Supervisory Legal Administrative Specialist (Claims Examiner)

For the GS 13: You must have one year (52 weeks) of specialized experience (equivalent in difficulty and complexity to the GS-12 grade level or comparable pay band in the Federal Service) which demonstrates ALL of the following (Resume must support and elaborate on the experience required): Reviewing health insurance claim disputes under a formal appeal process; Ensuring that contract provisions adhere to health insurance laws and regulations; AND Draft reports and deliver presentations concerning health insurance appeal activities. 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.
As a Supervisory Legal Administrative Specialist (Claims Examiner) at the GS-0901-13 with a full performance level of GS-13, you will be part of Healthcare and Insurance (HI), Federal Employee Insurance Operations, Office of Personnel Management. The incumbent will serve as a supervisor assisting the Program Manager in effective oversight of assigned employees and functions. The employee will manage a team of Legal Administrative Specialists in the review of disputed health benefits claims.