Employee Insurance Examiner 1

Grade 11

New York State has approximately 33 positions* in this title statewide. You may view a breakdown of positions by county. This position exists in Civil Service, Department of. View links to all New York State agencies including agencies that have this title. For more information, New York State employees can contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322. If you are not a current New York State employee, you can use the Department of Civil Service Web site to explore possible employment opportunities.

*The number of positions is approximate and represents the number of positions established (both filled and vacant); it is not an indication or reference to position type or duration, or intent to be filled. If you are viewing a trainee title, please note this number reflects the number of positions established at the journey level. Agencies may fill at the trainee level(s) or at the journey level based on employee qualifications. GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit State Jobs NY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Career Ladder

A listing of titles that are most commonly used as steps for upward mobility for this title series. The salary schedule for this career ladder is also available.

  1. Employee Insurance Examiner 1

    Grade 11

  2. Employee Insurance Examiner 2

    Grade 14

Summary of Job Description

As an Employee Insurance Examiner 1, you would process transactions and respond to correspondence for the New York State Health Insurance Program (NYSHIP) for health, dental, vision, and life insurance benefits. You would communicate by telephone, email, and letters with enrollees, or state or local government agency Health Benefits Administrators (HBAs) to maintain enrollee health benefit records, and explain and interpret applicable rules, regulations, policies and procedures to HBAs, enrollees, or other applicable parties in State agencies or NYSHIP participating public employers by telephone or through written correspondence.

In addition, you would respond to New York State health benefits coverage and enrollment questions from enrollees and HBAs, using health and human resource information systems such as the New York Benefits Eligibility and Accounting System to perform the duties. In order to be successful in these positions, you must be comfortable using a personal computer, be familiar with the Windows operating system, and be capable of using several applications running simultaneously.

View the classification standard for this title, on the Classification and Compensation webpage.

The NYS Title and Salary Plan provides additional information regarding other titles. If there is a classification standard available there will be a link under the column labeled STD. NO. If no link is available there is no classification standard available at this time for that title.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. If substitutions for education and/or experience are allowed, this information would be available on the announcement.

You must take and pass a Civil Service examination in order to be considered for this title.

There are two examinations for this position. Please note: New York State employees may qualify for both.

For employees of New York State, on or before the date of examination, you must be a qualified employee of New York State and have had permanent competitive, non-competitive, or 55-b/55-c service in an office assistant, or clerical/keyboarding title allocated to Grade 6 or higher.

For all other qualified individuals, on or before the date of examination, you must have:

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.

For informational purposes only, click on the examination number(s) listed below to see the current or previous examination(s) that are used to fill this title.

00-914 28-470

How to Apply

When this examination is scheduled to be held, the announcement can be found on the Department of Civil Service, Examination Announcements web page. If you do not see an examination currently scheduled please check back on a monthly basis or sign up for announcement notification by email so that you will automatically be notified when new examinations are being offered.

Career Mobility

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through other examinations, additional education and/or work experience or transfer opportunities. For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office. Visit ELMS Online to view established open-competitive, promotion, and transition eligible lists. If you are not a current New York State employee, see Employment Opportunities with New York State and find out how to become a New York State employee.

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