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Contact Representative

Office of Personnel Management
Healthcare & Insurance
This job announcement has closed

Summary

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

Overview

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Hiring complete
Open & closing dates
05/02/2024 to 05/20/2024
Salary
$55,924 to - $72,703 per year
Pay scale & grade
GS 7
Location
Many vacancies in the following location:
Washington, DC
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Job family (Series)
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Announcement number
24-DMM-12388899-DH
Control number
789397300

Duties

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  • 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

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Conditions of employment

  • Must be a U.S. Citizen or National
  • Males born after 12-31-59 must be registered for Selective Service
  • Suitable for Federal employment, determined by a background investigation
  • May be required to successfully complete a probationary period
  • Complete the initial online assessment and USAHire Assessment, if required
  • This position is eligible for inclusion in the bargaining unit. The union that represents employees in this position is the American Federation of Government Employees (AFGE) Local 32.

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.

Additional information

This announcement will be used to fill vacancies through OPM-authorized Direct Hire Authority due to Critical Hiring Need/Severe Shortage of Candidates. Veteran preference and traditional rating/raking of applicants do not apply. For more information on OPM's authorization of Direct Hire Authority, please visit: https://www.opm.gov/policy-data-oversight/hiring-information/direct-hire-authority/

Relocation expenses will not be paid.

This job opportunity announcement may be used to fill additional similar vacancies across OPM.

Reasonable Accommodation Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended and Americans with Disabilities Act 1990 as amended, that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a reasonable accommodation in your online application. Requests for Reasonable Accommodations for the USA Hire Competency Based Assessments and appropriate supporting documentation for Reasonable Accommodation must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for Reasonable Accommodations are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments, if you received the link after the close of the announcement. To determine if you need a Reasonable Accommodation, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments here: https://help.usastaffing.gov/Apply/index.php?title=Reasonable_Accommodations_for_USA_Hire

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

  • Accountability
  • Attention to Detail
  • Customer Service
  • Decision Making
  • Flexibility
  • Integrity/Honesty
  • Interpersonal Skills
  • Learning
  • Reading Comprehension
  • Reasoning
  • Self-Management
  • Stress Tolerance
  • Teamwork


Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.


Career Transition Assistance Programs: These programs apply to employees who have been involuntarily separated from a Federal service position within the competitive service or Federal service employees whose positions have been deemed surplus or no longer needed. To receive selection priority for this position, you must: 1) meet CTAP or ICTAP eligibility criteria; 2) be rated well-qualified for the position; and 3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. For more information visit: http://www.opm.gov/rif/employee_guides/career_transition.asp.

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