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30+ days
Not Specified
Not Specified
$20.08/hr - $35.83/hr (Estimated)
<p>The Industrial Commission is seeking an experienced claims examiner with a customer focused background who can handle assigned claims following agency guidelines and procedures, someone who can adapt to change and remain professional while working with OIC customers. The selected individual must have strong customer service skills, must pay attention to details and produce accurate work product and have the ability to multi-task, prioritize and manage time effectively.</p> <p>Under general supervision prepares 1st and 2nd level claim issues for hearings and hearing officer review using personal computer applications (CAS, ECM, Case Manager, Share Point, ICON, BWC applications) for data retrieval, verification, resolution, tracking & organization.</p> <ul> <li>Reviews issues according to established Workers' Compensation laws and Industrial Commission rules, policies and procedures. </li><li>Utilizes time management skills to meet deadlines / legislative time frames. </li><li>Captures issues, updates Position Control Number tracking and updates injured worker, claim / employer and representative information on CAS. </li><li>Reviews / analyzes claim documents and images to determine pertinent data (hearing issues & levels, filing and order dates, claim allowances, involved parties, prior decisions, special docketing needs, etc.). </li><li>Reviews for other related issues for docketing and consolidation as needed and or same earliest hearing dates. </li><li>Re-indexes and proofreads documents to ensure an accurate hearing folder. </li><li>Uploads and verifies accuracy of documents uploaded by internal / external customers to ensure an accurate hearing folder. </li><li>Answers inquiries from internal and external customers regarding the claims process / claims status. Backs up the customer service counter as assigned. </li></ul> <p>See the attached position description for more details regarding this position.</p> <p>Formal education in arithmetic that includes addition, subtraction, multiplication, division, fractions, decimals & percentages & in reading, writing & speaking common English vocabulary; 3 mos. trg. or 3 mos. exp. in office practices & procedures.</p> <ul> <li>Or 6 mos. exp. as Claims Examiner 1, 16791. </li><li>Or equivalent of Minimum Class Qualifications for Employment noted above. </li></ul> <p>Job Skills: Claims Examination</p> <p>Technical Skills: Clerical & Data Entry, Computer Literacy, Customer Service, Medical Terminology</p> <p>Professional Skills: Attention to Detail, Decision Making, Problem Solving, Teamwork</p>
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