Adjudicator Job Description Sample
Claims Adjudicator Division: Shared Services Department:
Managed Care Finance Schedule: Full-Time Shift: AM/PM Hours: Job Details:
- Job Summary: This position will support LLUSS's strategic plan and the organization's mission to continue the teaching and healing ministry of Jesus Christ, while embracing the core values of Compassion, Integrity, Excellence, Teamwork, and Wholeness.
Reports to the Director-Managed Care Finance. The Claims Adjudicator is responsible for analyzing and processing Hospital Risk claims in accordance with the managed care contract provisions in an accurate and timely manner. Responds to questions from other adjudicators and processors.
Verifies system assigned risk pool determination in accordance with the Division of Financial Responsibility matrix. Assists Director in creating, reviewing, and enhancing policies and procedures governing full risk claims processing on an annual basis or as needed. Assists other adjudicators and/or examiners as needed in order to assure that claims are completed within standards.
Performs other duties as needed. Job Specifications: Extensive experience in health insurance claims processing, HMO claims or managed care environment is preferred, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles.
Claims Payment System including Claim Hierarchy Categories, CPT, ICD-10, HCPCS, UB-04. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Associate's Degree in health or business field required. Minimum five years of experience in claims adjudication required.
Valid California Driver's License required. EOE AA M/F/Vet/Disability
Join TASC, an Engility Company, and be apart of a team that is impacting National security. We are currently looking for an Adjudicator.
Position duties will include but are not limited to: Apply working knowledge of applicable IC and DoD Directives, IC Policy Guidance, Executive Orders, NGA Instructions, and other governance. Evaluate reports of background investigations.
Interpret and apply adjudicative guidelines, and render eligibility determinations for access to classified information consistent with the interests of national security. Coordinate with NGA organizations (e.g., SIC Threat Mitigation Center, Human Development, Office of General Counsel, the Employee Assistance Program) and external investigative and adjudicative agencies (e.g., OPM, DIA) to identify and resolve personnel security related issues. Participate in Adjudication Review Panel meetings to address specific cases.
Assist in the development of new or changing adjudication-related policies and/or procedures. Update and maintain appropriate records (e.g. databases and hard copy) of security actions taken. Interpret new or changing personnel security policy on matters pertaining to adjudication and eligibility for access to classified information and Sensitive Compartmented Information.
Provide agency level technical expertise concerning adjudication and represent NGA at intra-agency meetings as appropriate. SDL2017
Paramount Claims Department is currently recruiting for a Claims Adjudicator. The Claims Adjudicator perform adjudication and adjustments as assigned on claims that require multiple pend code resolution, application of manual pricing methods for hospital, medical and/or ancillary services for all product lines to ensure superior quality and member and provider satisfaction.
Success in this position will be based on the individual's ability to effectively prioritize work, identify and resolve complex concerns in a professional manner, and work in a team environment to achieve a common goal. Promptly adjudicate claims from assigned workflow queues, as well as working "pended to desk top" claims within established thresholds to ensure Plan and regulatory standards are met; Production 150 - 160 claims per day Pended claims - no more than 2% over 30 days Promptly and accurately apply bundling logic as determined by the current software programs to ensure appropriate payment avoidance. Accurately adjudicate claims per established QA thresholds:
Payment 98% Procedural 98% Financial 98.5% Demonstrates a thorough knowledge of the Plan's published claims processing procedures on the company's intranet. Proficient with core applications of the current claims processing system and front-end imaging. Thank you for inquiring about a position with Paramount.
We are a NCQA accredited managed care plan, which is part of ProMedica's integrated healthcare system with offices in Maumee, Columbus, Cleveland, and Cincinnati. Paramount provides health insurance coverage for Medicare, Medicaid, and Commercial members. For more information about Paramount, please visit our website http://www.paramounthealthcare.com.
Our mission is to improve your health and well-being. So we're committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more. Job Requirements High School Diploma Two to three years' experience of claims processing in a health insurance environment strongly preferred.
Two to three years' experience in customer service; provider unit desirable. COB processing and/or investigation methods a plus. Demonstrated experience in all lines of business; HMO, PPO, Medicare, Medicaid, etc.
Knowledge of ICD, CPT, and DRG coding, and medical terminology strongly preferred. Ability to prioritize and handle large volumes of work Ability to work in a production environment that can be stressful. Maintain a high level of motivation, initiative, and accountability.
