Department of Civil Service

Claim Services Representative

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Due to current testing space limitations, candidates may need to travel to a test site to take this examination. Candidates will be notified of their test site location on their admission notice.

Promotion examination open to all qualified employees of the New York State Insurance Fund.

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Minimum Qualifications

On or before October 18, 2025, you must be a qualified employee of the New York State Insurance Fund and have had 45 days of permanent competitive, non-competitive NY HELPS*, or 55-b/55-c service as shown below. If you have received a permanent appointment to a qualifying title listed and served provisionally** in that title immediately preceding your permanent appointment, such provisional service may be counted towards meeting the time in title required for this examination.

For Exam No. 31-199020: Claims Services Representative 1, Claims Services Representative Trainee 1, Claims Services Representative Trainee 2, or Insurance Fund Hearing Representative.

For Exam No. 31-215020: Claims Services Representative 1 (Disability Benefits), Claims Services Representative Trainee 1 (Disability Benefits), or Claims Services Representative Trainee 2 (Disability Benefits).

For Exam No. 31-200020: Claims Services Representative 2.

Only the title or titles listed are qualifying.

If you were permanently appointed to a qualifying title on or before September 3, 2025, and have served continuously in this title since that date, you are eligible to file for this examination.

*If you were permanently appointed via the New York Hiring for Emergency Limited Placement Statewide (NY HELPS) program to a qualifying title in the non-competitive class on or before September 3, 2025, and have served continuously in this title since that date, you may apply for this examination.

**If you were permanently appointed to a qualifying title and had provisional service in the same title immediately preceding the permanent appointment, such provisional service may be counted towards meeting the time in title required to apply for this examination. Your provisional appointment must have been on or before September 3, 2025, to qualify for this examination.

Qualifying Experience For Appointment From The Eligible List: After one year of service described in the Minimum Qualifications, successful candidates will be qualified for appointment from the eligible list. Successful Trainees will be qualified for appointment after one year of service at the full performance level.

Employees appointed to a non-competitive position via the NY HELPS program to a qualifying title in the non-competitive class will have their names restricted from appointment from the eligible list until their position is covered-in to the competitive class by action of the New York State Civil Service Commission or otherwise obtain permanent competitive status in the position.

If you have received a permanent appointment to a qualifying title listed and served provisionally in that title immediately preceding your permanent appointment, such provisional service may be counted towards meeting the one year time in title required for appointment from the eligible list.

The Positions: These positions exist in the New York State Insurance Fund and are located Statewide.

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Duties

As a Claims Services Representative 2, under the general direction of the Claims Services Representative 3, you would provide supervision to Claims Services Representative 1s and Assistant Insurance Fund Services Representatives; monitor staff development and traineeship progress; provide technical assistance/guidance for the more complex, sensitive, or high-cost claims cases; and oversee payment of settlements and awards.

As a Claims Services Representative 2 (Disability Benefits), you would oversee Disability Benefits and Paid Family Leave claims activities; supervise to Claims Services Representatives 1 (Disability Benefits) and Assistant Insurance Fund Services Representatives; monitor staff development and traineeship progress; and provide technical assistance/guidance for the more complex, sensitive, or high-cost claims cases.

As a Claims Services Representative 3, you would oversee all Claims Services activities for the district office; supervise the Claims Services Representative 2s; and coordinate activities across team operations consistent with established or newly implemented policies, procedures, and initiatives.

