Workers' Compensation Commission Claims Reviewer I
Recruitment #23-002218-0002
| Department | Worker's Compensation Commission |
|---|---|
| Date Opened | 5/30/2023 1:03:00 PM |
| Filing Deadline | 6/13/2023 11:59:00 PM |
| Salary | $34,353 to $47,160 with potential growth up to $51,801/year |
| Employment Type |
Full-Time
|
| HR Analyst | Beth Richard |
| Work Location |
Baltimore City
|
Introduction
Reimagine a career in public service. At WCC, we are collaborative and team oriented, innovative in our approach, and passionate about our work. We thrive on initiative, creativity and challenges to the status quo. Our employees are valued and empowered. We are proud of our achievements and consider excellence a continuous journey…not a destination end point. If you've got the right stuff and a passion for your work, come journey with us.
OUR MISSION
The Maryland Workers' Compensation Commission seeks to secure the equitable and timely administration of the provisions of the Maryland Workers' Compensation law on behalf of its customer, the injured workers and their employers, by providing an efficient forum for the resolution of individual claims.
OUR VISION
The Workers' Compensation Commission envisions a state wherein injured workers and employers are empowered to create an equitable partnership to facilitate prompt and fair resolution of workers' compensation matters.
Together we profoundly touch the lives of so many people and have enormous responsibility to the community by fulfilling our mission of securing equitable and timely administration of the law. The Commission continues to provide services to our constituent partners at a level rarely met throughout the United States. The professionalism, work ethic, and technological acumen manifest in our operations allows us to smoothly and effectively manage the challenges which invariably arise. Every division within the agency plays a vital role in keeping us in the forefront nationally...ARE YOU READY TO MAKE A MEANINGFUL DIFFERENCE IN YOUR COMMUNITY AND PURSUE YOUR CAREER PASSION WITH A NATIONALLY RECOGNIZED LEADER?
ABOUT US
GRADE
Grade 8
LOCATION OF POSITION
10 E. Baltimore Street
Baltimore, MD 21202
Main Purpose of Job
To review, analyze, investigate, and process Workers’ Compensation claims and related documents, and route action documents sent to claims queues to appropriate parties via the Filenet scanning system in an equitable and timely manner which also includes hearing related findings per the established rules & procedures of the Workers' Compensation law.
POSITION DUTIES
The main purpose of the Claims Reviewer is to review, analyze, investigate, and process Workers' Compensation claims and related documents, and route action documents sent to claims queues to appropriate parties via the Filenet scanning system in an equitable and timely manner which also includes hearing related findings per the established rules and procedures of the Workers' Compensation law.
Responsible for reviewing and processing claim related documents received in the claims queues including wages statements, enter/strike appearances via the FileNet scanning system in accordance with the established procedures. Reviewing and processing all hearing related documents received in claims queues via the FileNet scanning system, such as emergency hearings, rehearing, postponements, other motions and petitions, withdraw issues, etc. in accordance with the established procedures. Reviewing and processing request for hearings (Issues) received in the FileNet queues and entering the information into the AS-400 in accordance with the established procedures.
Responsible for reviewing, coding, and processing Workers Compensation claims (regular, death, and medical). Responsible for processing all claims (regular, death and medical) through the AS400 database for generation of copies to all essential parties. Monitor undeliverable mail-notifying parties and maintaining current business names and addresses.
Responsible for handling incoming and outgoing telephone inquiries from employers, insurance companies, attorneys, and claimants that require further clarification or additional information for processing documents received in accordance with the established procedures. Providing backup coverage for the Public Service Division for incoming inquiries. Analyzing, reviewing and processing claim related insurance corrections.
Responsible for reviewing and processing award order corrections in accordance with the established procedures. Reviewing temporary total (TT) and compensation deferred (CD) orders for insured & non-insured claims and entering the information in the AS-400 in accordance with the established procedures. Reviewing and processing C-40 responses, through analyzing claims and entering required data into the AS-400 and FileNet database.
MINIMUM QUALIFICATIONS
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: One year of clerical experience handling compensation claims or three years of general clerical experience.
Notes:
1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
2. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer in Workers’ Compensation Claims Examining classifications or Workers’ Compensation Claims Examining specialty codes in the Legal and Kindred field of work on a year-for-year basis for the required experience.
SELECTIVE QUALIFICATIONS
The following is a required qualification. Candidates MUST possess the following:
6 months experience working with claims
and
1 year of data entry experience
DESIRED OR PREFERRED QUALIFICATIONS
The ideal candidate will have the following prederred qualifications:
- 6 months experience in workers' compensation laws and regulations
- 1 year experience with workers’ compensation claims
- 1 year experience working with insurance companies/agencies
- Intermediate skills in Microsoft Office (Word, Excel, Outlook and PowerPoint)
SELECTION PROCESS
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the eligible (employment) list for at least one year.
BENEFITS
FURTHER INSTRUCTIONS
If you have any questions about this recruitment, please contact the Workers' Compensation Commission at 410-864-5230.
Completed applications, required documentation, and any required addendums may be mailed to:
Workers' Compensation Commission Attn: 23-002218-0002
E. Baltimore Street, Personnel Division
Baltimore, MD 21202
WCC is an equal opportunity employer. It is the policy of WCC that all persons have equal opportunity and access to employment opportunities, services, and facilities without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or veteran status.
As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.
TTY Users: call via Maryland Relay
We thank our Veterans for their service to our country, and encourage them to apply.
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