Member Services & Benefits Specialist

Nyccbf; New York, Northern (NY, KY); Hybrid; USD 59,000 - 72,000; Full time

Benefits offered by this job

100% employer-paid health benefits

Employer-funded annuity contribution (

Paid time off

CEBS and continuing education programs

Job summary

The NYCDCC Benefit Funds seeks a Member Services Representative to act as the primary contact for active and retired union members and dependents, delivering accurate guidance on Health & Welfare, Pension, Annuity, and other benefits in a high-volume setting.

The ideal candidate has strong communication, attention to detail, and the ability to interpret plan provisions, maintain confidentiality, and provide a positive member experience while adhering to SOPs and privacy regulations.

Qualifications

• Bachelor's degree required.
• Minimum of two (2) years of customer service experience required.
• Experience in benefits administration, healthcare, pension administration, labor-management funds, insurance, or a related field is highly desirable.

Responsibilities

• Respond to member inquiries by telephone, email, and in person regarding eligibility, health benefits, pension, annuity, vacation, scholarship, and related Fund programs.
• Research and resolve member issues accurately, professionally, and within established service standards.
• Explain plan provisions, eligibility requirements, procedures, and benefit-related information in a clear and understandable manner.
• Assist members with completing forms, applications, and required documentation.
• Conduct member identity and eligibility verifications in accordance with established procedures.
• Review incoming documents for completeness, accuracy, and compliance with plan requirements.
• Follow up with members, employers, healthcare providers, and other stakeholders to obtain missing information or supporting documentation.
• Accurately document member interactions, inquiries, complaints, and resolutions within applicable systems.
• Maintain electronic and paper records in accordance with organizational policies and regulatory requirements.
• Protect sensitive and confidential information and ensure compliance with HIPAA and all applicable privacy regulations.
• Exercise sound judgment when handling member information and benefit-related inquiries.
• Adhere to departmental policies, SOPs, and established service protocols.
• Stay current on benefit programs, plan changes, and procedural updates to ensure accurate information is provided to members.

Skills

Customer service

Communication skills

Attention to detail

HIPAA compliance

Bilingual English/Spanish

Education

Bachelor's degree

Tools

Microsoft Office

CRM systems

Job description

The NYCDCC Benefit Funds seeks a Member Services Representative to act as the primary contact for active and retired union members and dependents, delivering accurate guidance on Health & Welfare, Pension, Annuity, and other benefits in a high-volume setting.

The ideal candidate has strong communication, attention to detail, and the ability to interpret plan provisions, maintain confidentiality, and provide a positive member experience while adhering to SOPs and privacy regulations.