Official SealDepartment of Budget and Management


#19-001756-0030
Supplemental Questionnaire

Last Name
First Name
1

Candidates selected for this position will be permanently assigned to an office in Hunt Valley, Maryland. Are you willing to accept a permanent position in the Hunt Valley office?

 

Yes No
2

Describe your experience with reviewing and preparing written summaries of medical reports and include names(s) of employer(s) and dates of employment. If you do not have this type of experience, indicate N/A.

3

Describe your experience with electronic case control systems including data entry, retention and document generation.

Include names(s) of employer(s) and dates of employment.  If you do not have this type of experience, indicate N/A.

4

Describe your experience with online claim service systems and include names(s) of employer(s) and dates of employment.  If you do not have this type of experience, indicate N/A.

5

Do you have experience with performing mathematical computations involving calculating percentages? If yes, please explain. If no, please mark N/A.


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