"Alerted.org

Insurance Claims Manager

Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5126977)

Apply



Insurance Claims Manager

Salary

$77,379.00 - $117,497.00 Annually

Location

Dauphin County, PA

Job Type

Civil Service Permanent Full-Time

Job Number

CS-2025-35968-04335

Department

Insurance Department

Division

IN Ustif

Opening Date

11/03/2025

Closing Date

11/16/2025 11:59 PM Eastern

Job Code

04335

Position Number

00201680

Union

Non Union

Bargaining Unit

A3

Pay Group

ST09

Bureau / Division Code

00095330

Worksite Address

901 N 7th Street

City

Harrisburg

Zip Code

17101

Contact Name

Collette Rebuck

Contact Email

[email protected]

Bureau / Division

Insurance Department, Division of Underground Storage Tank Indemnification Fund Claims

+ Description

+ Benefits

+ Questions

THE POSITION

Are your analytical and management skills top notch? The Pennsylvania Insurance Department is seeking an innovative and ambitions individual for the position of Insurance Claims Manager. In this critical leadership role, the incumbent will serve as Division Chief for the Underground Storage Tank Indemnification Fund (USTIF), administered by the PA Insurance Department as the primary, and often the only funding available to address contamination from underground storage tank systems. Apply today and take the next step in your professional career journey.

DESCRIPTION OF WORK

The Claims Manager position requires an understanding of the USTIF eligibility requirements, information that must be collected for claim approval, as well as procedures for challenging denial of coverage. Work involves managing internal claim evaluators, outside law firms, and oversight of claim administration provided by a consulting firm. USTIF’s stakeholders include board members, distributors, tank owners, tank operators, certified tank individuals, the PA Department of Environmental Protection, and geologists. This position serves as the USTIF's area expert on claims handling procedures, develops and recommends claims handling policies, provides procedural interpretation of applicable regulations, and implements appropriate claim programs and projects. You will be expected to ensure all actions relating to claims handling are conducted in a timely and professional manner. You will have the opportunity to supervise Investigators/Claims Evaluators, support staff and contractors of the USTIF.

Other duties to include but not limited to:

+ Overseeing the development and maintenance of a claims and procedures manual

+ Overseeing the competitive bidding activities undertaken by the TPA and USTIF personnel

+ Coordinating research, both internally and with outside counsel and experts

+ Advising the Bureau Director of policy or precedent setting issues as appropriate

Interested in learning more? Additional details regarding this position can be found in the position description (https://careers.employment.pa.gov/pd/PD\_NEOGOV.asp?p=00201680) .

Work Schedule and Additional Information:

+ Full-time employment

+ Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with 60-minute lunch.

+ Telework: You may have the opportunity to work from home (telework) part-time, two days per week in office. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.

+ Salary: In some cases, the starting salary may be non-negotiable.

+ You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

+ Three years as an Insurance Claims Evaluator 2;or

+ Five years of professional experience in the evaluation and payment of claims in multiple lines of insurance and a bachelor’s degree;or

+ An equivalent combination of experience and training.

Other Requirements:

+ You must meet the PA residency requirement (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) . For more information on ways to meet PA residency requirements, follow the link (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) and click on Residency.

+ You must be able to perform essential job functions.

How to Apply:

+ Resumes, cover letters, and similar documents willnotbe reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

+ If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

+ Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

+ Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

+ Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

+ 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

+ Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).

+ Your score is based on the detailed information you provide on your application and in response to the supplemental questions.

+ Your score is valid for this specific posting only.

+ You must provide complete and accurate information or:

+ your score may be lower than deserved.

+ you may be disqualified.

+ You may only apply/testoncefor this posting.

+ Your results will be provided via email.

Learn more about our Total Rewards by watching this shortvideo (https://www.youtube.com/embed/HtcSRnndflc?rel=0) !

See the total value of your benefits package by exploring ourbenefits calculator.

Health & Wellness

We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*

Compensation & Financial Planning

We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance

We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture

We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks

Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visitwww.employment.pa.gov and click on the benefits box.

*Eligibility rules apply.

01

Have you been employed by the Commonwealth of Pennsylvania as an Insurance Claims Evaluator 2 for three or more years full-time?

+ Yes

+ No

02

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

03

How many years of full-time professional experience in the evaluation and payment of claims in multiple lines of insurance do you possess?

+ 5 years or more

+ 4 but less than 5 years

+ 3 but less than 4 years

+ 2 but less than 3 years

+ 1 but less than 2 years

+ Less than 1 year

+ None

04

If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experiencemustalso be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.

05

How much graduate coursework have you completed in business administration or public administration? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.