Demonstrated excellent written and oral communication skills. Ability to maintain confidential information. Maintains respectful and professional behavior.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics. Equal Opportunity Employer/Drug-Free Workplace Employee Exemption Type Non-Exempt Job Type Full-time Budgeted Hours / Pay Period 80 Shift Type Days Shift Hours Weekends On-call Requirements Additional Schedule Details SDL2017
Medical Claim Adjudicator
Medical Claim Adjudicator Medical Claim Adjudicator
Long Term Care Claims, Claimant Eligibility, Policy Coverage, Benefit Qualifying, Medical Terminology, Disability Claims
As the Medical Claim Adjudicator, candidate will handle a variety of Long Term Care (LTC) and/or Disability Claims in a fast paced office setting including: utilizing claim policies and guidelines, reviewing policy coverage and qualifying providers, determining claimant eligibility, communicating with and educating policyholders and providers on benefits, and negotiating alternative care benefits as applicable.
The Case Manager 1 will directly manage a daily caseload of claims and may be required to present claim facts during department claim discussions.
Awesome opportunity for a new RN or LPN!
What You Will Be Doing
Determines eligibility of LTC claims to individualized policy
Uses claims guidelines and policy language to interpret LTC policy coverage to determine eligibility
Evaluates provider qualification and covered services
Inputs accurate and complete data, information, and notes into the claims administrative system to document eligibility
Monitors aging of assigned tasks to ensure established turnaround time standards are met
Educates claimants and their representatives on policy coverage and claim processes
Serves as point of contact for claimants and/or their representatives ensuring a positive experience
Participates in process improvements by assisting with development of improved customer service strategies
Keeps current on state/territory regulations and issues as well as industry activities and trends
Investigates and analyzes medical evidence to determine whether policy benefit qualifier(s) are met
Consults with claimants physician and/or providers as required
Performs telephonic evaluation of claimant to track progress and determine if care needs change over time
Identifies claims for escalation and special handling including proposed denials, fraud, and coordination of benefits with other payer sources
What You Need for this Position
Bachelors degree or equivalent experience
Minimum of 2 to 5 years insurance claims experience, LTC, disability, or related healthcare claims
Professional designations, RN/LPN a plus, however, not mandatory
Proven knowledge of claims and/or LTC insurance industry and practices
Understanding of medical terminology
Excellent verbal, written and presentation skills to communicate effectively
Strong analytical and problem solving skills with ability to manage and prioritize multiple claims, and assigned projects
Ability to exercise independent judgment and make critical business decisions which effectively support the merits of claims
Solid knowledge of Microsoft Office Products as well as other business-related software
Ability to learn new system applications quickly and adapt to change easily
For your hard work and dedication, earn a generous salary plus comprehensive benefit package including 401k with 5% match, tuition reimbursement and much more! This is a tiered opportunity w/possible increase in 12 months!
Applicants must be authorized to work in the U.S.
CyberCoders, Inc is proud to be an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected by law.
Your Right to Work ? In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
Medical Claim Adjudicator
This position will support LLUSS's strategic plan and the organization's mission to continue the teaching and healing ministry of Jesus Christ, while embracing the core values of Compassion, Integrity, Excellence, Teamwork, and Wholeness. Reports to the Director-Managed Care Finance.
The Claims Adjudicator is responsible for analyzing and processing Hospital Risk claims in accordance with the managed care contract provisions in an accurate and timely manner. Responds to questions from other adjudicators and processors. Verifies system assigned risk pool determination in accordance with the Division of Financial Responsibility matrix.
Assists Director in creating, reviewing, and enhancing policies and procedures governing full risk claims processing on an annual basis or as needed. Assists other adjudicators and/or examiners as needed in order to assure that claims are completed within standards. Performs other duties as needed.
Job Specifications:Extensive experience in health insurance claims processing, HMO claims or managed care environment is preferred, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles. Claims Payment System including Claim Hierarchy Categories, CPT, ICD-10, HCPCS, UB-04.
Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. _Associate's Degree in health or business field required.
Minimum five years of experience in claims adjudication required. Valid California Driver's License required. __ _ EOE AA M/F/Vet/Disability
Division:* Shared Services
Department:* Managed Care Finance
Claims Adjudicator And Call Center Representative, TPA
Position Summary: This position performs claim adjudication functions including, but not limited to, primary and secondary medical, dental and vision claims processing, Flexible Spending Account (FSA) claims processing, Health Reimbursement Account (HRA) claims processing. Answer calls and provide benefit and claims support to providers and members.
Primary Duties: * Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.
Evaluate underpayments, resolve non-payments and rejected claims. Follow through until the claim is completely resolved and check is issued.
Create appropriate Explanation of Benefits or letter to provider for each claim.
Identify and escalate claims for review or audit based on business rules.
Ensure required documentation or reporting is completed timely and accurately.
Answer incoming telephone calls related to claim processing, provider support and member benefit coverage options.
Make outgoing calls to members and providers to obtain additional information as needed.
Review daily phone messages to determine if follow-up with member or provider is required.
Maintain required documentation of calls and interaction with providers or members.
