Insurance Complaint Analyst 1 - Project Emplolyee (Hybrid Eligible)

at  State of Ohio Jobs

OSHIIP is seeking a candidate 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. This Project Employee position and the project is currently scheduled through August 2025. The ideal candidate will have excellent communication skills, strong data analysis abilities and 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 OSHIIP where you too can be available to support those who serve Ohio’s 2.4 million Medicare beneficiaries, their families and their caregivers.

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

• Assist consumers via telephone with Medicare related questions and provide appropriate response
• Review, analyze, establish facts and draw valid conclusions regarding Medicare products
• Demonstrate research and analysis of the facts according to policy terms and applicable regulations through written and verbal responses
• Make appropriate referrals to other divisions, organizations or government agencies.
• Maintain records of all contacts in federal web-tool
• Screen consumers for financial assistance programs

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 1, 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.Why Work for the State of Ohio

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! Our benefits package includes:

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
• Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

24 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts (e.g., health, life, annuities, personal lines, commercial lines, federal health care programs); 6 mos. exp. or 6 mos. trg. in operation of personal computer; 2 courses in basic mathematics (i.e., addition, subtraction, multiplication, division).

• Or 2 courses in insurance & 2 course in basic mathematics (i.e., addition, subtraction, multiplication, division); 18 mos. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts (e.g., health, life, annuities, personal lines, commercial lines); 6 mos. exp. or 6 mos. trg. in operation of personal computer.
• Or completion of undergraduate core program in insurance or business; 6 mos. exp. or 6 mos. trg. in operation of personal computer & 2 courses in basic mathematics (i.e., addition, subtraction, multiplication, division).

Job Skills: InsuranceSupplemental Information
Application Procedures:
When completing the different sections of this application, be sure to clearly describe how you meet the minimum qualifications outlined in this job posting. We cannot give you credit for your Work Experience and Education & Certifications if you do not provide that information in your online application. Information in attached resumes or cover letters must be entered into your application in the appropriate Work Experience or Education & Certification sections to be considered.
Status of Posted Positions:
You can check the status of your application online by signing into your profile. Jobs you applied for will be listed. The application status is shown to the right of the position title and application submission details. Questions about the position not pertaining to your application status can be directed to: Kim Lowry @ 614-644-2681.
Applicants must be currently authorized to work in the United States on a full-time basis.
Reasonable Accommodation: ODI does not discriminate on the basis of disability in its hiring or employment practices and complies with the ADA employment regulations. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the agency Human Resource Offices’ ADA Coordinator, Andrew Skal, by emailing Andrew.Skal@insurance.ohio.gov or calling 614-644-3264. Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to participate in a structured interview.

• Assist consumers via telephone with Medicare related questions and provide appropriate response
• Review, analyze, establish facts and draw valid conclusions regarding Medicare products
• Demonstrate research and analysis of the facts according to policy terms and applicable regulations through written and verbal responses
• Make appropriate referrals to other divisions, organizations or government agencies.
• Maintain records of all contacts in federal web-tool
• Screen consumers for financial assistance program