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Texas Department of Insurance

The Texas Department of Insurance (TDI) is a state agency responsible for both consumers and the insurance industry. We work to fulfill our legislative mandate to regulate the insurance industry, administer the Texas workers’ compensation system, and promote a healthy insurance marketplace, while also protecting the people and the businesses that are served by insurance. We take our responsibility to Texans seriously and strive for excellent customer service through our professional attitude, competence and efficiency.

Important notice: Read before you apply

Veterans’ preference:

To receive veterans’ preference, applicants must provide at least one of the following documents with their State of Texas Application:

  • a copy of the DD 214, member #4;
  • a statement of compensation from the Veterans Benefits Administration; or
  • a copy of the DD 1300.

Applicable Military Occupational Specialty (MOS) codes are included, but not limited to one of the following: None currently identified.

Additional Military Crosswalk information can be accessed at:

http://www.hr.sao.state.tx.us/Compensation/MilitaryCrosswalk/MOSC_Insurance.pdf

Veterans: Go to www.texasskillstowork.com for assistance with translating your military work experience and training courses into civilian job terms, qualifications/requirements and skill sets.

Current opportunity: Insurance Specialist II

Internal/External Posting – TDI Employees and General Public

The Insurance Specialist assigns new inquiries in an electronic database, scans documents into a workflow system, answers phones on a multi-line telephone system, and assigns electronic barcodes and indexing.


This position:

  • enters Independent Review Organization (IRO) assignment data;
  • assists with processing workers’ compensation applications;
  • processes and assigns inquiries within office time constraints;
  • processing Utilization Review Agent(URA) and IRO documents and assigns electronic barcodes and indexing;
  • prepares documents for imaging, data entry processing, assigns electronic barcodes and indexing;
  • reviews documents for quality control;
  • tracks URA/IRO applications, renewals, and updates and preparing notices for renewals;
  • answers incoming calls on a multi-line telephone system and routing calls appropriately;
  • assists with copying and redacting documents for open records requests and IRO decisions; and
  • performs other duties as assigned.

Qualifications

This position requires sixty college hours. Education and experience relevant to position may be substituted for one another on a year-for-year basis. 


Additionally, this position requires:

  • one-year experience in health care, regulatory, insurance, legal, or plan administration environment; and
  • prefers familiarity with health care investigations and regulatory agency relationships.


This position requires demonstrated knowledge of:

  • Texas Insurance Code, Texas Administrative Code, and/or other applicable codes and statutes with regard to managed care;
  • the use of personal computers, word processing software including Word and Excel;
  • office practices and administrative procedures; and
  • what is required to establish effective working relationships with consumers, team members, and industry representatives.

This position requires demonstrated skill in:

  • problem solving, decision making, and planning;
  • managing multiple competing priorities;
  • entering electronic data accurately and timely;
  • regularly following through on assigned tasks from inception to completion;
  • analyzing related data and using conclusions to reach resolution; and
  • professional telephone techniques.

This position requires the demonstrated ability to:

  • apply critical thinking to analyze and solve work problems ;
  • take personal responsibility for completing assigned tasks;
  • think and act independently within office and agency guidelines;
  • make decisions based on sound reasoning;
  • comprehend, learn, retain, and explain rules, policies, procedures, and practices;
  • comprehend and apply insurance statutes and regulations;
  • analyze and resolve issues regarding insurance statutes and regulations;
  • communicate professionally and effectively, both verbally and in writing, with all levels of employees and the general public; and
  • establish and maintain effective working relationships with employees at all levels of the agency and external customers.

Position details

Opening date:05/25/2018
Functional title:Insurance Specialist II
Classification title:Insurance Specialist II
Status:Internal/External Posting – TDI Employees and General Public
Application deadline:Until Filled
Pay group:B14
Monthly salary: $3,000.00
Annual salary:$36,000.00
Job posting number:18-256
Division:Texas Department of Insurance/Managed Care Quality Assurance Office
Location:333 Guadalupe Austin, TX 78701
Travel required:5 %

 

For more information, contact:

Last updated: 5/25/2018