Insurance Claims Evaluator 2
Employment Opportunity: The PA Insurance Department has one Insurance Claims Evaluator 2 opening in Harrisburg, which is in Dauphin County.
Applications will only be accepted between January 19 and February 1, 2016.
Nature of Work: An employee in this job analyzes and evaluates insurance claim files and recommendations submitted by a contracted Third Party Administrator (TPA) for the payment of insurance claims. Work includes reviewing claim information submitted by the TPA to ensure compliance with statutory requirements and claims administration practices, and for appropriateness of recommendations; approving payment of claims and contractor invoices; identifying and researching claim issues, and providing recommendations to the supervisor for resolution; and contacting claimants, TPA staff, attorneys, service providers, and other individuals to collect or provide information regarding the status of claims. Work also involves providing guidance to TPA staff on interpreting regulations and policies. Work is performed independently under the general direction of an Insurance Claims Manager or administrative supervisor.
In order to be considered, applicants must be PA residents, and meet the following 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.
Starting Salary: $45,692 annually with an excellent benefits package!
Have questions? Please contact Donna Fleischauer by sending an email to dfleischau@pa.gov, or by calling (717) 705-4194.
How to Apply: Apply online at www.scsc.pa.gov. Log in to the Online Services section of the homepage. First-time users will need to create a user ID and password by selecting the "New user? Register here" link. After logging in, select View Open Announcements & Apply from the menu. Reference announcement #2013-018 for Insurance Claims Evaluator 2 to submit your application.