Document required information from calls in the appropriate system and follow up or escalate issues as appropriate.
Retrieve and sort mail, fax and email to ensure timely and accurate handling and response.
Perform clerical functions including data entry, filing, and sorting, typing, organizing, and recording information.
Train co-workers and new employees, as required.
Perform various related duties as assigned.
* High school diploma or equivalent required, post high school education preferred.
Minimum two years of experience in a customer service position, preferably in a call center environment.
Minimum two years of experience as a medical claims processor, medical biller or a similar service position in the health care industry.
Must be flexible with scheduled work hours.
Must have strong customer service orientation and excellent communication skills, and the ability to work effectively with clients, medical providers and plan members.
Proficient PC skills in Windows-based applications.
Ability to be flexible and quickly adapt to the changing needs in the department.
Must be highly organized with strong attention to detail.
Must be dependable and demonstrate responsible work patterns.
Must have a high level of professionalism and courtesy. EHIM is an equal opportunity employer, and does not discriminate on the basis of race, color, religion, gender, pregnancy, national origin, age, veteran status, disability, sexual orientation, gender identity/expression, marital status, genetic characteristics and any other factor protected by law. Job Title: Claims Adjudicator and Call Center Representative, TPA
Job Status:* Full-time
Claims Adjudicator II - Grade 6 - Temporary
Adjusts and Adjudicates multiple lines of business for first pass in a timely manner to ensure compliance to departmental and regulatory turn-around time and quality standards. Reviews claims and makes payment/adjustment determination to ensure all components, ie., member, provider, authorization, claim and system are valid and correct for accurate processing. Conducts research regarding claim completion and appropriateness; identifies errors and takes necessary actions to resolve claim. Manages work to meet regulatory guidelines. Essential Functions:
Reviews claims and makes payment determination with authorization limit to a specific dollar limit (ie. $19,999/claim.).
Checks with Lead and Supervisor for any claim exceeding specific dollar threshold (ie. $19,999).
Reviews and evaluates claims for proper and correct information including, correct member, provider, authorization, and billing information on which to base payment determination.
Refers to eligibility, authorization, benefit, and pricing information to determine appropriate course of action (i.e. claim reject / denial, request for additional information, etc.).
Conducts research regarding coordination of benefits issues, fraud and abuse, and third party liability.
Utilizes knowledge of government regulatory policies and procedures to ensure compliance with government regulations including but not limited to CMS, DMHC, DOC, DHS and requirements of accrediting agencies such as NCQA.
Prepares material for audits and provides assistance to Lead and Supervisor during audit.
Assists with the preparation of materials for audits (including Quality, Compliance, and Regulatory audits) and provides assistance to Lead and Supervisor during audit.
Review member/provider claims by checking provider service contracts and other supporting claims documentation in accordance with service agreements.
Coordinates payment agreements with providers, working with appropriate MSA and Regional Contracts Department staff.
Proactively works to ensure claim review is resolved appropriately.
Three (3) years medical claims adjudication experience.
Experience in processing multiple types of medical claims and lines of business required (inpatient / outpatient, third party billing, hospital, and professional.) Education
High School Diploma or GED required. License, Certification, Registration
Knowledge of claim processing regulatory guidelines / mandates, ie HIPAA, Timeliness Standards, Medical Terminology, COB / TPL/ WC insurance guidelines.
Knowledge of various payment methodologies&government reimbursement guidelines.
Knowledge of claims categorization / codification guidelines (Revenue Codes, Occurrence&Condition codes, CPT/HCPCs codes, ICD9 and ICD10 Diagnosis&Procedure Codes).
Must pass basic PC Skills test.
Must pass medical terminology test.
Related Experience Field: Medical Claims Experience.
Working knowledge of CPT, ICD-9, ICD-10, Medical Terminology, COB/TPL/WC. Excellent verbal, written and analytical skills.
Demonstrate ability to utilize Medical Terminology and International Classification Diagnosis (ICD-9, ICD 10) coding at a level appropriate to the job.
Must be able to work in a Labor Management Partnerships environment.
Four (4) years medical claims adjudication experience preferred in processing multiple types of medical claims and lines of business (inpatient / outpatient, third party billing, hospital, and professional.
Experience with SNF, DME, or Home Care/Hospice Claims processing preferred.
Excellent skills in communication preferred.
Medical Terminology Certificate preferred. Skills Testing*: PC skills test and Medical Terminology COMPANY: KAISER TITLE: Claims Adjudicator II - Grade 6 - Temporary LOCATION: Walnut Creek, California REQNUMBER: 610524 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Workers Compensation Time Loss Adjudicator
Have you worked with workers’ compensation and unemployment claims? Do you have experience interpreting industrial insurance rules and regulations? Do you have experience administering time-loss and treatment only claims?
