Employee Insurance Examiner 1

NOTE: To apply for this job, please email your cover letter, and resume to [email protected]. Please include the Title and Vacancy ID# you are applying for in the subject line of your email. Applicants that do not submit their cover letter and resume to [email protected] will NOT be considered. Vacancy ID: 223774Full Job Description: https://statejobs.ny.gov/public/vacancyDetailsView.cfm?id=223774Duties Description:Employee Benefits has the lead role for administering the New York State Health Insurance Program (NYSHIP), one of the largest public employer health insurance programs in the nation covering more than 1.2 million lives. This position will play an important role in ensuring the continued success of the comprehensive health insurance programs.The Employee Insurance Examiner 1 in the Employee Benefits Division will be assigned to the Program Administration Unit (PAU). The incumbents duties will include but are not limited to the following: * Processing transactions in the New York Benefits Eligibility and Accounting System (NYBEAS). * Assisting Health Benefits Administrators (HBAs) with completing enrollment transactions and making corrections to enrollment data. * Reviewing and sorting correspondence received from enrollees and agency HBAs and processing correspondence as per the rules and regulations of the New York State Health Insurance Program (NYSHIP). * Handling calls from enrollees and providing general and specific NYSHIP program, enrollment and eligibility information. * Explaining and interpreting applicable rules, regulations, policies and/or procedures to enrollees via telephone or through written correspondence. * Reconciling accounts which includes, but is not limited to, processing transactions, sending bills, and resolving discrepancies between the payroll and enrollment systems.Minimum Qualifications:NY HELPS:This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply.At a future date, it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in an NY HELPS title, employees may take part in any promotion examination for which they are qualified.NON-COMPETITIVE MINIMUM QUALIFICATIONS (NY HELPS):EITHER 1. Three years of customer service* or business office** experience, or combination thereof;OR 2. Thirty college semester credit hours AND two years of full-time experience described in #1;OR 3. Sixty college semester credit hours AND one year of full-time experience described in #1.*Customer Service is defined as dealing with many different individuals on a continuous basis where verbal communication is the primary means of accomplishing the duties of the position.**Business office experience includes one or more of the following: general administrative/clerical duties, processing claims and/or bookkeeping, processing personnel or benefits transactions.Examples of qualifying experience include but are not limited to: call center agent, customer service representative, sales representative providing information and service, or telemarketer.Examples of non-qualifying experience include but are not limited to: cashier, fast-food worker, gas station attendant, or security guard.*Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education. If