The SC Public Employee Benefit Authority (PEBA) is seeking an Administrative Coordniator I.
The SC Public Employee Benefit Authority (PEBA) is the administrator and co-trustee of retirement and insurance programs for over half a million active and retired public employees of the State of South Carolina and their dependents.
As a member of the Insurance Appeals Division (IAD), this position will review, draft and recommend decisions. Specific job duties include:
- organize appeals files and enter information into appropriate systems and communicates with vendors and members to gather appeals information
- review and summarize insurance appeals in a consistent manner and in compliance with the terms of the self-administered plans offered through PEBA
- draft appeals decisions on issues such as coverage changes outside of the allowed period, untimely appeals, modified quantity limits for prescriptions, and specific exclusions under the terms of the self-administered plans
MINIMUM AND ADDITIONAL REQUIREMENTS:
A Bachelor's degree and experience in any of the following: technical, legal, or medical writing, public administration, administrative services, legal processes, or communications.
Excellent organizational, interpersonal, and computational skills are critical. Working knowledge of modern office practices, procedures, and equipment such as Microsoft applications. Ability to research, compile, and analyze information, and produce quality written communication is essential. Must be able to follow applicable templates, logically and briefly explain situations, and produce quality written material within PEBA timeframes.
The SC Public Employee Benefit Authority is an Equal Opportunity Employer and does not discriminate in employment opportunities or decisions for persons on the basis of race, color, religion, sex, national origin, age, disability, or pregnancy, childbirth, or related medical conditions; including but not limited to lactation.
Interested candidate should apply online.