Assistant Insurance Fund Services Representative

Responsibilities include, but are not limited to:

• Manage day-to-day duties as a medical only Case Manager in the Group 90 Segment.
• Work-up and process Workers’ Compensation claims.
• Approve and deny medical bills.
• Respond to claimant and provider inquiries via phone and email.
• Routinely communicate with employers to obtain info about claims.
• File forms and correspond with the Workers’ Compensation Board.
• Review claims for retirement or transfer to lost time units.
• Complete other tasks as assigned or as needed.

Minimum Qualifications

For appointment via NY HELPS:

• Four years of customer service experience that required

independence in both verbal and written communication responsibilities; OR

• Associate’s degree or higher and two years of customer service experience as

described above.

For competitive appointment:

• Transfer: Current New York State employee with one year of permanent competitive class service in a title eligible for transfer under Section 70.1 or Section 52.6 of Civil Service Law. Appointments via transfer must not result in a second, consecutive transfer with an advancement of more than two S-grades or one M-grade. Eligible titles include, but are not limited to: Administrative Assistant 1, Office Assistant 2, Program Aide.
• Reinstatement: Candidates who have previously held the Assistant Insurance Fund Services Representative title, or a transferable title, may be eligible for consideration for reinstatement.

For 55b/55c Program appointment:

• This position may be designated 55 b/c and is subject to verification of applicant eligibility. For more information on this program, please visit the 55b/c Recruitment Resources Center.