Insurance examiner job description
Updated March 14, 2024
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Example insurance examiner requirements on a job description
Insurance examiner requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in insurance examiner job postings.
Sample insurance examiner requirements
- Bachelor’s degree in a related field
- State license or certification
- Familiarity with insurance-related laws and regulations
- Knowledge of actuarial principles
- Proficiency with data analysis and investigative software
Sample required insurance examiner soft skills
- Strong customer service orientation
- Excellent communication, analytical, and problem-solving skills
- Highly organized and detail-oriented
- Ability to work independently and as part of a team
- Proficiency with Microsoft Office Suite
Insurance examiner job description example 1
New York State Dept Of State insurance examiner job description
Minimum Qualifications Reachable on the Employee Insurance Examiner 1 eligible list OR eligible for a 70.1 transfer
OR 55 b/c eligible - must meet the follow
Either 1. three years of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Or 2. thirty college semester credit hours AND two years of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Or 3. sixty college semester credit hours AND one year of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Duties Description The incumbent will be located in the Program Administration Unit (PAU) and will be responsible for the following duties:
* 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 HBAs, enrollees, or other applicable parties in State agencies or NYSHIP participating employers by providing general and specific NYSHIP program, enrollment and eligibility information.
* Explaining and interpreting applicable rules, regulations, policies and/or procedures to HBAs, enrollees, or other applicable parties in State agencies or NYSHIP participating public employers 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.
Additional Comments 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.
OR 55 b/c eligible - must meet the follow
Either 1. three years of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Or 2. thirty college semester credit hours AND two years of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Or 3. sixty college semester credit hours AND one year of business or human resources office experience in one or more of the following: accounts payable, accounts receivable, processing claims and/or bookkeeping; processing personnel, benefits and/or time and attendance transactions.
Duties Description The incumbent will be located in the Program Administration Unit (PAU) and will be responsible for the following duties:
* 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 HBAs, enrollees, or other applicable parties in State agencies or NYSHIP participating employers by providing general and specific NYSHIP program, enrollment and eligibility information.
* Explaining and interpreting applicable rules, regulations, policies and/or procedures to HBAs, enrollees, or other applicable parties in State agencies or NYSHIP participating public employers 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.
Additional Comments 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.
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Updated March 14, 2024
Updated March 14, 2024