TENTATIVE

                                                                                                                     Occ. Code 6813600

Insurance Fund Business Manager, M-3

New York State Department of Civil Service

Classification Standard

BRIEF DESCRIPTION OF CLASS SERIES

            Insurance Fund Business Managers oversee claims management, policyholder services, and administrative and operational activities in a district office.   These positions are found only at the New York State Insurance Fund. 

DISTINGUISHING CHARACTERISTICS

            Insurance Fund Business Manager: non-competitive; manages all operations of a district office.

RELATED CLASSES

            Employment Services Managers administer and oversee the operations of One-Stop Career Centers (centers), which serve individuals and employers seeking employment services such as career counseling, job search, recruitment, training, and other supportive services. Incumbents work collaboratively with other State agencies, local governments, and community-based and non-profit entities stationed at the centers in providing integrated employment and related services.

ILLUSTRATIVE DUTIES

Serve as the manager of a district office by overseeing all claims, medical, and policyholder services, as well as all fiscal, personnel, labor relations, administrative, and facility management activities associated with the district office.

• Plan and direct the activities of all the departments in the district offices including claims, underwriting, premium audit, field services, accounting operations, confidential investigations, and customer service.
• Consult with and advise department directors and assistant directors on policy, workflow, operating standards, and procedural requirements.
• Prepare and supervise the preparation of the district offices budget.
• Ensure the security and maintenance of the district office building and act as the agencys representative in dealings with tenants.

Directly supervise managerial staff in the district offices.

• Establish practices and standards to ensure the quality, quantity, and timeliness of completed work.
• Monitor district office performance to ensure compliance with operating standards.
• Review complex cases referred by subordinate staff.
• Issue the final disposition of cases where the liability of the agency exceeds the authorization limits of the subordinate managerial staff in the district offices.
• Meet with senior staff to discuss changes in policies and procedures and to formulate implementation plans.
• Review the case recommendations of Insurance Fund Hearing Representatives to appeal unfavorable referee decisions and forward the cases for appeal to legal. 
• Represent the agency in sensitive and important cases before panels of the Workers Compensation Board. 

Meet with representatives from the industry and policyholder groups, as well as Workers Compensation Board district office staff, to discuss issues of mutual concern and communicate the agencys policies and procedures. 

MINIMUM QUALIFICATIONS

Non-Competitive: ten years of experience in an insurance related setting, of which three or more years must have been at a management/supervisory level over one or more insurance program areas.  A bachelors degree in a related field may substitute for up to four years of the general experience.

Date:  4/13

NOTE: Classification Standards illustrate the nature, extent and scope of the duties and responsibilities of the class they describe.  Standards cannot and do not include all of the work that might be appropriately performed by a class.  The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written.  Please contact the Division of Staffing Services for current information on minimum qualifications for appointment or examination.