Insurance Complaint Analyst 3

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

Organization

Insurance

Agency Contact Name and Information

Kim Lowry 614-644-2681

Unposting Date

Ongoing

Work Location

50 W Town St

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

29.23

Schedule

Full-time

Work Hours

40

Classified Indicator

Classified

Union

OCSEA

Primary Job Skill

Insurance

Technical Skills

Customer Service, Insurance

Professional Skills

Analyzation, Attention to Detail, Time Management, Verbal Communication, Written Communication

Agency Overview

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.

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.