If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visitingwww.naces.organd clicking the Evaluation Services Link.

You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.

+ 30 credits or more

+ Less than 30 credits

+ None

06

You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. Youmustcomplete the applicationandanswer the supplemental questions. Resumes, cover letters, and similar documents willnotbe reviewed for the purposes of determining your eligibility for the position or to determine your score.

All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.

Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training.The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered.In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.

If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.

If you have general questions regarding the application and hiring process, please refer to ourFAQ page (https://www.employment.pa.gov/Additional%20Info/Pages/default.aspx) .

+ Yes

07

WORK BEHAVIOR 1 - PROGRAM DEVELOPMENT

Develop, update, and implement operational policies, procedures, and workflow efficiencies related to insurance claims investigation and payment of associated claims. Ensure insurance claims eligibility requirements are in accordance with program laws and regulations.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

+ A. I have experience DEVELOPING, UPDATING, AND IMPLEMENTING program plans, policies, and procedures RELATED to insurance claims.

+ B. I have experience UPDATING AND IMPLEMENTING changes to existing program plans, policies, and procedures RELATED to insurance claims.

+ C. I have experience DEVELOPING, UPDATING, OR IMPLEMENTING program plans, policies, and procedures RELATED to insurance claims.

+ D. I have successfully completed college-level coursework related to research or policy development.

+ E. I have NO experience or coursework related to this work behavior.

08

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ The actual duties you performed related to the development of program plans, policies, and procedures.

+ Your level of responsibility.

09

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

10

WORK BEHAVIOR 2 - TECHNICAL ASSISTANCE AND GUIDANCE

Provide technical assistance and guidance related to claims handling, operating procedures, and program policies at meetings and conferences with internal and external stakeholders. Coordinate insurance claims activities with the contracted third-party insurance administrators and internal staff.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

+ A. I have experience providing technical assistance and guidance to internal stakeholders, external stakeholders, AND contracted third-party insurance administrators related to insurance claims.

+ B. I have experience providing technical assistance and guidance to internal stakeholders, external stakeholders, OR contracted third-party insurance administrators related to insurance claims.

+ C. I have experience providing technical assistance and guidance NOT RELATED to insurance claims.

+ D. I have successfully completed college-level coursework related to public speaking or communication.

+ E. I have NO experience or coursework related to this work behavior.

11

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ Your experience providing technical assistance and guidance.

+ The topic of the information provided and to whom.

+ Your level of responsibility.

12

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

13

WORK BEHAVIOR 3 - WRITTEN COMMUNICATION

Write reports, letters, emails, and general responses related to insurance claims activities, problems, inquiries, or program requirements.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

+ A. I have experience writing reports AND correspondence responses related to insurance claims. I was responsible for the final documents.

+ B. I have experience writing reports or sections of reports related to insurance claims; OR I have experience writing correspondence related to insurance claims.

+ C. I have experience writing reports OR correspondence unrelated to insurance claims.

+ D. I have successfully completed college-level coursework related to business writing, technical writing, English composition, or journalism.

+ E. I have NO experience or coursework related to this work behavior.

14

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ The type(s) of documents you prepared.

+ Your level of responsibility.

15

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

16

WORK BEHAVIOR 4 – SUPERVISION

Perform the full range of supervisory functions including assigning work, monitoring and reviewing work, identifying training needs, providing training, preparing employee performance evaluations, approving leave, disciplining employees, resolving complaints and grievances; and making hiring decisions.

Levels of Performance

Select the "Level of Performance" which best describes your claim.

+ A. I have experience performing the full range of supervisory duties, such as disciplining employees, making hiring decisions, approving leave, completing employee performance evaluations, and directing and reviewing the work of subordinates.

+ B. I have experience as a lead worker. I have provided on-the-job training to newly hired staff, reviewed their work, or served as a team or group leader, but I was not responsible for employee discipline or hiring decisions.

+ C. I have successfully completed college-level coursework or training related to supervisory development, labor relations, or human resource management, but I do not have at least six months of supervisory or lead work experience.

+ D. I have NO experience or coursework related to this work behavior.

17

In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.

+ The name(s) of the employer(s) where you gained this experience.

+ The actual supervisory or lead work duties you performed.

+ Your level of responsibility (supervisor, manager, lead worker, team or group leader, etc.).

18

If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.

+ College/University

+ Course Title

+ Credits/Clock Hours

Required Question

Employer

Commonwealth of Pennsylvania

Address

613 North Street

Harrisburg, Pennsylvania, 17120

Website

http://www.employment.pa.gov