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- Tasks: Manage workers' compensation claims from start to finish, ensuring accuracy and compliance.
- Company: Join the New York State Insurance Fund, a leader in providing insurance solutions.
- Benefits: Enjoy competitive pay, flexible work options, and comprehensive health benefits.
- Why this job: Be part of a supportive team that values diversity and offers growth opportunities.
- Qualifications: A bachelor's degree or relevant experience in claims processing is required.
- Other info: No exam needed for initial hiring; potential for future promotions.
The predicted salary is between 40000 - 68000 £ per year.
Claims Service Representative 1/Trainee 1/2
Claims Service Representative 1/Trainee 1/2
1 week ago Be among the first 25 applicants
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New York State Insurance Fund (NYSIF) provided pay range
This range is provided by New York State Insurance Fund (NYSIF). Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$53,764.00/yr – $85,138.00/yr
Duties Description
Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the compensability of claims and file appropriate documentation with the Workers Compensation Board (WCB); calculate and adjust reserves consistent with case analysis over the anticipated life of the claim; recommend cases for appeal to WCB; negotiate and/or make recommendations regarding lump sum settlements; issue payments and requests for reimbursement where claims for supplemental benefits are involved; review awards to ensure the correct recipient and rate of compensation; schedule or waive medical examinations as necessary; analyze medical bills to determine causality, levels of treatment, necessity for treatment, appropriateness of fees and procedure codes, and apportionment status; respond to requests for home modifications, home health care personnel, medication, and medical supplies and appliances; and review case activity and determine when a claim can be retired.
Specific duties to be discussed at time of interview.
Minimum Qualifications
For Appointment to Claims Services Representative Trainee 1 (Hiring Rate $53,764):
- Reachable on current Civil Service eligible list for this title; OR
- One year of permanent, competitive class service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Eligible titles include, but are not limited to: Investigator 1, Assistant Insurance Fund Services Representative, Program Aide; OR
- A bachelor’s or higher degree (in any area of study).
For Appointment to Claims Services Representative Trainee 2 (Hiring Rate $59,994):
- One year of permanent, competitive class service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter Trainee 2; OR
- A bachelor\’s degree and one year of experience processing Workers’ Compensation or Disability Benefits including Paid Family Leave claims.
- A Juris Doctor, master\’s or higher degree in a related field can substitute for one year of specialized experience.
For Appointment to Claims Services Representative 1 (Hiring Rate $66,951):
- One year of permanent, competitive class service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Examples of eligible titles include but are not limited to: Administrative Specialist 1, Claims Services Representative 1 DB, Underwriter 1; OR
- A bachelor’s degree and two years of experience processing Workers’ Compensation or Disability Benefits including Paid Family Leave claims.
- A Juris Doctor, master\’s or higher degree in a related field can substitute for one year of specialized experience.
Please be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position. NYSIF is not currently enrolled in eVerify, which is a requirement for certain types of employment verifications.
Additional Comments
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
- Competitive Compensation.
- Open and Supportive Team-Based Environment.
- Plentiful Vacation, Personal, and Sick Leave Accruals.
- Paid State and Federal Holidays.
- Full Medical, Vision, and Dental.
- Retirement Options.
- Public Student Loan Forgiveness (PSLF).
- Possibility of Telecommuting, Flextime, and Alternative Work Schedules.
NY HELPS Program
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).
For the duration of the NY HELPS Program, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date, it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
NYSIF Commitment to Diversity, Equity, and Inclusion
The New York State Insurance Fund (NYSIF) prioritizes and champions diversity, equity, and inclusion (DEI) throughout our agency. NYSIF provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability, veteran status, or any other protected category under federal, state, and local law. We believe that embracing our differences brings richness, new ideas and experiences to NYSIF, which energizes a creative and innovative work environment. We strive to foster a workplace where diverse individuals are able to participate fully in the decision-making process and have ample opportunity for advancement. We are committed to investing the necessary resources and attention to improving the engagement, retention, and promotion of the extraordinary talent we have.
Executive Order 31 commits New York State government to becoming a model employer for people with disabilities, increasing the participation of people with disabilities in state service and ensuring equal access to opportunities. NYSIF is proud to utilize best practices to recruit, hire, retain, and promote career advancement of individuals with disabilities. This includes special focus on current and prospective employees with the most significant disabilities, such as the use of supported employment, individual placement with support services, customized employment, the civil service sections 55/b and 55/c programs, internships, and job shadowing. If you are a person with a disability and wish to request that a reasonable accommodation be provided for you to participate in a job interview, please send an email to NYSIF’s Reasonable Accommodations mailbox at ra@nysif.com.
Seniority level
-
Seniority level
Not Applicable
Employment type
-
Employment type
Full-time
Job function
-
Job function
General Business
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Industries
Insurance
Referrals increase your chances of interviewing at New York State Insurance Fund (NYSIF) by 2x
Inferred from the description for this job
Medical insurance
Vision insurance
Pension plan
Paid maternity leave
Paid paternity leave
Disability insurance
Student loan assistance
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Claims Service Representative 1/Trainee 1/2 employer: New York State Insurance Fund
Contact Detail:
New York State Insurance Fund Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Claims Service Representative 1/Trainee 1/2
✨Tip Number 1
Familiarise yourself with the Workers' Compensation system in New York. Understanding the key processes and terminology will not only help you during the interview but also demonstrate your genuine interest in the role.
✨Tip Number 2
Network with current or former employees of NYSIF or similar organisations. They can provide valuable insights into the company culture and expectations, which can be a great advantage when preparing for your interview.
✨Tip Number 3
Brush up on your negotiation skills. As a Claims Service Representative, you'll need to negotiate settlements and communicate effectively with various stakeholders, so showcasing these skills during your interview can set you apart.
✨Tip Number 4
Prepare questions that reflect your understanding of the role and the organisation's commitment to diversity, equity, and inclusion. This shows that you align with their values and are serious about contributing positively to their team.
We think you need these skills to ace Claims Service Representative 1/Trainee 1/2
Some tips for your application 🫡
Understand the Role: Before applying, make sure to thoroughly read the job description for the Claims Service Representative position. Understand the key responsibilities and qualifications required, as this will help you tailor your application.
Highlight Relevant Experience: In your CV and cover letter, emphasise any experience you have in claims processing, customer service, or related fields. Use specific examples that demonstrate your skills and how they align with the duties outlined in the job description.
Craft a Strong Cover Letter: Write a personalised cover letter that addresses why you are interested in the role and how your background makes you a suitable candidate. Mention your understanding of workers' compensation claims and your ability to handle complex situations.
Proofread Your Application: Before submitting your application, carefully proofread all documents for spelling and grammatical errors. A polished application reflects your attention to detail and professionalism, which are crucial in the insurance industry.
How to prepare for a job interview at New York State Insurance Fund
✨Understand the Role
Make sure you thoroughly read the job description and understand the key responsibilities of a Claims Service Representative. Familiarise yourself with terms like 'workers compensation claims processing' and 'negotiating settlements' as these will likely come up during your interview.
✨Prepare for Scenario Questions
Expect to be asked how you would handle specific situations related to claims processing. Think about examples from your past experiences or hypothetical scenarios where you can demonstrate your problem-solving skills and ability to work under pressure.
✨Showcase Your Communication Skills
As a Claims Service Representative, you'll need to communicate effectively with various stakeholders. Be prepared to discuss how you would explain complex information clearly and concisely, both in writing and verbally.
✨Research the Company Culture
Familiarise yourself with the New York State Insurance Fund's commitment to diversity, equity, and inclusion. Be ready to discuss how you can contribute to a supportive team environment and align with their values during your interview.
