Assistant Insurance Fund Services Representative

The duties that the incumbent of the vacancy will be expected to perform. Duties Description Responsibilities include, but are not limited to: • Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.• Work-up and process Workers’ Compensation claims.• Approve and deny medical bills.• Respond to claimant and provider inquiries via phone and email.• Routinely communicate with employers to obtain info about claims.• File forms and correspond with the Workers’ Compensation Board.• Review claims for retirement or transfer to lost time units.• Complete other tasks as assigned or as needed.

The minimum qualifications required for this vacancy. Minimum Qualifications For appointment via NY HELPS: • Four years of customer service experience* that required independence in both verbal and written communication responsibilities *Substitution: An associate degree may substitute for two years of experience.For competitive appointment: • Transfer: Current New York State employee with one year of permanent competitive class service in a title eligible for transfer under Section 70.1 of Civil Service Law. Appointments via transfer must not result in a second, consecutive transfer with an advancement of more than two S-grades or one M-grade. Eligible titles include, but are not limited to: Administrative Asst.1, Motor Vehicle Representative 1, Office Assnt. 2, Program Aide, Unemp. Insur. Accounts Examiner.• Reinstatement: Candidates who have held the AIFSR title, or a transferable title, may be eligible for consideration for reinstatement.For 55b/55c Program appointment: This position may be designated 55 b/c and is subject to verification of applicant eligibility. For more information on this program, please visit the 55b/c Recruitment Resources Center at be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position. NYSIF is not currently enrolled in eVerify, which is a requirement for certain types of employment verifications.

Additional comments regarding the vacancy. Additional Comments For candidates new to NYS, the starting salary for this position will be the bottom of the range displayed and is not subject to negotiation. For candidates that are current NYS employees, salaries are calculated in accordance with NYS Civil Service Law, OSC Payroll rules and regulations, and negotiated union contracts.Fringe Benefits: • Competitive compensation• Future career growth potential • Open and supportive team-based environment• Plentiful vacation, personal, and sick time off• Paid state and federal holidays• Affordable health insurance plans• Dental and vision benefits provided at no additional cost• Retirement options• Public Student Loan Forgiveness (PSLF)• Possibility of telecommuting, flextime, and Alternative Work Schedules (AWS)NY HELPS Program: This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At a future date, it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.About NYSIF: For more information about NYSIF, including our mission, commitment to diversity, equity, and inclusion, and efforts to fulfill Executive Order 31, please visit If you are a person with a disability and wish to request that a reasonable accommodation be provided for you to participate in a job interview, please send an email to NYSIF’s Reasonable Accommodations mailbox at [email protected].

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