About Us:

The Ohio Department of Insurance (ODI) was established in 1872 as an agency charged with overseeing insurance regulations, enforcing statutes mandating consumer protections, educating consumers, and fostering the stability of insurance markets in Ohio.

Today, the mission of the Ohio Department of Insurance is to provide consumer protection through education and fair but vigilant regulation while promoting a stable and competitive environment for insurers.

Please visit our website Department of Insurance and also find us on LinkedIn .

Ohio Senior Health Insurance Information Program (OSHIIP) Mission Statement:

The mission of OSHIIP is to empower, educate, and assist Medicare-eligible individuals, their families, and caregivers through objective outreach, counseling, and training, to make informed health insurance decisions that optimize access to care and benefits.

The Ohio Department of Insurance is seeking an individual to support the Ohio Senior Health Insurance Information Program's mission of providing objective and accurate Medicare information to Ohio Medicare beneficiaries, their families and caregivers. The ideal candidate will have excellent communication skills, strong data analysis abilities, have the capability to remain positive in a fast-paced environment.

If this sounds interesting to you, continue reading below to learn more about this career opportunity with the OSHIIP Division.

What You'll Do:

Your Key Responsibilities include but are not limited to the following:

• Assist consumers and via telephone with Medicare related inquiries and provide appropriate response.
• Submit formal and finalize complaints to federal regulatory agency on behalf of consumers regarding contractual Medicare products, service and other benefit issues.
• Provide timely, clear and concise information to regulatory agencies, consumers and management.
• Review, analyze, establish facts and draw valid conclusions regarding Medicare products including Medicare Supplemental Insurance, Medicare Prescription Drug plans, Medicare Advantage plans, integrated care plans (including the duals demonstration), Long-term Care insurance, employer based health/retirement programs and others.
• Demonstrate research and analysis of the facts according to policy terms and applicable state and federal regulations through written and verbal responses.
• Make appropriate referrals to other divisions, organizations or government agencies and accept appropriate referrals.
• Maintain records of all contacts in federal web-tool.
• Screen and enroll consumers for financial assistance programs.
• Communicate complaint analysis and findings, both positive and negative, verbally and in writing in a professional manner.

What's in it for you:

Unless required by legislation or union contract, the final candidate can expect to be paid at the lowest step in the pay range (step 1). As an Insurance Complaint Analyst 2, you will receive a raise after six (6) months and yearly step increases until you reach the top level of the pay range. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.

This position is designated as telework eligible. The agency has a hybrid work model (i.e., working in the office and working from home on a schedule based on operational need). As such, successful candidates must have and maintain internet at their remote location during normal working hours. In addition, employees must reside in Ohio and within a reasonable distance from the Department location to respond to workplace reporting requirements.

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website !

Qualifications
48 months experience in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business (e.g., health; life annuities; personal lines; managed care; commercial lines); 6 months experience or 6 months training in operation of personal computer or mainframe computer; 2 courses in basic mathematics.

-Or 4 courses in insurance; 36 months experience in insurance field (i.e. regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business (e.g., health; life; annuities; personal lines; managed care; commercial lines); 6 months experience or 6 months training in operation of personal computer or mainframe computer; 2 courses in basic mathematics.

-Or completion of undergraduate core program in insurance or business; 24 months experience in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts pertinent to assigned line of business (e.g., health; life; annuities; personal lines; managed care; commercial lines); 6 months experience or 6 months training in operation of personal computer or mainframe computer; 2 courses in basic mathematics.

-Or 24 months experience as Insurance Complaint Analyst 1, 67231.

-Or equivalent of Minimum Class Qualifications For Employment noted above.

Job Skills: Insurance

Technical Skills: Insurance, Customer Service

Professional Skills: Attention to Detail, Written Communication, Verbal Communication, Analyzation, Time Management