Employee Insurance Examiner 1

Employee Insurance Examiner 1

Duties 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 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.

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.

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.

Additional Comments

#TeamCivilService is growing and is looking for motivated, forward-thinking employees to join our team to build a dynamic workforce. The Department of Civil Service is undertaking several initiatives to transform the way the agency delivers services to our partner agencies and to the public, and we are excited to be adding new members to the team. In addition to joining a growing team and agency, employees will also receive a comprehensive benefits package.

The Department of Civil Service is the central personnel agency for the Executive Branch of New York State government, serving approximately 150,000 employees. Our mission is to build tomorrow's workforce today by promoting a diverse, inclusive, and talented workforce. We lead and deliver world-class workforce management strategies by providing innovative solutions based on merit, fitness, and equality of opportunity.

Among its duties, the Department:

• Partners with State agencies to offer workforce recruitment and placement services, including developing minimum qualifications, classifying positions, developing civil service examinations, and administering performance assessment tests.
• Administers the New York State Health Insurance Program ( one of the largest public employer health insurance programs in the nation, serving more than 1.2 million lives.
• Assists municipal agencies with civil service administration of more than 360,000 local government employees.
• Oversees the Governor's Program to Hire Individuals and Veterans with Disabilities ( to place individuals with disabilities in State jobs and the New New York Leaders Initiative Student Intern Program. (

NOTE ON TELECOMMUTING: 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 View email address on click.appcast.io

Some positions may require additional credentials or a background check to verify your identity.