Insurance Consumer Analyst I -- Temporary

Agency

Office of State Human Resources

Division

Temporary Solutions

Job Classification Title

Program Manager I (S)

Position Number

Grade

NC20

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.

Smart NC and NC DOI Health Claim Assistant

Smart NC is a free program offered by the North Carolina Department of Insurance (NC DOI) to help consumers resolve disputes with their health insurance companies.

• •Duties for this position includes assisting with denied claims, medical appeals, external reviews, and insurance-related complaints.
• •This position provides direct consumer assistance, addressing questions and concerns related to health insurance denials and coverage issues.

Management Preferences:

• •Prior experience in call center operations, customer assistance, or related support roles.
• •Experience working with insurance plans, claims processes, or health coverage inquiries is also strongly preferred.

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 from an appropriately accredited institution and three (3) years of program experience related to the area of assignment, including one year of supervisory program experience; or an equivalent combination of training and experience.

EEO Statement

T he 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:

Robert Leander Blough

Recruiter Email:

[email protected]