Employee Insurance Examiner 1

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Minimum Qualifications

On or before July 12, 2023, 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.

Examples of qualifying experience include but are not limited to: call center agent, customer service representative, sales representative providing information and service, or telemarketer.

Examples of non-qualifying experience include but are not limited to: cashier, fast-food worker, gas station attendant, or security guard.

• If you expect to meet the educational requirements by January 31, 2024, you can take the written test. You MUST submit proof of successful completion of the educational requirements to the Appointing Authority at the time of the employment interview or you will not be considered for appointment. Failure to meet the educational requirements by January 31, 2024, may result in your removal from the eligible list.
• Your required educational credentials must have been awarded by an educational institution accredited by a regional, national, or specialized agency recognized as an accrediting agency by the United States (U.S.) Department of Education/Secretary of Education. If awarded by an institution outside of the U.S. and its territories, you must provide independent verification of equivalency. A list of companies that provide these services (fees must be paid to the company you choose) can be found at: http://www.cs.ny.gov/jobseeker/degrees.cfm.
• If verifiable, we will accept and prorate appropriate part-time and volunteer experience.
• New York State residency is not required.

The Positions: These positions exist in the Department of Civil Service ONLY and are located in Albany, NY.

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Duties

As an Employee Insurance Examiner, 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.

Notes:

1. A transition examination is also being held for these positions.
2. Agencies have the option of making appointments from either the list resulting from this examination open to the public or the list resulting from the transition examination. If you meet the requirements for both examinations, you may wish to file for both.

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Subject of Examination

There is no in-person multiple-choice test. To be considered for appointment to this title, you must pass an online training and experience test.

The online training and experience test uses an online questionnaire to ask questions about your education, training, and work experience. The answers you provide to the questions will be rated and scored against the general requirements of the positions.

The online questionnaire IS YOUR TEST and should be completed after submitting your application. You will not receive a score on this test unless you complete and submit the online questionnaire. You must complete and submit the online test by 11:59 pm onAugust 28 , 2023.

To prepare for completing the online questionnaire (the online training and experience test), it may be helpful to have dates of completed education and work experience available for reference. Responding to these questions, and submitting your questionnaire, is required to complete the examination process.

For more information on how to complete and submit a training and experience test, we highly recommend that you view the T&E Test Tutorial at https://tms.cs.ny.gov/TNETutorials/01.html.

Your final score must be 70 or higher to pass. Your final score on the eligible list will be determined after adding any wartime Veterans' and Civil Service Law Section 85-a credits.

Applicants are required to have a Personal NY.gov account and keep their email address up to date. The Department of Civil Service and other state agencies will communicate with you through email correspondence. This may include the notification of your test arrangements, examination results, and canvassing you for interest in appointment. It will be important for you to keep your email address, phone number, and mailing address current by logging into https://www.cs.ny.gov/home/myaccount.

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How To Apply

There are two steps that must be completed to apply for and take this examination. This examination uses a "Dashboard" to serve as a navigation tool to guide you through the examination process.

Step 1: Complete and submit the online examination application on or before 11:59 p.m. on August 14, 2023.

Step 2: Complete and submit the online test. The online test is where you answer questions about your education, training, and work experience. The online test must be completed and submitted on or before 11:59 p.m. on August 28, 2023. The Dashboard is found here: https://www.cs.ny.gov/dashboards/secure/employee-insurance-examiner-1

Additional Information

New York State is an Equal Opportunity Employer

It is the policy of the State of New York to provide for and promote equal opportunity employment, compensation, and other terms and conditions of employment without unlawful discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, veteran or military service member status, marital status, domestic violence victim status, genetic predisposition or carrier status, arrest and/or criminal conviction record, or any other category protected by law, unless based upon a bona fide occupational qualification or other exception.

Reasonable Accommodations in Testing

It is the policy of the Department of Civil Service, in accordance with the New York State Human Rights Law and the Americans with Disabilities Act, to provide qualified persons with disabilities equal employment opportunity and equal opportunity to participate in and receive the benefits, services, programs, and activities of the Department. It is the policy of the Department to provide such persons reasonable accommodations and reasonable modifications as are necessary to provide equal opportunity. Persons with disabilities who require an accommodation to participate in an examination must note this on their application. Further information is available from the Test Administration Unit of the Department of Civil Service. In the Albany area, call 518-457-2487. Outside of the Albany area, call toll free at 1-877-697-5627. For TDD services, call NY Relay at 711 (requires a fee) or 1-800-662-1220.

Eligibility for Examination

To be considered a qualified employee eligible to compete in this examination, you must be employed in, or on leave from, the specified department or agency on a permanent or contingent permanent basis in the competitive class, or in the non-competitive class or labor class if specifically noted on this announcement (or be on an appropriate preferred list), and have the specified time in the specified title or salary grade. You may not compete in a test for a title if you are permanently employed in that title (unless you are still on probation) or in a higher direct line of promotion.

S3/TB2 PAB-dah
Issued: 7/12/23
*Revised Material 8/28/23

This announcement is subject to amendment or cancellation without notice. Do not copy it, or post it to any other site, but link to it instead.

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