StateJobsNY
Employee Insurance Examiner 1
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 duties in the Employee Benefits Division 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 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: 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. Note: Your degree or semester credits 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 your degree was awarded by an educational institution outside the United States or its territories, you must provide independent verification of equivalency. This information can be found at http://www.cs.ny.gov/jobseeker/degrees.cfm. Candidates are responsible for the evaluation fee. COMPETITIVE QUALIFICATIONS: You must be reachable on the current eligible list or eligible for transfer. 70.1 TRANSFER QUALIFICATIONS: One year of permanent, contingent permanent, or 55 B/C service allocated to a Grade 9 or higher eligible for transfer and determined to be similar by Civil Service. For transfers, a list of approved titles is available through Civil Service GOT-IT at https://careermobilityoffice.cs.ny.gov/cmo/gotit/. SUBSEQUENT 55B/C QUALIFICATIONS: A subsequent 55b/c appointment may be considered if you have one year of permanent, contingent-permanent, or 55B/C service in an eligible position allocated to Grade 9. To be considered, you must provide a copy of your letter of eligibility with your response. 55 B/C QUALIFICATIONS: 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. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualification and removal from consideration.
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 duties in the Employee Benefits Division 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 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: 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. Note: Your degree or semester credits 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 your degree was awarded by an educational institution outside the United States or its territories, you must provide independent verification of equivalency. This information can be found at http://www.cs.ny.gov/jobseeker/degrees.cfm. Candidates are responsible for the evaluation fee. COMPETITIVE QUALIFICATIONS: You must be reachable on the current eligible list or eligible for transfer. 70.1 TRANSFER QUALIFICATIONS: One year of permanent, contingent permanent, or 55 B/C service allocated to a Grade 9 or higher eligible for transfer and determined to be similar by Civil Service. For transfers, a list of approved titles is available through Civil Service GOT-IT at https://careermobilityoffice.cs.ny.gov/cmo/gotit/. SUBSEQUENT 55B/C QUALIFICATIONS: A subsequent 55b/c appointment may be considered if you have one year of permanent, contingent-permanent, or 55B/C service in an eligible position allocated to Grade 9. To be considered, you must provide a copy of your letter of eligibility with your response. 55 B/C QUALIFICATIONS: 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. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualification and removal from consideration.