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Staff Services Analyst
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staff services analyst
3 months ago
Job Description and Duties
Join the Covered California team
Are you a detail-oriented professional with a passion for helping consumers? We are seeking a dedicated Staff Services Analyst (SSA), Appeals Analyst, to join our dynamic Appeals Unit within the Consumer Relations and Resolution (CR&R) Branch at Covered California. Under the supervision of the Staff Services Manager (SSM) I, you will conduct thorough research and review assignments, addressing appeals, escalations, and issues reported by our consumers. Your role will be crucial in ensuring swift and accurate resolution to any problems they encounter.
As an Appeals Analyst, you will:
Handle appeals and complaints, conduct research, analyze complex issues, and coordinate resolutions. Utilize insurance and healthcare experience, with knowledge of the Affordable Care Act, to address consumer concerns. Prepare detailed written statements, research findings, and recommendations. Provide exceptional customer service by effectively resolving consumer appeal issues.If you are committed to excellence and consumer satisfaction, we invite you to apply and become a valuable member of our team.
At Covered California, we recognize our employees are our most valuable asset. We have a variety of career fields that help make a difference in the lives of Californians, and we're looking for talented and enthusiastic individuals to join our team Learn more about why you should join the .
NOTE: A Training and Development (T&D) assignment may be considered for this position. If interested in a T&D assignment, please indicate on your State Application STD. 678.
This position's office headquarters location is designated in Sacramento, Expo.
Travel expenses associated with commuting to the employee's office headquarters location are not reimbursable, other than authorized transit subsidies.
NOTE: To be considered for this job opportunity, applicants must be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. If you are new to California State service and you do not have list eligibility, you must take the exam for this classification. To gain employment list eligibility, please to access the exam bulletin.
NOTE: Possession of minimum qualifications will be verified prior to interview and/or appointment. If it is determined an applicant does not meet the minimum qualifications, the applicant's name may be removed from the eligibility list.
You will find additional information about the job in the .
Working Conditions
This position may be eligible for telework. The amount of telework is at the discretion of the Department and based on Covered California's current telework policy. While Covered California supports telework, in-person attendance may be required based on operational needs. Employees are expected to be able to report to their worksite with minimal notification if an urgent need arises, as determined by the Department.Special Requirements
Statement of Qualifications (SOQ) Instructions: A SOQ is required to apply. The SOQ will be used as a pre-interview screening tool. Applicants who do not follow the SOQ instructions and/or do not answer the prompt as stated below may not be considered. Application, Resume and/or Cover Letter attachments will not be considered as an SOQ.
A Statement of Qualifications (SOQ) must discuss how your education, training, and experience qualifies you for this position. The SOQ must be no more than two pages in length, 12 pt. Arial font, and must address each of the items listed below.
Describe an assignment/task that required usage of your analytical skills. Please describe the task and the outcome. Describe your experience applying and communicating policy, regulations, and/or legislation to a diverse audience in a professional setting. What were your strategies for ensuring understanding and how did you handle communication differences? Please provide an example. Describe your experience providing excellent customer service and the steps you took to ensure your customers' satisfaction. Please provide an example. Covered California Service Center is constantly changing and evolving. How will you deal with challenges and adapt to changing processes? Please provide an example of when you had to adapt to change. California State Civil Service Employee Benefits Summary Benefit Description Additional Information New Employee Benefits Orientation PageSummary review of benefits available to you as a new State Civil Service employee. State Civil Service Act
Review the benefits and protections provided to State Civil Service employees through the State Civil Service Act.
Salaries and Civil Service Pay ScalesInformation regarding salary ranges for State Civil Service employees, as well as the Civil Service Pay Scales, the official salaries for all state jobs.
Represented Employee Bargaining ContractsReview the specifics of represented state employee collective bargaining contracts.
RetirementLearn more about the defined benefit plan that is offered to state employees through the California Public Employees' Retirement System (CalPERS) based on years of service, age and final compensation. CalPERS also offers disability retirement, partial service retirement, and death benefits for eligible employees.
401(k) and 457(b) Plans (Savings Plus)
Offers a voluntary benefit that allows you to contribute to both a 401(k) and a 457(b) plan to enhance your retirement benefit. This allows you to contribute, through payroll deduction, up to twice the amount available to the private sector and most public sector employees. You can contribute on both a pre-tax and an after-tax designated Roth basis that offers you the opportunity to take advantage of tax savings now and in the future.
California State Civil Service Employee Benefits Summary - Specific Benefits Specific Benefits Additional InformationCash In Lieu of Health and/or Dental Benefits (Cash Option)
Allows you to receive cash in lieu of state-sponsored health and/or dental benefits insurance if you have other qualifying medical and/or dental coverage through a spouse, domestic partner, parent or other source.
Common Carrier Travel and Accident Insurance – for Excluded Employees OnlyOffers employer-paid accidental death and dismemberment insurance to managers, supervisors and other specified employees who travel on state business.
Commute ProgramVoluntary benefits that subsidize commuting expenses for eligible employees who commute to and from work using public transportation, vanpools, or bicycles.
Consolidated Benefits (CoBen)Provides a benefit allowance, rather than specific contribution amounts for health, dental and vision benefits. You may receive additional taxable income each month, depending on the total cost of the benefit plans you choose.
Consolidated Omnibus Budget Reconciliation Act (COBRA)Continuation of health, dental, and vision insurance coverage as well as medical reimbursement account for employees and eligible dependents who involuntarily lose coverage.
Death BenefitsBenefits available to legal survivors and/or designees of state employees; see "Planning Ahead" handbook.
Planning Ahead Handbook | Dental BenefitsOffers you and your dependents preventive, basic and major dental care coverage through one of several dental plans.
Employee Assistance ProgramEmployer-paid program offers free professional and confidential short-term counseling and referral services to employees and their eligible dependents, as well as valuable information on a variety of topics including financial, legal, and wellness.
(866) EAP-4SOC TDD California State Civil Service Employee Benefits Summary Benefit Description Additional Information Group Legal Services Insurance
Voluntary, employee-paid plan that provides comprehensive legal coverage designed to meet most common personal legal needs. Available to eligible employees and their eligible dependents.
Voluntary, employee-paid plan that replaces a portion of the employee's income in the event the employee is unable to work for six months or longer due to a covered illness or injury.
Health BenefitsOffers you and your dependents a broad range of health insurance plans with the state paying a portion of the premium. CalPERS administers this coverage.
CalPERS Health and WellnessPromotes a work environment that encourages healthy lifestyle choices, decreases the risk of illness and disease and enhances employee effectiveness and well-being.
Long-Term Care ProgramOffers coverage through CalPERS for a chronic illness, frailty of old age, or a serious accident. Available to all California public employees, retirees, and their eligible family members.
Part-time, Seasonal, and Temporary Retirement ProgramOffers a retirement savings program for part-time, seasonal and temporary employees who are not covered by CalPERS or Social Security.
Reimbursement AccountsAllows you to set pre-taxed money aside in a reimbursement account to pay for certain kinds of medical and dependent care expenses. You can increase your take home pay and decrease your taxable income.
Third-Party Pre-Tax Parking Reimbursement Account ProgramAllows you to deduct a specific pre-tax amount for work-related parking fees from your pay. Available to employees who drive a personal vehicle to work or to a location from which the employee commutes to work and pays for parking.
Vision BenefitsEmployer-paid benefit that offers you and your dependents an annual eye examination and an allowance for frames and lenses. An enhanced vision plan is also available which provides higher allowances for certain materials and other benefits.
