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The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties:
Conduct routine customer service duties and provide assistance to the Customer Service administrator and managers. Take inbound calls in a call center environment to provide assistance and information to plan members, agency representatives, plan providers, third party companies, and the general public and or individual requesting information about the benefits and plans offered to applicable employees, retirees and their dependents. Subject matter typically includesm eligibility determination and eligibility status, plan coverage, exclusions and limitations, effective dates, claims history/information, premium rates/collections, payments (refunds, over/under payments) payroll errors, problems, etc. Respond to inquiries and complaints via email, facsimiles, postal mail and/or walk-in clients. Prepare correspondence accordingly and within specific time frames.
Research and analyze complex situations and complaints for problem resolution and/or provide assistance/information to vendors, plan providers, agency representatives and members. Consult with Call Center Mangers and/or Director as needed. Generate/review reports periodically, may be as often as daily, to aid in research, validation, or verification of information.
Research and retrieve member records in the imaging system to verify enrollment changes to health and life insurance coverages. Accessing the OGB Impact systems to key demographics, health, and life insurance coverage and verify coverage for active and retired State employees. Prepare documents for imaging.
Provide assistance to member agencies and benefits providers such as insurance companies, drug providers, pharmacists, etc. to prove clarification and verification of plan members eligibility for services and products and for deceased employee/retirees processes such as update of records, notifications to various entities (Vital Statistics), and coverage adjustments for surviving family members, etc.
Analyze Medicare data to determine member eligibility and ensure OGB records coordinates with the reports from Centers for Medicare portal.
All other duties as assigned.
Position-Specific Details:
Appointment Type: This vacancy will be filled by a new hire or by promotion of a current permanent status classified employee. A permanent status employee may be required to serve a new probationary period in lieu of promotion.
Louisiana is a "State as a Model Employer" for People with Disabilities.
Career Progression: This vacancy participates in a career progression group and may be filled from this recruitment as an Group Benefits Analyst 1, 2, or 3, depending on the level of experience of the selected applicant.
Compensation: This position receives a retentions pay of $1.00 per hour for each hour worked.
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy.
Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
A criminal history check may be conducted on all new hires as well as employees changing positions, including promotions, demotions, details, reassignments and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-verify system.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application. The selected candidate will be required to submit original documentation upon hire.
For further information about this posting, please contact:
Erica R. Gay
HR Specialist
Division of Administration/Office of Human Resources
email: Erica.Gay@la.gov
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