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Subject of Examination

To be considered for appointment to this title, you must pass the multiple-choice test. The multiple-choice test evaluates your knowledge, skills, and/or abilities in the following areas:	For Examination Nos.
	31-199020	31-215020	31-200020
1. Workers' Compensation Law, Case Law, and related rules and regulations - These questions test for knowledge of the New York State Workers' Compensation Law, the status of Workers' Compensation case law, and related rules and regulations (not including the Volunteer Firefighters' Benefit Law nor the Volunteer Ambulance Workers' Law) in effect on July 1, 2025. All of the cases presented in the case law questions contain the fact patterns of actual Workers' Compensation cases decided in New York State courts or by the Workers' Compensation Board. To answer each question correctly, the candidate must recognize the fact pattern and apply the appropriate legal precedent.	X		X
2. New York State Laws, Rules, and Regulations related to Disability Benefits - These questions test for knowledge of Article 9 of the New York State Workers' Compensation Law, Disability Benefits and related laws, rules, and regulations. Questions will be limited to, but not necessarily cover all, the following: Law Sections 201 through 214, 217, 218, 220, 221, 223, 224, 227, 229 and 234 through 238; and NYCRR Title 12, Subchapter H, Disability Benefits, Parts 355, 357, 359, 363 and 377 through 380, as in effect on January 1, 2025.		X
3. Preparing written material - These questions test for the ability to present information clearly and accurately, and to organize paragraphs logically and comprehensibly. For some questions, you will be given information in two or three sentences followed by four restatements of the information. You must then choose the best version. For other questions, you will be given paragraphs with their sentences out of order. You must then choose, from four suggestions, the best order for the sentences.	X	X	X
4. Ensuring effective inter/intra agency communications - These questions test for understanding of techniques for interacting effectively with individuals and agencies, to educate and inform them about topics of concern, to clarify agency programs or policies, to negotiate conflicts or resolve complaints, and to represent one's agency or program in a manner in keeping with good public relations practices. Questions may also cover interacting with the staff of one's own agency and/or that of other agencies in cooperative efforts of public outreach or service.	X	X	X
5. Supervision - These questions test for knowledge of the principles and practices employed in planning, organizing, and controlling the activities of a work unit toward predetermined as assigning and reviewing work; evaluating performance; maintaining work standards; motivating and developing subordinates; implementing procedural change; increasing efficiency; and dealing with problems of absenteeism, morale, and discipline.	X
6. Administrative Techniques and Practices - These questions test for a knowledge of management techniques and practices used in directing or assisting in directing a program component or an organizational segment. Questions cover such areas as interpreting policies, making decisions based on the context of the position in the organization, coordinating programs or projects, communicating with employees or the public, planning employee training, and researching and evaluating areas of concern.		X	X
7. Administrative supervision - These questions test for knowledge of the principles and practices involved in directing the activities of a large subordinate staff, including subordinate supervisors. Questions relate to the personal interactions between an upper-level supervisor and his/her subordinate supervisors in the accomplishment of objectives. These questions cover such areas as assigning work to and coordinating the activities of several units, establishing and guiding staff development programs, evaluating the performance of subordinate supervisors, and maintaining relationships with other organizational sections.		X	X

Test Guide & Sample Test Material: A Guide to the Multiple-Choice Tests is available at http://www.cs.ny.gov/testing/testguides.cfm.

If you pass, your seniority credit(s), if any, will be included in the computation of your final score. Your final score on the eligible list will be determined after adding any Veterans' credits.

Credit For Seniority: Seniority is credited at the rate of one credit for each five-year period (or fraction thereof), excluding the first year of service.

Admission To The Test: If approved for a multiple-choice test, you will receive an admission notice which will indicate your assigned test date and the way your test will be administered. Your test may be administered with paper and pencil or online at a state test site using a state-provided Chromebook. You cannot request to change your scheduled day or request a specific type of test administration.

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 notification of your application status, 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

Apply Online

You will need a personal NY.gov ID to apply for these examinations. If you do not have a personal NY.gov account, please create an account.

Select each examination you intend to apply for.

Claims Services Representative 2

Claims Services Representative 3

Claims Services Representative 2 (Disability Benefits)

(You must select at least one exam to continue.)

You Can Also

• Download examination application NYS-APP form; or
• Email cs.sm.examinfo@cs.ny.gov to request NYS-APP forms; or
• Obtain an NYS-APP form from a State agency or facility personnel/business office; or
• Request NYS-APP form by calling the Department of Civil Service in the Albany area at 518-457-2487 or toll free at 1-877-697-5627.

The NYS Department of Civil Service reserves the right to reject for lateness or to accept applications filed after the advertised filing period. All statements you make on your application are subject to investigation.

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.

Religious Accommodation

Most multiple-choice tests are held on Saturdays. If you cannot take the test on the announced test date, due to a conflict with a religious observance or practice, check the box under “Religious Accommodation.” We will make arrangements for you to take the test on a different date (usually the following day).

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 Accommodation Unit of the Department of Civil Service at Testaccommodation@cs.ny.gov.

Admission to Examination

Notice to appear for the test may be conditional as review of applications may not be made until after the test. If you have not received your notice to appear for the multiple-choice test three days before the date of the test, email us at AdmissionNotices@cs.ny.gov. Please provide your first and last name, address, and the last four digits of your social security number, and we will provide you with the information you need to attend your multiple-choice test. If you have an issue other than not receiving your admission notice, please contact our office at (518) 474-6470 in the Albany area or toll free at 1-877-697-5627. Please leave a clear concise message and provide your first and last name, last four digits of your social security number and a daytime phone number.

Taking State and Local Examinations Scheduled for the Same Day

If you have applied to take a multiple-choice test announced by either one or several local jurisdictions (county, town, city) scheduled to be held on the same test date as this multiple-choice test, you must notify each of the local jurisdictions no later than two weeks before the test date to make arrangements for taking all tests at one test site. All tests will be held at the state examination center. For your convenience, contact information for all local civil service agencies is available on our website at: https://www.cs.ny.gov/jobseeker/local.cfm.

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.

Cell Phones or Electronic/Communication Devices at the Test Site

The use of cell phones, beepers, headphones, or any electronic or other communication devices at your personal testing site or in the test room, hallways, restrooms, building, grounds, or other areas, except as expressly authorized by the Department of Civil Service, could result in your disqualification.

S3/TB1 MAS-dah
Issued: 8/1/25

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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