Overview
Insurance Claims Evaluator 2 Jobs in Dauphin County, PA at Pennsylvania – Pennsylvania Government
In this role, you will review claim status reports submitted by the TPA to ensure claims are being administered in accordance with the WC Act as well as regulations of the Department, conduct research on claim issues and provide responses, answer inquiries regarding claims, and review files and invoices. Other duties to include:
Attending virtual meetings as needed.
Participating in competitive bid sessions as required.
Identifying claim issues and making recommendations.
Processing new claims from liquidations.
Researching coverage issues for new claims from Liquidations including but not limited to federal black lung claims.
Additional details regarding the duties of this position may be found in the position description.
Work Schedule and Additional Information:
Full-time employment.
Work hours are 8:00 am to 4:30 pm, Monday – Friday, with 60-minute lunch.
Telework:You may have the opportunity to work from home (telework) part-time, and report to office once per week. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg.
Salary:In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
QUALIFICATIONSMinimum Experience and Training Requirements:
One year of experience as an Insurance Claims Evaluator 1; or
Two years of professional experience in the evaluation and payment of claims in multiple lines of insurance and a bachelor’s degree; or
An equivalent combination of experience and training.
Other Requirements:
. For more information on ways to meet PA residency requirements, follow the
and click on Residency.
You must be able to perform essential job functions.
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual…
Title: Insurance Claims Evaluator 2
Company: Pennsylvania – Pennsylvania Government
Location: Dauphin County, PA
Category:
