• Review and authorize pension benefits for retired 1199SEIU members, surviving spouses, beneficiaries and their estates; ensure benefits are processed in compliance with Federal and Plan regulations• Verify pension calculations and medical benefit entitlements for members who receive counseling; ensure members are informed of accurate pension and medical benefits due to them upon retirement• Maintain counts of daily production including approvals and rejections for Quality Assurance Specialists; provide up to date information on daily production• Generate and review written correspondence to members based on Plan provisions; accurately inform members of retirement benefit options or reasons for denials• Counsel prospective retirees on pension and medical benefits as needed; provide information of various retirement options regarding payments and benefits• Review and authorize re-calculation of pension benefits; adjust any underpayment or overpayment in pension benefits based on additional information obtained from members, employers or Social Security Administration• Review and audit changes made by Pension Reconciliation Unit; ensure updated information has the proper authorization and signatures• Performed other duties and special projects as assigned by management

•Reviewed the accuracy of all claims processed within the department and assist members with processing disability and other claims with the fund.•Interviewed prospective pensioners and provide detailed information on benefits available in both pension and benefit funds and work closely with supervisor in maintaining and reviewing work productions.

• Researched and processed complex pension claims and audited pension calculations for accuracy. • Audited pensioner medical benefit codes and audited pension benefit statements for compliance requirements.• Assisted processor with difficult claims.

•Calculated various pension applications, estimates, and re-calculations •Processed inquiries for pension applications, pension estimates, and return to work• Verified , establish and re-establish pension member eligibility for new or existing members, spouses, and dependents using the system of choice (Imaging System, V3)•Provided assistance with pension benefits(in person, on the phone)•Maintained updated records and files on all pension claims, applications, estimates and re-calculations•Generated correspondence to pensioners, participants, surviving spouses, beneficiaries, and employers•Provided benefit eligibility requirements for Pension to prospective pensioners and beneficiaries•Communicated with members and advocates via telephone or written correspondence regarding pension eligibility•Requested required proof of wages or hours worked as necessary; forward documentation to the Eligibility Department to update member eligibility records•Researched status of benefit checks•Communicated and explain Pension and Retiree Health Benefits•Performed additional duties and projects as assigned by management

•Examined claims for completeness of the information and keyed claims in the claims processing system and assigned appropriate ICD, CPT, HCPS, or local codes and provider identification numbers.•Applied contractual benefits, medical policy, and operational procedures to resolve claims •Recorded claim finalization status on form and returned finalized claims and incomplete claims with transmittal sheets to designated control stations.