Insurance Consumer Analyst I -- Temporary

North Carolina Utilities Commission; Raleigh (NC); In loco; USD 29.000 - 40.000; Tempo pieno

Vantaggi offerti da questo lavoro

HDHP health insurance (temporary staff

Descrizione del lavoro

The Department of Insurance in Raleigh, NC seeks an Insurance Consumer Analyst I (S) for a temporary assignment in Wake County. The role provides consumer assistance on health insurance questions, denials, and external review processes, with typical hours 8am–5pm, Monday through Friday.

Requires a bachelor’s degree in business or economics and one year of relevant experience, or an equivalent combination. The position offers a $25.00 hourly rate and HDHP health coverage eligibility for temporary

Competenze

• Bachelor’s degree in business or economics or related program.
• One year of experience in insurance underwriting, claims, or policyholder service.
• Equivalent combination of training and experience.

Mansioni

• Provide counseling to consumers with questions about their insurer’s utilization review or appeal processes.
• Research and develop consumer medical appeals and file appeals with the insurer on the consumer's behalf.
• Ensure timeframes for medical appeals and external reviews are met, in compliance with statutes.

Conoscenze

Consumer counseling

Medical appeals

External review knowledge

Formazione

Bachelor's degree in business or economics

1 year experience in insurance underwriting/claims or policyholder service

Descrizione del lavoro

## Insurance Consumer Analyst I -- TemporaryApply: Wake County, NC: Full time: Posted Today: End Date: October 23, 2026 (7 days left to apply): JR-124896**Agency**Office of State Human Resources**Division**Temporary Solutions**Job Classification Title**Insurance Consumer Analyst I (S)**Position Number****Grade**NC09**About Us**To provide a solid Human Resource management foundation, responsible oversight, and creative solutions through a collaborative approach with all stakeholders to maximize the potential of our greatest asset – OUR EMPLOYEES.**Description of Work****Knowledge Skills and Abilities/Management Preferences**This is a temporary position and there are no leave or retirement benefits offered with this position. Temporary employees who work an annual average of 30 or more hours per week may be eligible for health insurance coverage under the High Deductible Health Plan (HDHP). For more information on Health Benefits offered visit www.shpnc.org. Visit www.nctemporarysolutions.com for employment information. Note: Permanent and time-limited NC State Government employees must separate from their permanent or time-limited position in order to work in a temporary position. All temporary employees are limited to one NC State Government temporary assignment at a time. Individuals hired into a temporary State job must be fully qualified for the job. OSHR supports the Governor's Job Ready initiative and seeks to expand a temporary skill set to enhance their qualifications for State government and private sector jobs. Exposure to an agency's culture, process, procedures, and potential learning opportunities can provide valuable experience to those who may seek permanent employment with the state. This temporary position is located at 3200 Beachleaf Ct., Raleigh, 27604 -- Wake County, with the Department of Insurance. Job Order Hourly Rate of Pay: $25.00 (Based on education and/or years of relevant work experience reflected on the application). Effective July 1, 2025, candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed from the class specification. The Knowledge, Skills, and Abilities listed within this vacancy announcement will be used only as management preferences and will be used to screen for the most qualified pool of applicants. The primary purpose of this position is to provide consumer assistance on complaints and consumer questions and concerns regarding their health insurance denials of coverage to assist with the filing of complaints and complaints concerning the surprise billing act of 2022. Job Duties and Responsibilities include but may not be limited to: * Providing counseling to consumers who have questions or need assistance with issues involving their insurer's utilization review or internal appeal and grievance process.* \"Hands-on\" in the research and development of consumer's medical appeals and file the appeals with the insurer on the consumer's behalf.* Responsible for knowing timeframes requirements for filing medical appeals and external reviews, and to ensure full compliance with external review statutory requirements.* Answering general telephone inquiries from consumers, physicians, hospital representatives, insurers, agents and other Department of Insurance Divisions and staff regarding the external review process.* This position has office hours, Monday through Friday 8am to 5pm. **Minimum Education and Experience**Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Bachelor's degree business or economics or a related program from an appropriately accredited institution and one year of experience in insurance underwriting, claims, or policyholder service; or an equivalent combination of training and experience.