Sabaidee Community Members!
The State of Illinois is look for a Insurance Analysis Iv, if intrested please contact the person below. Also, state employees have until 11/22/2013 to apply for this title. If the position is not filled by a state employee then candidates will be considered from the open eligible list. All candidates must have a qualifying grade from CMS. Please note that the position requires one year of professional experience as would be gained as an Insurance Analyst III.
An Equal Opportunity Employer
OPENING DATE: 11/08/13
CLOSING DATE: 11/22/13 05:00 PM
DESCRIPTION OF DUTIES/ESSENTIAL FUNCTIONS:
Under general direction, advises and responds to complex inquiries from consumers regarding health and property and casualty insurance marketing, coverage provisions of plans, appeals with health insurers and Health Maintenance Organizations (HMOs). Assists consumers with filing appeals and external review requests directly with insurers and filing of formal complaints with the Department of Insurance. Serves as an Ombudsman for uninsured. Reviews and analyzes written correspondence received by the Property & Casualty Complaints Section, determining status (complaint or inquiry) and processing through the electronic system for handling by an assigned property and casualty analyst. Researches various health related resources to identify sources of funding for uninsured and underinsured persons. Provides guidance to lower level analysts in responding to consumers and in regards to training.
Requires knowledge, skill and mental development equivalent to completion of four years of high school. Requires one year of professional experience as would be gained as an Insurance Analyst III. Requires an extensive knowledge of the Insurance Code and rules, regulations, procedures and processes pursuant thereto, particularly as related to policy evaluations, license and complaint resolution; of accounting principles and auditing methods; of office methods and procedures; of the functions, products/services of organizational components of the department. Requires a working knowledge of cost/benefit analysis; of syntax and spelling. Requires ability to act on behalf of supervisor on various occasions and to coordinate activities within a functional unit; to evaluate information presented and to prepare effective and comprehensive written or oral reports; to conduct extensive interviews; to establish and maintain satisfactory working relationships with insurance industry, departmental staff and the general public; to analyze hence to develop a method for: gathering of facts, information/data criteria of treatment and test of conclusions; to articulate terms in insurance parlance to the uninitiated with a result of receiver comprehension; to read, assimilate and recall with marked proficiency facts, figures and descriptive inclusions. Prefers working knowledge of Microsoft Office Outlook, Lotus Notes and the internet. Prefers excellent telephone skills and ability to professionally and courteously interact with consumers and other inquirers, including irate or difficult callers.
WORK HOURS & LOCATION/AGENCY CONTACT
Work Hours: 8:30 A.M. – 5:00 P.M.
In compliance with the Americans with Disabilities Act and the Illinois Human Rights Act, State agencies must ensure that the employment process is accessible to persons with disabilities. Specifically, these laws require that the State provide reasonable accommodations upon request by individuals participating in all steps of the employment process. This includes the State of Illinois Rutan interview process.
Current State Employees: Submit an Official Position Vacancy Bid Form and CMS 100 Employment Application to the Agency Contact address listed above. A separate Bid form and Application is required for each Posting/Bid ID or your bid will be rejected. Current state employees seeking a promotion should also submit a CMS 100B Promotional Application to CMS (address found in upper right corner of CMS 100B form).
HOW TO APPLY
This position may require a current grade from Central Management Services (CMS), Division of Examining and Counseling, to be deemed qualified and available for employment consideration. For more information, please refer to the Work4Illinois website at Work.Illinois.Gov and select ‘Application Procedures’. Additional information may also be obtained from the Agency Contact listed above or by contacting CMS, Division of Examining and Counseling at Work4Illinois@Illinois.gov or (217) 782-7100, (217) 785-3979 (TDD/TTY), (800) 526-0844 (TTY Only).
Additional Documentation for Insurance Analyst Iv:
These documents are in PDF format and can be viewed using Adobe Reader.
NOTE: Salary amounts shown are only to be used as a guide; actual salary will be determined at the time of hire based on current salary plans and/or collective bargaining agreements, if applicable.
Carlos R. Charneco, Manager
CMS Diversity Enrichment Program
100 W Randolph Suite 3-357
Chicago IL 60601
Fax 312 814-6003
TTY 800 526-0844 (Illinois Relay Service)