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BENEFITS VERIFICATION SPECIALIST

ADMINISTRATIVE SPECIALIST III

Recruitment #26-002043-0009

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Introduction

The Subsequent Injury Fund (SIF) reviews and investigates workers' compensation claims that involve pre-existing health conditions that substantially increase the disability of injured workers. The liability of employers' insurers is limited to compensation for the damages caused by the current injury, and the SIF incurs all additional liability from the combined effects of all injuries and/or conditions.

The Subsequent Injury Fund is seeking a Benefits Verification Specialist for the Claims Department.

GRADE

12

LOCATION OF POSITION

Baltimore County
222 Schilling Circle, Suite 180
Hunt Valley, Maryland 21031

POSITION DUTIES

The Benefits Verification Specialist will provide administrative support to the expeditious and accurate processing of Maryland Workers’ Compensation claims involving the Subsequent Injury Fund to maintain the efficient operation of the agency with focus on accurate processing of Workers’ Compensation Commission Awards.

Position duties include but are not limited to: 

  • Read, analyze and accurately interpret MD Workers' Compensation Commission (WCC) awards involving Subsequent Injury Fund (SIF) fiscal liability.
  • Check awards for accuracy.
  • Consult with WCC Commissioner assistants to resolve issues regarding WCC Award calculation errors effecting SIF liability amount and payment onset dates, disputed SIF legal and medical fee liability payments and SIF credits for prior awards.
  • Consult with SIF Assistant Attorney’s General to resolve WCC Award and Final Compromise and Settlement Agreement Award language confusion regarding SIF liability payment dates and dollar amounts.
  • Consult with insurance company claims adjusters to resolve payment calculation disputes regarding SIF payment liability onset dates.
  • Check accuracy of addresses using 2 different sources.
  • Accurately calculate SIF payment onset date. Utilizing one of eleven templates, prepare a payment memorandum to the SIF Fiscal Unit detailing overall SIF liability, payment start date, biweekly payment amount, fee payments and amount and length of biweekly payment reduction (if applicable).
  • In cases of Settlement Agreements, list if S/A is in lieu of an award, whether there are credits/no credits for any award amount already paid and check the accuracy of any attorney’s fees.
  • Utilize a warning report, pull files for start claimant payments.
  • Verify start pay amount, biweekly amount, start date, award date, and balance of SIF liability (weekly). Send start pay letter to claimant and claimant’s attorney along with direct deposit form and instructions.
  • Utilize a warning report, send end pay letter to claimant and claimant’s attorney once balance drops below the biweekly rate (biweekly basis).
  • Present case summaries and recommendations at the weekly Subsequent Injury Fund Board meetings in response to lump sum payment applications submitted by injured workers receiving biweekly payments from the SIF.
  • Provide signature authorization to the Fiscal Unit for the accounting allocation of additional funds to the individual accounts of permanent total disability lifetime benefit recipients.
  • Prepare SIF Board Meeting Agenda and Meeting Minutes in Administrative Specialist II’s absence.
  • Distribute Settlement/Appeal Reviews and pertinent Workers’ Compensation Commission Awards to all pertinent personnel and enter Board decisions into the Word Meeting Minutes document and Time/Matters case control system post weekly Board meetings.
  • Check non-assessed assessments for accuracy on a weekly basis. Respond to inquiries from claimants, attorneys (including SIF attorneys) and claims adjusters regarding claim payments, address changes, forms and letters on a routine, daily basis, and resolve any issues that may arise.
  • Monitor e-notices inbox for incoming WCC correspondence. Open, date stamp and accurately associate incoming correspondence with correct claim the day of receipt.
  • Scan WCC Awards to TimeMatters case control system and match to corresponding files for delivery to Lead Attorney In last name alphabetical order, accurately return claim folders to filing cabinets.
  • Accurately scan processing of designated closed claims documents within 48 hours of receipt.
  • Attach WCC hearing notices to corresponding claim files and distribute to attorneys.
  • Back-up telephone duty, answering incoming telephone calls & accurately transfer calls to the correct extension.
  • Serve as the Agency’s State Charity Campaign Coordinator.
  • Other duties as assigned.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Two years of experience performing administrative staff, clerical, clerical technical, or secretarial work.  

Notes: 
1. Candidates may substitute 30 college credit hours from an accredited college or university for each year of the required experience. 

2. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer involving staff work requiring regular use of independent judgment and analysis in applying and interpreting rules and regulations in accordance with agency laws and policies on a year-for-year basis for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

Preference will be given to applicants who possess the following preferred qualification(s). Include clear and specific information on your application regarding your qualifications.

  • Experience in the calculation and preparation of benefit payment memorandums
  • Experience in computerized case control systems including diary notation and document generation
  • Professional writing and oral communication skills

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland.

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.

EXAMINATION PROCESS

The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application. Please report all experience and education that is related to this position.

BENEFITS

FURTHER INSTRUCTIONS

Online applications are highly recommended. However, if you are unable to apply online, the paper application and supplemental questionnaire may be submitted to: Department of Budget and Management, Recruitment and Examination Division, 301 W. Preston St., Baltimore, MD 21201.

Paper application materials must be received in our office by the closing date for the recruitment. No postmarks will be accepted.

Resumes will not be accepted in lieu of completing the online or paper application.  

For questions regarding this recruitment, please contact the DBM Recruitment and Examination Division at Application.Help@maryland.gov or 410-767-4850, MD TTY Relay Service 1-800-735-2258. 

We thank our Veterans for their service to our country. 

People with disabilities and bilingual candidates are encouraged to apply. As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.


Click on a link below to apply for this position:

Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online
View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.
Apply via Paper Application. You may also download and complete the Paper Application here.

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