Professional Career Opportunities - Job Title Details
Claims Services Representative Trainee 1, G-13
Claims Services Representatives process Workers Compensation or Disability Benefits including Paid Family Leave claims filed with the New York State Insurance Fund (NYSIF). Incumbents examine accident and medical reports to determine compensability and liability; analyze claims records and initiate proper processing procedures; examine medical bills and authorize payment; and negotiate an adjustment or recommend arbitration. These positions are found only at the New York State Insurance Fund.
Trainees will receive a combination of structured training, on-the-job training, and/or practical job performance to gain the knowledge and experience necessary to function at the full performance level.
Who has this title?
You must meet the requirements below to qualify for this title.
Bachelor's or higher degree.
Most employees will be appointed to the Trainee 1 job title.
Appointments to this job title require a two-year traineeship that starts at the Trainee 1, G-13, and advances, after one year of acceptable performance, to Trainee 2, G-14. After one year of acceptable performance as a Trainee 2, employees advance to the Claims Services Representative 1, G-18, job title described above. No further Civil Service examination is required for advancement from Trainee 1 to Trainee 2, or from Trainee 2 to the Claims Services Representative 1 job title.
Advanced Placement Appointments - For most trainee titles, employees may be able to be appointed directly to the Trainee 2 level or to the full performance title if they meet certain qualifications. This is known as advanced placement and is at the discretion of the hiring agency. View the qualifications for advanced placement, at: https://www.cs.ny.gov/extdocs/pco/advanced.placement.MQ.2019.pdf.
You must have or expect to receive a bachelor's or higher degree by September 1, 2020.
The 2019 PCO will be open for application from January 18, 2019. To apply for the examination for this PCO Generalist Job Title you must apply for the PCO examination by February 20, 2019 and take the PCO written test in April of 2019. The application for and information about the PCO examination is at: https://www.cs.ny.gov/pco/