Insurance Complaint Analyst 3

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

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.

About Us:

The Ohio Department of Insurance (ODI) was established in 1872 as an agency charged with overseeing insurance regulations, enforcing statutes mandating consumer protections, educating consumers, and fostering the stability of insurance markets in Ohio.

Today, the mission of the Ohio Department of Insurance is to provide consumer protection through education and fair but vigilant regulation while promoting a stable and competitive environment for insurers.

Please visit our website Department of Insurance and also find us on LinkedIn.

Ohio Senior Health Insurance Information Program (OSHIIP) Mission Statement\:

The mission of OSHIIP is to empower, educate, and assist Medicare-eligible individuals, their families, and caregivers through objective outreach, counseling, and training, to make informed health insurance decisions that optimize access to care and benefits.

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

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.

Supplemental Information

Application Procedures:

When completing the different sections of this application, be sure to clearly describe how you meet the minimum qualifications outlined in this job posting. We cannot give you credit for your Work Experience and Education & Certifications if you do not provide that information in your online application. Information in attached resumes or cover letters must be entered into your application in the appropriate Work Experience or Education & Certification sections to be considered.

Status of Posted Positions:

You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details. Questions about the position not pertaining to your application status can be directed to\: Kim Lowry @ . Applicants must be currently authorized to work in the United States on a full-time basis.

Reasonable Accommodation:

ODI does not discriminate on the basis of disability in its hiring or employment practices and complies with the ADA employment regulations. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the agency Human Resource Offices’ ADA Coordinator, Andrew Skal, by emailing or calling . Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to participate in a structured interview.

Background Check Information:

The final candidate selected for this position will be required to undergo a criminal background check. Section 2961 of the Ohio Revised Code (ORC) prohibits individuals convicted of a felony involving fraud, deceit or theft from holding a position that has substantial management of control over property of a state agency.

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.