Administrative Specialist I/Processing Assistant

Agency

Dept of Insurance

Division

Industrial Commission

Job Classification Title

Administrative Specialist I (S)

Position Number

60080760

Grade

NC08

About Us

The mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property of every citizen in all 100 counties while fostering superior, user-friendly service, courtesy, and respect. Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department. In an ever-changing environment, it is the vision of the Department of Insurance to maintain the stabilization of the insurance industry in order to provide more products, competitive prices and consumer protection.

Description of Work

Mission of the Industrial Commission
The North Carolina Industrial Commission is vested as a court of exclusive and original jurisdiction by the General Assembly to adjudicate and administer the North Carolina Workers' Compensation Act. The Industrial Commission processes over 65,000 workers' compensation injury reports and claims filed annually under the Act. This responsibility includes overseeing and providing for the trial of contested cases as well as administering non-contested cases. Workers who are injured by accident on the job or who contract an occupational disease receive disability and medical benefits as ordered by the Industrial Commission. The Industrial Commission is also a court of original jurisdiction for litigating tort claims against the State under the North Carolina State Tort Claims Act. Additionally, the General Assembly has mandated the Industrial Commission to provide an adjudicated process for Childhood Vaccine- Related Injury claims and Compensation to Persons Erroneously Convicted of Felonies. It acts as a court of exclusive and final jurisdiction for death claims made by families of law enforcement officers, fire fighters, rescue squad workers and civil air patrol members arising under the Public Safety Employees' Death Benefits Act. Each of these adjudicatory systems requires administration of contested and uncontested claims, review of agreements, and supervision of payment of benefits.

Description of Work
Administrative Specialist I/ Processing Assistant - 60080760
Salary Recruitment Range: $39,244
Salary Grade: NC 08

This position currently qualifies for a hybrid telework option with routine office and remote workdays.

The posting will close at 11:59 p.m. the night before the closing date

Primary Purpose of the Organizational Unit
The Claims Administration Section of the North Carolina Industrial Commission processes workers’ compensation injury reports filed by employers (Forms 19) and claims forms filed by injured workers (Forms 18 or 18B), as well as the workers’ compensation forms related to claim acceptance or denial, return to work, payment of permanent partial disability ratings, occupational diseases, death claims and claim closures. The Claims Administration Section also researches insurance coverage information, assigns carrier codes, and updates claimant, carrier, and third-party administrator addresses. The Claims Administration Section assists external stakeholders with file copy requests and information about claim status.

Primary Purpose of the Position
Employees in the Claims Administration section assist employers, employees, carriers, medical providers, attorneys, and other interested parties with information on insurance coverage, claim status, and file copy requests. This is accomplished through review and accurate keying of a high volume of claims forms, including but not limited to Forms 18 and Forms 19. The Administrative Specialist I answers a high volume of telephone calls from both external and internal stakeholders.

Knowledge Skills and Abilities/Management Preferences

​Prefer one or more years of experience in data entry and/or the workers’ compensation system, insurance industry, or legal field.

• Demonstrated experience reviewing claim forms and keying data from those forms into databases in a computer system.
• Demonstrated experience facilitating and organizing the flow of work.
• Demonstrated experience in an office environment, including answering telephone calls and responding to emails from both external and internal stakeholders.
• Demonstrated experience using office equipment and other technology to meet organizational needs.

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.

High school diploma or General Educational Development (GED) diploma and two years of related administrative experience; or equivalent combination of education and experience.

Benefits of NC State Employment:

We value our employees and offer a wide variety of competitive and family- friendly benefits. Benefits include:

• 12 Annual paid Holidays
• North Carolina State Health Plan administered by AETNA
• Supplemental Benefits including: Flexible Spending Accounts, Accident Insurance, Cancer & Specified Disease, Critical Illness, Dental and Vision
• NC State Retirement (TSERS)
• WeSave Employee Discounts

Learn more about employee perks/benefits:

• Why Work For NC?
• NC OSHR: Benefits

** Supplemental and Contact Information:**

For consideration for this vacancy, all applicants must complete an online application using the “APPLY” button above.

To receive credit for your work history and credentials, you must list the information on the State Application. Any information omitted from your application cannot be considered for qualifying credit.

Applications with "see attached" or resumes in lieu of completed education and work experience on the formal application will be deemed incomplete and will not be eligible for consideration for the vacancy

Applications for positions requiring specific coursework must be accompanied by a copy of the applicant's transcript.

The Department of Insurance/Industrial Commission may conduct criminal history checks of all job applicants recommended for employment. Failure to accurately acknowledge information on criminal convictions on the state application form will be grounds for non-consideration of applications, disciplinary action, and possible criminal prosecution.

The Department of Insurance/Industrial Commission is an Equal Employment Opportunity employer and uses the merit-based recruitment and selection plan to fill positions subject to the State Personnel Act with the most qualified individuals.

• Academic Degrees must be from appropriately accredited institutions and will be verified. If you are selected for a position at DOI/IC, your academic credentials will be verified.
• Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax.
• Applicants seeking Veteran's Preference under N.C.G.S .126 must submit a DD Form 214, Certificate of Release or Discharge from Active Duty. This information may be attached to the online application or be faxed on or before the closing date.

Applicants may check the status of their application for a vacancy at any time by logging in to the government jobs system. Once the applicant has logged in, the status of each submitted application is documented next to each vacancy for which they have applied.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

Recruiter:

Gretchen Marie Senez

Recruiter Email:

GRETCHEN.SENEZ@NCDOI.GOV