Assistant Insurance Fund Services Representative

Responsibilities include, but are not limited to:

• Manage the day-to-day duties as a medical only Case Manager in the NYS 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
• An associate’s degree or higher and two years of customer service experience as described above.

For competitive appointment:

• 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 aren’t limited to: Administrative Assistant 1, Business Services Center Representative 1, Payroll Specialist 1, Program Aide, Taxpayer Services Rep 1, Payroll Examiner 1

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 at https://www.cs.ny.gov/rp55/.

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.