Claims Examiner

Recruitment #221223-1979CL-001

Location

Hartford, CT

Date Opened

1/12/2023 10:00:00 AM

Salary

$52,585 - $68,764/year (Individuals new to state service start at minimum of the pay plan)

Job Type

Open to the Public

Close Date

1/26/2023 11:59:00 PM

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Introduction

The Office of the State Treasurer exists to provide and ensure effective financial management of public resources, high standards of professionalism and integrity, and expanding opportunity for State of Connecticut residents and businesses.

The State of Connecticut Office of the State Treasurer (OTT) is recruiting for an Claims Examiner in the Unclaimed Property Division. This is a full time (40 hours, Monday - Friday) position centrally located in Hartford, CT.

Selection Plan

In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process. Please ensure that your application is complete prior to submitting. NOTE: At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: a cover letter, resume, performance reviews, supervisory references, attendance records, etc., at the discretion of the hiring agency. Should you have questions pertaining to any phase of this recruitment, please contact Johnette Tolliver, johnette.tolliver@ct.gov.

This posting may require completion of additional referral questions (RQ’s) which will be sent to you via email after the closing date. Please regularly check your email for notifications, including your SPAM/JUNK folders. You must reply by the deadline indicated on the notification or you will be automatically disqualified from consideration.

Interviews will be limited to candidates whose experience and training most closely meet the requirements and preferred qualifications of the position.

All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to das.shrm@ct.gov.

PURPOSE OF JOB CLASS (NATURE OF WORK)

In Department of Social Services, Offices of Policy and Management, State Comptroller, Treasurer and University of Connecticut this class is accountable for independently performing a full range of tasks in the examination of claims and supporting documentation for validity, legality and subsequent approval for payment.

EXAMPLES OF DUTIES

OFFICE OF THE TREASURER: Performs examination of second injury claims; verifies claimant medical history, date of injury, anatomical part injured, circumstances of injury and insurance carrier financial responsibilities; determines validity of base rates for payments and performs calculations; computes cost of living adjustments; prepares payments to health providers; maintains filing system for cases; contacts attorneys, physicians, health providers and insurance representatives regarding claims; may make recommendations for investigations to supervisor; may provide technical assistance and/or training to new or lower level employees; performs related duties as required.

CLAIMS EXAMINER: Under the direction of the Claims Supervisor, utilize technology and considerable due diligence to carefully process claims for Unclaimed Property using online system. Review complex documents that may include court and probate documents, probate documents, business and corporation documentation, finders' contracts, power of attorney, trust documents, bankrupticies, class filings, personal data and more for authenticity in support of claims utilizing UCP Guidelines, state law, and stanadardized workflows. Draft communications with claimants and colleagues. May communicate with claimants. Modify correspondence as necessary.

KNOWLEDGE, SKILL AND ABILITY

Knowledge of relevant state laws and regulations; knowledge of recordkeeping procedures; interpersonal skills; oral and written communication skills; skill in performing arithmetical computations; ability to read, understand and apply laws and regulations; ability to examine and analyze claims.

OFFICE OF THE TREASURER: knowledge of medical terminology; some knowledge of human anatomy.

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Four (4) years of experience in financial record keeping, accounting, purchasing, or claims processing.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of two (2) years.

PREFERRED QUALIFICATIONS

Applicants with the following experience/training are preferred:

Minimum of two years of experience drafting, preparing and sending letters or responses to customers, personnel, or claimants' requests for additional information or relaying information or denials about related matters.
Demonstrable attention to detail.
Proven track record of learning new tasks and independently and efficiently completing complex work. Proven experience using and retrieving information from complex databases such as Core, KAPS, Microsoft Office applications, or SalesForce.
Experience independently reading, interpreting and appropriately applying particular guidelines and internal controls while processing and approving claims.
Two or more years' experience independently processing claims or similarly complex processes for legitimacy, compliance with rules, regulations, state laws, and applying office policies to either approve or deny claims.
A minimum of six months' satisfactory experience independently reviewing documents (ex. corporate subsidiary listings, trusts, wills, power of attorney, beneficiary or custodial accounts, estate, conservatorship or guardianship documents from Probate Court, divorce decrees, third-party contracts, bankruptcy documents, healthcare claims, or similarly complex documents) submitted for a claim.

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.