The incumbent will provide administrative support for efficient operations within the Postal Service Health Benefits (PSHB) Program.

Duties

Serving as primary point of contact for customers for the Postal Service Health Benefits (PSHB) Program. Answering incoming telephone calls and correspondence. Providing direct responses to specific inquiries regarding the programs Tracking and processing disputed claim appeals within the Group that administer the PSHB Program. Performing automation support activities and administrative support tasks.

Requirements

Qualifications

For the GS7: You must have at least one year (52 weeks) of specialized experience which is equivalent in difficulty and complexity to the GS-6 level in the Federal Service that demonstrates all of the following: a) Meeting and dealing with the public on health benefits and/or health insurance-related matters; b) Assisting individuals with technical and complex health insurance appeals; c) Researching, analyzing and developing responses to complex or unusual health benefits-related customer service inquiries and/or health insurance appeals; d) Reviewing healthcare records to resolve discrepancies; AND e) Using automated systems to develop letters and reports, and enter or retrieve data supporting health benefits and/or health insurancerelated activities. OR B. Have completed a 4-year course of study leading to a bachelor's degree AND meet the Superior Academic Achievement criteria based on one of the following: (1) class standing (upper third standing in graduating class); (2) grade-point average (2.95 overall or over the last two years of bachelor's degree -or- 3.45 in your major field or over the last two years in your major); or (3) election to membership in a national scholastic honor society and meets the knowledge, skills, and abilities necessary to do the work of a Legal Administrative Specialist. Note: Please submit copies of college transcripts and documentation of class rank or national scholastic honor society membership if qualifying on that basis. OR C. Have one full year of graduate level study, or possess a master's or higher degree, e.g., LL.B, J.D. OR D. Have an equivalent combination of the experience described in 'C' and the graduate-level education described in 'B'. To determine if you qualify under this combination, first determine your total qualifying experience as a percentage of the experience required; then determine your education as a percentage of the graduate education required; and then add the two percentages. The total percentages must equal at least 100 percent to qualify. Note: Please submit a copy of your graduate transcripts with your application. You must meet all qualification and eligibility requirements by the closing date of this announcement. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Education

This job does not have an education qualification requirement.

Contacts

• Address OPM Human Resources 1900 E St., NW Washington, DC 20415 US
• Name: OPM Human Resources
• Phone: 202-606-9321
• Email: [email protected]