Connecticut StateDepartment of Administrative Services

Claims Analyst

Recruitment #190510-0399AR-001

Introduction

 

The State of Connecticut Office of the State Treasurer seeks qualified individuals for a Claims Analyst position within their Second Injury Fund Department. 

Applicants will be required to travel, attend workers compensation hearings, and manage a case load.

All applicants must include a resume within the "Resume Tab" of their application with their submission.  Please Note: You will be unable to make revisions once you submit your application for this posting to the JobAps system.

Should you have questions pertaining to this recruitment, please contact Maria Greenslade at Maria.Greenslade@ct.gov or Alex Marcellino at alex.marcellino@ct.gov.

Selection Plan

This position will be filled in accordance with reemployment, SEBAC, transfer, promotion and merit employment rules.

Candidates who are selected to interview will be required to provide a copy of their current adjuster license.

Applicants invited to interview may be required to submit additional documentation, which supports their qualification(s) for this position.  These documents may include:  performance reviews, supervisory references, college transcripts, licensure, etc., at the discretion of the hiring agency.

PURPOSE OF JOB CLASS (NATURE OF WORK)

In the Office of the State Treasurer, this class is accountable for independently performing a full range of professional tasks in the review and analysis of workers’ compensation claims and coordination of other related program activities.

EXAMPLES OF DUTIES

Reviews legal and medical documentation relevant to pending workers’ compensation claims to determine liability and/or eligibility; acts as liaison between attorneys, insurance carriers and others to obtain information necessary to determine liability, eligibility and/or compensability; analyzes claim information and identifies issues regarding liability and/or eligibility; monitors cases to ensure accuracy of continued benefit; recalculates benefit payments to determine accuracy of amounts and duration; determines action plan to facilitate employee return to work or settlement of claim; negotiates settlements; identifies and works to recover payments; prepares demand letters and liens; processes requests for reimbursement from carriers and self-insurers for payments made to claimants; submits recommendations on claim transferability or contested liability to Special Funds Administrator; drafts transfer agreements; schedules pre-hearing conferences on contested transfer claims; assists Office of the Attorney General in case hearing preparation; prepares files for transfer to Second Injury Fund Claims Examination Unit; assists in establishment of policies and procedures; trains new employees as necessary; may represent, attend or assist in preparation of informal or formal hearings; performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

Considerable knowledge of and ability to interpret and apply workers' compensation statutes and regulations; knowledge of medical terminology; considerable oral and written communication skills; interpersonal skills; ability to read, understand and interpret legal documents and other written materials; ability to utilize computer software.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Six (6) years of experience in the case management of workers' compensation claims.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

  1. College training may be substituted for the General Experience on the basis of fifteen (l5) semester hours equalling one-half (l/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
  2. Certification as a Workers' Compensation Claims Law Associate (WCCLA) may be substituted for 2 (two) years of the General Experience.
  3. Possession of a current State of Connecticut Workers' Compensation Casualty Adjuster License may be substituted for one (1) year of the General Experience.

PREFERRED QUALIFICATIONS

Preferred candidates will be able to:

  • Review pending workers compensation claims for liability and or eligibility;
  • Monitor cases to ensure accuracy of continued benefits;
  • Calculate benefit payments;
  • Develop action plan for case closure;
  • Process reimbursement requests;
  • Analyze subrogation potential.

Candidates must have a current adjuster license.

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.







The State of Connecticut is an Affirmative Action/Equal Opportunity Employer and strongly encourages the application of women, minorities and persons with disabilities.