regarding Benefit Funds (i.
e.
, medical benefits, HRA, DB Pension, DC Pension, or SUB Pay) Formulate resolution and respond to inquiries in a timely and accurate manner Follow-up with customers to ensure that their issues are sufficiently resolved Make outgoing calls to members, provider's, collection agency, and vendors (i.
e.
, Blue Cross & Blue Shield) Maintain records of all interactions with the members/providers Thoroughly explain benefits to participants Status claims when necessary Request check tracers, refunds and reissue checks Create task inquiry and follow through after the inquiry has been logged into the system Mail reimbursement forms and other correspondence to members Coordinate phone coverage with coworkers if they are leaving their desk for short periods of time Assisting with claims/eligibility issues Process payables for the Funds Regular and predictable attendance is an essential function of this job Qualifications - Must be able to exhibit compassion and patience for the members who need a little extra time to express themselves.
Must be able to work independently and in a small office setting.
Must have good conflict training, analytical skills, problem solving skills and organizational skills.
Quick and accurate typing skills.
Must be able to have knowledge of and handle multiple group benefits.
Some knowledge of claims processing is preferred.
Education and/or Experience - Some post High School education or prior related work experience.
Language Skills - Ability to read and interpret the plan rules as outlined in the SPD's (summary plan description), user manuals for on-line services, department rules & procedures manual and COBRA compliance manual.
Must be able to speak clearly & effectively and to explain to members, dependents, providers & union officials the rules of the plan.
Must have superior written and verbal communication skills.
Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication and division.
Reasoning Ability - Representative must be analytical.
Representative must be able to deal with people in stressful situations.
Superior communication skills and keen observation is essential.
Careful attention to what a caller is asking for and then using good judgment.
Ability to apply common sense to carry out detailed written or oral instructions.
Ability to deduce if a balance due is the responsibility of the Member or if the plan has yet to consider the charges.
Work Environment - Must be able to work independently, in a small office setting.
Must be able to maintain composure with difficult callers, must be able to multi-task and be detail oriented.
Confident to handle difficult situations.
Able to deal with customers with diverse backgrounds.
Willing to tackle any relevant customer service training.
Must be flexible and willing to pitch in and work together as a team member and must be willing to help other departments within the company.
Must assist members and clients professionally and to the best of his/her ability.
Physical Demands - Occasional lifting of paperwork and printer paper.
Work Schedule Full time.
Monday - Friday, 7:
30am - 4:
00pm.
NOTE:
Work from home is available once fully trained (after approximately 6 months of training), would have the opportunity to work from home 1 or 2 days per week.
Need for 2 people based out of the Tinley Park location to provide coverage for all business hours.
Competitive Benefits and Compensation Package 15 days Paid Time Off (PTO) during first full calendar-year of service 12 paid holidays 3 days paid bereavement Up to 20 days paid jury leave Medical, dental, and vision insurance, with option for dependent coverage Company-paid basic life, short-term disability, long-term disability, and AD&D insurance 401k with employer match Tuition reimbursement program Career development opportunities Referral bonus for all successful full-time referrals Annual opportunities for increases and bonuses Pay Hourly rate ranges from $22.
00 - $26.
00.
Actual rate dependent on location, skills, education, experience and other business factors.
Our Culture BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees.
In short, our success is driven by our employees' successes.
We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally.
We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
Collaboration:
working together across 31 locations to achieve the best for the company and our clients Dedication:
striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues Integrity:
doing what we say we will do.
Upholding strong ethical and moral principles ADA & EEO Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
Essential Duties and Responsibilities include but not limited to Communicates with customers face to face, electronically or via telephone Assist callers with questions regarding Benefit Funds (i.
e.
, medical benefits, HRA, DB Pension, DC Pension, or SUB Pay) Formulate resolution and respond to inquiries in a timely and accurate manner Follow-up with customers to ensure that their issues are sufficiently resolved Make outgoing calls to members, provider's, collection agency, and vendors (i.
e.
, Blue Cross & Blue Shield) Maintain records of all interactions with the members/providers Thoroughly explain benefits to participants Status claims when necessary Request check tracers, refunds and reissue checks Create task inquiry and follow through after the inquiry has been logged into the system Mail reimbursement forms and other correspondence to members Coordinate phone coverage with coworkers if they are leaving their desk for short periods of time Assisting with claims/eligibility issues Process payables for the Funds Regular and predictable attendance is an essential function of this job Qualifications - Must be able to exhibit compassion and patience for the members who need a little extra time to express themselves.
Must be able to work independently and in a small office setting.
Must have good conflict training, analytical skills, problem solving skills and organizational skills.
Quick and accurate typing skills.
Must be able to have knowledge of and handle multiple group benefits.
Some knowledge of claims processing is preferred.
Education and/or Experience - Some post High School education or prior related work experience.
Language Skills - Ability to read and interpret the plan rules as outlined in the SPD's (summary plan description), user manuals for on-line services, department rules & procedures manual and COBRA compliance manual.
Must be able to speak clearly & effectively and to explain to members, dependents, providers & union officials the rules of the plan.
Must have superior written and verbal communication skills.
Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication and division.
Reasoning Ability - Representative must be analytical.
Representative must be able to deal with people in stressful situations.
Superior communication skills and keen observation is essential.
Careful attention to what a caller is asking for and then using good judgment.
Ability to apply common sense to carry out detailed written or oral instructions.
Ability to deduce if a balance due is the responsibility of the Member or if the plan has yet to consider the charges.
Work Environment - Must be able to work independently, in a small office setting.
Must be able to maintain composure with difficult callers, must be able to multi-task and be detail oriented.
Confident to handle difficult situations.
Able to deal with customers with diverse backgrounds.
Willing to tackle any relevant customer service training.
Must be flexible and willing to pitch in and work together as a team member and must be willing to help other departments within the company.
Must assist members and clients professionally and to the best of his/her ability.
Physical Demands - Occasional lifting of paperwork and printer paper.
Work Schedule Full time.
Monday - Friday, 7:
30am - 4:
00pm.
NOTE:
Work from home is available once fully trained (after approximately 6 months of training), would have the opportunity to work from home 1 or 2 days per week.
Need for 2 people based out of the Tinley Park location to provide coverage for all business hours.
Competitive Benefits and Compensation Package 15 days Paid Time Off (PTO) during first full calendar-year of service 12 paid holidays 3 days paid bereavement Up to 20 days paid jury leave Medical, dental, and vision insurance, with option for dependent coverage Company-paid basic life, short-term disability, long-term disability, and AD&D insurance 401k with employer match Tuition reimbursement program Career development opportunities Referral bonus for all successful full-time referrals Annual opportunities for increases and bonuses Pay Hourly rate ranges from $22.
00 - $26.
00.
Actual rate dependent on location, skills, education, experience and other business factors.
Our Culture BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees.
In short, our success is driven by our employees' successes.
We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally.
We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
Collaboration:
working together across 31 locations to achieve the best for the company and our clients Dedication:
striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues Integrity:
doing what we say we will do.
Upholding strong ethical and moral principles ADA & EEO Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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