Insurance Examiner

Responsibilities

The Employee Insurance Examiner 1 in the Employee Benefits Division will be assigned to the Program Administration Unit (PAU). The incumbent’s 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.

NY HELPS is part of the New York Hiring for Emergency Limited Placement Statewide Program. 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 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.

• Three years of experience in a business office or human resources office in one or more of the following areas: accounts payable, accounts receivable, general office management and/or bookkeeping; health insurance, benefits administration and/or personnel and benefits transaction processing.
• Substitution: 30 semester credit hours for one year of experience; 60 semester credit hours for two years of experience.

Individuals certified eligible for the 55 B/C program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55 B/C of the Civil Service Law will also be considered. To be considered, you must provide a copy of your letter of eligibility with your response.

Employees will receive a comprehensive benefits package.

DCS employees may be approved for a maximum of 50% telecommuting, however, they are required to apply and obtain approval through management in accordance with DCS Telecommuting Program Guidelines.

The Department of Civil Service is proud to be an equal opportunity employer. We encourage women, people of color, LGBTQ individuals, people with disabilities, members of ethnic minorities, foreign‑born residents, and veterans to apply. We celebrate diversity and do not discriminate based on race, religion, color, national origin, sex, sexual orientation, gender identity and/or expression, age, veteran status, disability status, arrest record or criminal conviction history, or any other category protected by law.

We are happy to provide reasonable and religious accommodations during the hiring process for those in need. If you have a disability or special need that requires accommodation, please send a request to youremail.gov.