Insurance Consumer Analyst I

Insurance Consumer Analyst I Location Hybrid work in Wake County, NC :

Description of Work

**Repost all applicants will need to reapply**

*This posting will fill position numbers 60013627, 65024343, 65015188, 65015187*

Salary Recruitment Range: $38,516 - $45,500 Salary Grade: NC09

This position currently qualifies for a hybrid telework option with routine office and remote workday. The NC Department of Insurance trusts our employees to be self-motivated and successful in hybrid/remote roles. Telework options are subject to change at the discretion of management.

Mission of the Department of Insurance: 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.

Primary Purpose of the Position:

The primary purpose of this position is to provide counseling and education to consumers on health insurance issues for Medicare beneficiaries via the national toll-free line and in-person meetings. This includes determining the consumer's needs, gathering correct information and answering the caller's question/inquiry. This requires extensive knowledge of Medicare, Medicare supplements, Long-Term Care insurance, Medicare managed care, Medicare drug plans, medical claims procedures, and Medicare fraud, waste, and abuse. Should the consumer's inquiry require research then this position is to provide information to the appropriate staff member to research the problem and/or question and provide follow-up to the caller with an answer. There are situations when it is appropriate to make referrals to other applicable sources of assistance. This may include social service agencies, other state and federal agencies, or whatever community resource is available to handle a specific problem.

Incentives of NC State Employment: We value our employees and offer a wide variety of competitive and family-friendly benefits. Benefits to include:

• 12 Annual paid Holidays
• North Carolina State Health Plan administered by Blue Cross Blue Shield of NC
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts

Learn more about new hire resources, safety, health, and wellness information, leave options, employee discounts and more by selecting the link below:

Knowledge, Skills and Abilities / Competencies

• Working knowledge of insurance principles and practices and North Carolina insurance laws and regulations.
• Working knowledge of insurance policies and coverages, legal processes, insurance-related court rulings, medical/health and automobile/damage terminology and costs.
• Ability to listen effectively and define problems.
• Ability to exercise judgment and discretion in determining when to refer calls to higher level staff.
• Ability to deal tactfully and effectively with insurance company representatives and consumers - many of whom are confused, frustrated or irate.
• Ability to express oneself clearly and concisely in oral and written form.

Additional Training/Experience:

• Experience working with consumers who have health insurance questions and issues is very helpful.
• Equivalent Training and Experience:
• Position may have an equivalent combination of education and experience in customer service. This does not include insurance sales.

Special Qualifications: Experience working in a health insurance environment, customer service or consumer assistance/health advocacy program. Prior work experience with multi-line phones is beneficial. Excellent communication and writing skills are paramount. Must have knowledge in the use of a personal computer and its applications.

Minimum Education and Experience Requirements

Bachelor's degree business or economics or a related program from an appropriately accredited institution and one year of experience in insurance underwriting, claims, or policyholder service; or an equivalent combination of training and experience.

Supplemental and Contact Information

For consideration for this vacancy, all applicants must complete an on-line application using the “APPLY” button above. If multiple applications are submitted to an individual posting, only the most recent application received prior to the posting close date will be evaluated for the consideration. Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript. Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified. To receive credit for your work history and credentials, you must list the information on the State Application. Any information omitted from your application cannot be considered for qualifying credit. The Department of Insurance/Industrial Commission may conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution. The Department of Insurance/Industrial Commission is an Equal Employment Opportunity employer and uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals. ***INCLUDE ALL RELEVANT EDUCATION, WORK EXPERIENCE IN THE DESIGNATED EDUCATION AND WORK HISTORY SECTION ON THE FORMAL APPLICATION*** ***Applications with "see attached" or resumes in lieu of completed education and work experience on the formal application will be deemed incomplete and will not be eligible for consideration for the vacancy*** Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax. Applicants seeking Veteran's Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date. Applicants may check the status of their application for a vacancy at any time by logging in to the government jobs system using the above link. Once the applicant has logged in, the status of each submitted application is documented next to each vacancy for which they have applied.