Administrative Coordinator I - Appeals Writer

The South Carolina 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. Under general supervision, this position reviews insurance appeals, recommends outcomes and drafts decisions for PEBA's Insurance Appeals Division (IAD). This position occasionally performs general administrative activities affiliated with the IAD's appeals process regarding claims for insurance benefits under the self-insured plans offered through PEBA. Furthermore, this position prepares and maintains specialized records and documents for the IAD and compiles records and other necessary documentation for appeals to the Administrative Law Court.

Job duties include:

Organizing appeals files and entering information into Microsoft Excel, UNIX, Imaging, or other systems as needed. Interacting via email internally, with vendors, and the public to gather and disperse appeals information. Sending communications via mail, including certified mail, to the appropriate parties. Performing related clerical duties as assigned. Reviewing insurance appeals in a consistent manner and ensuring appeals are in compliance with the terms of the self-administered plans offered through PEBA. Summarizing individual appeals for discussion within the IAD and recommends outcomes. Drafting appeal decisions for PEBA. Ensuring the credibility of the decisions by detailing relevant facts, addressing each issue, applying the relevant provisions from the statutes, self-administered plans, and PEBA documents, and including PEBA's findings and conclusions for each issue. Compiling records and gathering other necessary documentation for appeals to the Administrative Law Court. Performing limited research as requested. A bachelor's degree and experience in 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's timeframes. Working knowledge of IA Folder, Microsoft programs, Adobe, and UNIX preferred. In addition to 13 paid holidays, this position is eligible for comprehensive insurance programs, retirement plans, and a generous paid leave program.