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What You'll Do:
Under general direction of the Administrative Officer 2 (AO2) or Program Administrator 2 or 3 (PA2/PA3):
- Supervises & directs (assigns & monitors) all work activities for the district / regional office staff, customer service, word processing, claims examining (all 1st & 2nd level hearing issues), & docketing
- Supervises lower level supervisors (customer service & program administrator 1)
- Interprets & applies existing workers' compensation laws, IC / BWC rules, policies & procedures & instructs personnel accordingly
- Follows up verbal instruction with written direction to ensure understanding & compliance
- Assists staff with the resolution of complex work activities
- Makes recommendations to AO2, PA2, PA3 or Regional Manager regarding policy & procedure changes to assure the efficient processing of claims
- Reviews & analyzes all queues in Case Manager, Applications (Action items, Action uploads, Power BI, VSSR, etc.) & Outlook email (ODI / ODIPT, File Drop, etc.) to ensure inventories are current
- Works with other claims examiner supervisors to resolve claim, word processing, docketing & report issues (open pcn reports, CAS tracking issues, etc.,)
- Updates information on CAS, ECM & Case Manager as needed. Prepares or routes claims for exparte orders
- Maintains the risk & representative master files
- Serves as liaison with central office departments (administration, fiscal, information technology, operations support, security services, customer service (interpreters), medical services, human resources, management planning, & claims support) & the BWCÂ
- Oversees & resolves all building operational issues: security, maintenance issues, etc., & reports concerns as needed
- Backs up other district office supervisors or regional program administrators as needed
See the attached position description for more details regarding this position.Â
3 yrs. trg. or 3 yrs. exp. in workers' compensation claims processing operation, 6 mos. of which had to have been as supervisor or lead worker.
-Or in District Offices, 3 yrs exp. as Claims Examiner 2, 16792 or 30 mos. as Claims Examiner 3, 16793.
-Or equivalent of Minimum Class Qualifications for Employment noted above.
Job Skills: Claims Examination
Technical Skills: Claims Examination, Management, Customer Service, Training, Communications
Professional Skills: Attention to Detail, Developing Others, Critical Thinking, Problem Solving, Time Management
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