To perform the more difficult or complex work in assisting victims with reimbursement from the state restitution programs to help pay bills and expenses that result from violent crime; to provide information to victims of crime about the criminal justice system; to provide administrative and technical support for program operations; to exercise technical and functional lead supervision over assigned staff; and to function as an integral and supportive member of the Victim/Witness multi-disciplinary team.
This is the advanced journey level class in the Claims Specialist series. Positions at this level are distinguished from other classes within the series by the level of responsibility assumed, complexity of duties assigned, independence of action taken, as well as by the nature of the public contact required. Employees in this job class perform the most difficult and responsible types of duties assigned to classes within this series. Employees at this level are required to be fully trained in all procedures related to claims operations as well as aware of victim advocacy programs.
Receives general supervision from the Victim/Witness Supervisor.
Exercises technical and functional supervision over assigned staff.
Duties may include, but are not limited to, the following:
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Assign, review, coordinate and monitor the work performed by assigned staff to ensure claims are in accordance with regulatory guidelines.
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Provide technical and function lead supervision to assigned staff.
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Prepare and process the more complex claims through the State crime compensation database with general oversight from the state restitution program.
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Provide claim-processing support to other counties per agreement with the Joint Powers Agreement (JPA) through the state restitution program.
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Review and evaluate legislation, codes and administrative regulations to ensure program effectiveness and compliance with the requirements.
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Perform specialized assignments or projects as determined by the needs of the Department.
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Assist victims in completing victim of crime applications for benefit eligibility purposes; determine which documents will be necessary to support wage and/or medical losses on applications.
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Complete analysis of financial losses including those from medical expenses and wage losses; consider possible sources of reimbursement, i.e., insurance coverage, civil suit settlements, restitution orders and public assistance programs; obtain verification from medical providers, employers, insurance companies and other agencies.
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Determine and request necessary verification/data to accurately evaluate and determine applicant’s eligibility for designated programs.
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Interpret and explain designated program regulations, obligations, procedures and other pertinent information on an individual basis, in person or by telephone, to applicants, participants and subordinate staff.
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Maintain appropriate and accurate case records, documentation and files, including performing data entry into automated record systems; monitor and follow-up on due dates; prepare and maintain other documents associated with designated program areas and related reporting requirements.
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Prepare correspondence, program information and related reports.
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Travel to and from locations in a variety of outdoor weather conditions.
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Maintain records and statistics as requested by the Victim/Witness Supervisor.
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Establish and maintain working relationships with other criminal justice and public and private agencies.
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Build and maintain positive working relationships with co-workers, other County and departmental employees, community agencies and resources, and the public utilizing principles of effective customer service.
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Perform related duties as required.
Work is typically performed in an office environment with controlled temperature conditions.
Experience and Training
Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:
Experience: Two years of responsible experience performing duties similar to a Claims Specialist II with Placer County.
Training: Equivalent to an associate's degree from an accredited college or university with a major in criminal justice, accounting, public administration, business administration, or a closely related field.
Required License or Certificate:
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May need to possess a valid driver's license as required by the position. Proof of adequate vehicle insurance and medical clearance may also be required.
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Must obtain certification from the California Victim Compensation Board (Cal VCB) for processing of applicant claims within twelve months of employment.