Review the Federal Employees Group Life Insurance (FEGLI) Handbook
Answering your questions about Healthcare and Insurance
Human Resources and Security Specialists should use this tool to determine the correct investigation level for any covered position within the U.S. Federal Government.
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Applicants may meet minimum qualification requirements on the basis of experience or education as indicated below.
General Experience (for positions at GS-4 and GS-5): Experience that involved analyzing, explaining, processing, or interpreting claims, benefits, laws, regulations, or procedures. Two years of such experience is required for GS-4 positions; and 3 years, 1 year of which was equivalent to at least the GS-4 level, is required for GS-5 positions.
Specialized Experience (for positions above GS-5): Experience in the acceptance, review, adjudication, or authorization of claims for the payment of benefits to individuals under law, contract, or governmental order. Such experience must have demonstrated the ability to develop and evaluate pertinent facts and evidence, apply and interpret laws, rules, regulations, policies, and precedents, and make decisions on issues of fact and law in the allowance or disallowance of claims. One year of specialized experience equivalent to at least the next lower grade level in the normal line of progression is required for positions at these grade levels.
Education (for positions at GS-4 and GS-5): Major study -- any field. Two years of education above the high school level is qualifying for GS-4. A 4-year course of study leading to a bachelor's degree is qualifying for GS-5. Education is not creditable above the GS-5 level.
For positions involving interviews with claimants or the conduct of negotiations or hearings, applicants must demonstrate the ability to deal courteously and effectively with the public, to exercise tact, ingenuity, and resourcefulness in the development of facts and information, and to work effectively with others.
Refer to Section V of this Manual for information about test requirements.
There is no Group Coverage Qualification Standard for this series. Use the Individual Occupational Requirements described below.