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CLAIMS REVIEWER I

Recruitment #19-002218-0001

GRADE

08

LOCATION OF POSITION

10 E. Baltimore Street, Baltimore, MD 21202

POSITION DUTIES

The State of Maryland Workers’ Compensation Commission is currently seeking a highly organized, team player with strong problem solving, research, data entry and customer service skills for its Claims Division. The main purpose of this position is to review, investigate, analyze and process Workers’ Compensation claims and hearing related findings and documents in an equitable and timely manner per the established rules and procedures of the Workers’ Compensation Laws.

•Responsible for reviewing and processing claim related documents received in the claims services queues via the FileNet scanning system in accordance with the established procedures.

•Responsible for reviewing and responding to inquiries and problems from claimants, attorneys, healthcare providers, and insurers concerning workers’ compensation claims in accordance with the established procedures.

•Responsible for reviewing and processing all hearing related documents received in the claims services queues via the FileNet scanning system, such as emergency hearings, rehearings, postponements, other motions and petitions, withdraw issues, etc. in accordance with the established procedures.

•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.

•Responsible for reviewing and processing requests for hearings (Issues) received in the FileNet queues and entering the information in the AS400 in accordance with the established procedures.

•Responsible for reviewing and processing award order corrections in accordance with the established procedures.

•Responsible for reviewing and processing temporary total (TT) and compensation deferred (CD) orders for insured and non-insured claims and entering the information in the AS400 in accordance with the established procedures.

•Responsible for reviewing and processing C-40 responses, through analyzing claims and entering required data into the AS400 and FileNet database.

•Responsible for analyzing, reviewing and processing claim related insurance corrections.

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 work experience in workers’ compensation laws and regulations.

1 year of data entry experience

DESIRED OR PREFERRED QUALIFICATIONS

The ideal candidate will have experience working with workers’ compensation claims

Intermediate skills in Microsoft Office (Word, Excel, Outlook and PowerPoint)

SELECTION PROCESS

The examination will consist of a rating of the training and experience provided with your application. Submission with your application of a resume is strongly recommended. 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 employment (eligible) list for at least one year.

BENEFITS

FURTHER INSTRUCTIONS

It is STRONGLY recommended that you include your resume along with your completed online employment application. During the online application process, use the Resume tab to select a method for including your resume (Upload Your Resume or Type or Copy/Paste Your Resume)

If you are unable to apply online, or encounter difficulty attaching required or optional documentation, you may submit via mail or deliver in person. Please be sure to include your name, identification number (Easy ID#) and job announcement number (19-002218-0001) on any documentation to ensure timely processing. Please include your resume along with your completed employment application.

PLEASE DO NOT FAX OR EMAIL UNSOLICITED DOCUMENTATION

Completed applications, required documentation, and any required addendums may be mailed to:
MD Workers' Compensation Commission
Attn: Personnel Department
10 E. Baltimore Street
Baltimore, MD 21202

For information regarding this recruitment, please email wccpers@wcc.state.md.us.

The MD State Application Form can be found online.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov.

As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.

TTY Users: call via Maryland Relay