Insurance Complaint Analyst 3

State of OhioColumbus, OH
13d

About The Position

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting. CSD is seeking a professional, detailed and research-oriented candidate to fill an Insurance Complaint Analyst 3 position to assist the consumers of Ohio in understanding their insurance benefits and resolving their complex insurance issues. The ideal candidate will have excellent communication, problem solving, and organizational skills, a high level of emotional intelligence, and the ability to be adaptable. If this sounds interesting to you, continue reading below to learn more about this career opportunity with CSD where you too can be available to support those who serve Ohioans.

Requirements

  • 60 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business as specified by the position description & job posting; 6 mos. exp. or 6 mos. trg. in operation of personal computer; 2 courses in mathematics (i.e., addition, subtraction, multiplication, division, statistics).
  • Or 6 courses in insurance & 2 courses in mathematics (i.e., addition, subtraction, multiplication, division, statistics); 42 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business as specified by the position description & job posting; 6 mos. exp. or 6 mos. trg. in operation of personal computer.
  • Or completion of undergraduate core program in insurance or business & 2 courses in mathematics; 36 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business as specified by the position description & job posting; 6 mos. exp. or 6 mos. trg. in operation of personal computer.
  • Or 12 mos. exp. as Insurance Complaint Analyst 2, 67232.
  • Or equivalent of Minimum Class Qualifications For Employment noted above.
  • Note\: The official position description on file with the designated agency is to reflect the required line of business. Only those applicants possessing the required line of business listed in the position description are to be considered for any vacancies posted. The job posting should also only list the required line of business commensurate with the position in question.
  • Job Skills: Insurance

Responsibilities

  • Review, analyze, establish facts, and draw valid conclusions regarding complaints related to all lines of insurance.
  • Demonstrate research and analysis of the facts according to policy terms and applicable regulations through written and verbal responses.
  • Identify possible violations of insurance laws.
  • Make appropriate referrals to other divisions.
  • Maintain records of investigation.
  • Communicate complaint analysis and findings verbally and in writing in a professional manner.
  • Assist consumers via telephone with insurance related questions and provide appropriate response.
  • Performs other duties as assigned.

Benefits

  • Medical Coverage
  • Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
  • Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
  • Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )
  • Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
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