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CLAIMS REVIEWER I

Recruitment #22-002218-0001

Introduction

Reimagine a career in public service. At WCC, we are collaborative and team oriented, innovative in our approach, and passionate about our work. We thrive on initiative, creativity and challenges to the status quo. Our employees are valued and empowered. We are proud of our achievements and consider excellence a continuous journey…not a destination end point. If you've got the right stuff and a passion for your work, come journey with us.

OUR MISSION

The Maryland Workers' Compensation Commission seeks to secure the equitable and timely administration of the provisions of the Maryland Workers' Compensation law on behalf of its customer, the injured workers and their employers, by providing an efficient forum for the resolution of individual claims.

OUR VISION

The Workers' Compensation Commission envisions a state wherein injured workers and employers are empowered to create an equitable partnership to facilitate prompt and fair resolution of workers' compensation matters.

ABOUT US

Together we profoundly touch the lives of so many people and have enormous responsibility to the community by fulfilling our mission of securing equitable and timely administration of the law. The Commission continues to provide services to our constituent partners at a level rarely met throughout the United States.  The professionalism, work ethic, and technological acumen manifest in our operations allows us to smoothly and effectively manage the challenges which invariably arise.  Every division within the agency plays a vital role in keeping us in the forefront nationally...ARE YOU READY TO MAKE A MEANINGFUL DIFFERENCE IN YOUR COMMUNITY AND PURSUE YOUR CAREER PASSION WITH A NATIONALLY RECOGNIZED LEADER?

GRADE

Grade 8

LOCATION OF POSITION

10 E Baltimore St., Baltimore, MD 21202

POSITION DUTIES

To review, analyze, investigate, and process Workers' Compensation claims and related documents, and route action documents sent to claims queues to appropriate parties via the Filenet scanning system in an equitable and timey manner which also includes hearing related findings per the established rules and procedures of the Workers' Compensation law.

There are two Claims Reviewer I positions available.

Responsible for reviewing and processing claim related documents received in the claims queues including wages statements, enter/strike appearances via the FileNet scanning system in accordance with the established procedures. Reviewing and processing all hearing related documents received in claims queues via the FileNet scanning system, such as emergency hearings, rehearing, postponements, other motions and petitions, withdraw issues, etc. in accordance with the established procedures. Reviewing and processing request for hearings (Issues) received in the FileNet queues and entering the information into the AS-400 in accordance with the established procedures.

Responsible for reviewing, coding, and processing Workers Compensation claims (regular, death, and medical). Responsible for processing all claims (regular, death and medical) through the AS400 database for generation of copies to all essential parties. Monitor undeliverable mail-notifying parties and maintaining current business names and addresses.

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. Providing backup coverage for the Public Service Division for incoming inquiries. Analyzing, reviewing and processing claim related insurance corrections.

Responsible for reviewing and processing award order corrections in accordance with the established procedures. Reviewing temporary total (TT) and compensation deferred (CD) orders for insured & non-insured claims and entering the information in the AS-400 in accordance with the established procedures.  Reviewing and processing C-40 responses, through analyzing claims and entering required data into the AS-400 and FileNet database.


MINIMUM QUALIFICATIONS

Qualified candidates must have the following education and experience:

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 the following:

1 year experience with workers’ compensation claims

1 year experience working with insurance companies/agencies 

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

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.

BENEFITS

FURTHER INSTRUCTIONS

If you have any questions about this recruitment, please contact the Workers' Compensation Commission at 410-864-5230.

TO APPLY: Please 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).  Submission of a resume is strongly recommended.

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 on any documentation to ensure timely processing.  Please include your resume along with your completed employment application and supplemental questions.

PLEASE DO NOT FAX OR EMAIL UNSOLICITED DOCUMENTATION

Completed applications, required documentation, and any required addendums may be mailed to:

Workers' Compensation Commission Attn: 22-002218-0001
E. Baltimore Street, Personnel Division 
Baltimore, MD 21202

TTY Users: call via Maryland Relay

We thank our Veterans for their service to our country, and encourage them to apply.

WCC is an equal opportunity employer. It is the policy of WCC that all persons have equal opportunity and access to employment opportunities, services, and facilities without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or veteran status.

As an equal opportunity employer Maryland is committed to recruiting, 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.