Insurance Complaint Analyst 3

Schedule: Full-time

OSHIIP is seeking a candidate to assist the Medicare consumers of Ohio, their family members, and caregivers 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 OSHIIP where you too can be available to support those who serve Ohioans.

Your Key Responsibilities include but are not limited to the following:

· Review, analyze, establish facts, and draw valid conclusions efficiently regarding complaints related to Medicare health and prescription drug insurance.

· Research and analyze facts according to policy terms and applicable regulations through written and verbal responses.

· Identify possible violations of Medicare laws and regulations.

· Make appropriate referrals to other divisions or agencies.

· Document and report all consumer interactions.

· 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.

Unless required by legislation or union contract, the final candidate can expect to be paid at the lowest step in the pay range (step 1). As an Insurance Complaint Analyst 3, you will receive a raise after six (6) months and yearly step increases until you reach the top level of the pay range. There may also be annual cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.

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