Administrative Specialist I​/Processing Assistant

Administrative Specialist I (S)

The mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department.

In an ever-changing environment, it is the vision of the Department of Insurance to maintain the stabilization of the insurance industry in order to provide more products, competitive prices and consumer protection.

Mission of the Industrial Commission The North Carolina Industrial Commission is vested as a court of exclusive and original jurisdiction by the General Assembly to adjudicate and administer the North Carolina Workers' Compensation Act. The Industrial Commission processes over 65,000 workers' compensation injury reports and claims filed annually under the Act. This responsibility includes overseeing and providing for the trial of contested cases as well as administering non-contested cases.

Workers who are injured by accident on the job or who contract an occupational disease receive disability and medical benefits as ordered by the Industrial Commission. The Industrial Commission is also a court of original jurisdiction for litigating tort claims against the State under the North Carolina State Tort Claims Act. Additionally, the General Assembly has mandated the Industrial Commission to provide an adjudicated process for Childhood Vaccine-Related Injury claims and Compensation to Persons Erroneously Convicted of Felonies.

It acts as a court of exclusive and final jurisdiction for death claims made by families of law enforcement officers, fire fighters, rescue squad workers and civil air patrol members arising under the Public Safety Employees' Death Benefits Act. Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements, and supervision of payment of benefits.

Description of Work Administrative Specialist I/ Processing Assistant -  Salary Recruitment Range: $39,244 Salary Grade: NC 08 This position currently qualifies for a hybrid telework option with routine office and remote workdays. The posting will close at 11:59 p.m. the night before the closing date Primary Purpose of the Organizational Unit The Claims Administration Section of the North Carolina Industrial Commission processes workers' compensation injury reports filed by employers (Forms 19) and claims forms filed by injured workers (Forms 18 or 18B), as well as the workers' compensation forms related to claim acceptance or denial, return to work, payment of permanent partial disability ratings, occupational diseases, death claims and claim closures.

The Claims Administration Section also researches insurance coverage information, assigns carrier codes, and updates claimant, carrier, and third-party administrator addresses. The Claims Administration Section assists external stakeholders with file copy requests and information about claim status. Primary Purpose of the Position Employees in the Claims Administration section assist employers, employees, carriers, medical providers, attorneys, and other interested parties with information on insurance coverage, claim status, and file copy requests.

This is accomplished through review and accurate keying of a high volume of claims forms, including but not limited to Forms 18 and Forms 19. The Administrative Specialist I answers a high volume of telephone calls from both external and internal stakeholders.

Knowledge

Skills and Abilities

/Management Preferences Prefer one or more years of experience in data entry and/or the workers' compensation system, insurance industry, or legal field.

• Demonstrated experience reviewing claim forms and keying data from those forms into databases in a computer system.
• Demonstrated experience facilitating and organizing the flow of work.
• Demonstrated experience in an office environment, including answering telephone calls and responding to emails from both external and internal stakeholders.
• Demonstrated experience using office equipment and other technology to meet organizational needs.

Minimum Education and Experience Some state job postings say you can qualify by an "equivalent combination of education and experience." If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. High school diploma or General Educational Development (GED) diploma and two years of related administrative experience;

or equivalent combination of education and experience.

Benefits of NC State Employment:
We value our employees and offer a wide variety of competitive and…