Would you like to work with a group of dynamic, dedicated, passionate people who are committed to transforming healthcare in the state of Washington? If this sounds like something you would like to be part of, we want to talk to you about a career with Washington Hospital Services, a subsidiary of the Washington State Hospital Association.
WSHA has been in existence for over 80 years, and continues to grow and evolve as the needs of Washington Residents and our member hospitals change. We are located in beautiful downtown Seattle, surrounded by wonderful views of Puget Sound and the Olympic mountains, with easy access to transit and underground parking, and we are currently recruiting for a Workers Compensation Time Loss Adjudicator to join our Workers Compensation team.
The Workers’ Compensation Time Loss Adjudicator position is a full-time position, and is responsible for interpreting and applying relevant state laws to workers compensation claims, management of the claims through to resolution, and assisting client hospitals in the return to work accommodation process. This position will report to the Director of Safety and Client Services in our wholly owned for-profit subsidiary, Washington Hospital Services (WHS), and will be expected to fully manage the entire life cycle of a workers’ compensation claim.
Specific duties of this position include, but are not limited to:
Adjudicate workers' compensation claims to interpret facts and apply laws to determine claim validity and is responsible for the ongoing appropriate and timely claim management activities necessary to bring resolution at the earliest possible time in a cost-effective manner.
Calculate monthly gross earnings and daily time loss rates for the purposes of issuing accurate and timely benefit payments.
- Ensure initial disability benefit payments are issued within 14 days of notice of receipt of claim and ongoing benefit payments are issued every 14 days.
Initiate and complete the 3-point contact within 48 hours of receipt of a new claim.
- Establish initial case reserves for the life of each claim at the time of initial claim review and review case reserves every 60 days making necessary adjustments based upon anticipated indemnity, medical, vocational, legal or other costs.
- Conduct a comprehensive file review, take appropriate actions, and complete a Claim Status Summary Report and written Plan of Action (POA) every 60 days.
Maintain a current claims diary, defined per performance standards.
- Complete timely review and acknowledge receipt of claim documents, record document note entry, take appropriate action and record actions taken in response to documents received and reviewed.
Review claim file documents to evaluate need for ongoing disability certification, authorize or deny requests for medical treatment, surgery, diagnostic studies, transfers of medical care, refer for vocational, investigative or legal services and/or submit claim for closure.
Review determinative orders received from the Department of Labor & Industries for the purposes of ensuring they are accurate and represent our interpretation of the facts of the claim and file timely protests or appeals as warranted.
Evaluate medical reports to determine appropriate permanent partial disability awards.
Communicate both verbally, and in writing with Department of Labor & Industries staff, designated hospital contacts, physicians, injured workers, claimant and employer attorneys, and other stakeholders.
Develop and maintain a professional and positive working relationship with all stakeholders.
Secure, manage and direct the services of outside specialty providers (e.g., independent medical providers, vocational counselors, nurse case managers, defense counselors, and investigators).
Identify and update injured worker’s physical restrictions and assist clients in the return to work accommodation process; determine the need for vocational services and approve or deny formal vocational plans.
Investigate and pursue Third Party subrogation claims.
Approve medical payments on claim files on a weekly basis.
Prepare claims for closure with the Department of Labor & Industries or close claims in-house following appropriate procedures.
Complete claim status reviews with clients on a quarterly basis (telephone, web-based or onsite).
Work with Unemployment Program staff on joint accounts to coordinate documentation in an effort to discover fraudulent concurrent claims and reduce costs.
Work with designated hospital contacts answering questions, educating and updating them on an ongoing basis with regard to their assigned duties.
Attend and represent Washington Hospitals Services Workers' Compensation Program at self-insured meetings, seminars and other meetings as designated.
Perform other duties as assigned.
Desired qualifications, skills, and abilities
Bachelor’s degree in business, marketing, or related field or equivalent combination of education and experience.
Three years’ experience working with Workers Compensation claims, including processing both time loss and treatment only claims.
Must have or obtain a Claims Administrator certificate from Washington State L&I within 1 year of employment with WHS, and maintain it for the duration of employment.
Demonstrated knowledge of relevant state laws (RCW 51 and WAC 296)
Exceptional customer/member service skills and superior interpersonal and communication skills required.
Demonstrated ability to exercise sound judgment and maintain confidentiality.
Strong analytical and organizational skills, detail orientation required.
Must be a self-starter and innovator.
Ability to work successfully independently or in a collaborative, team environment.
Ability to successfully manage multiple priorities simultaneously.
Access to a vehicle and ability to periodically travel within Washington State to member hospitals.
Proficient with MS office, Outlook, Word, Excel required. Familiarity with workers compensation databases, experience with paperless systems and knowledge of computerized claims processing required, knowledge of ERIC system a plus.
If you have the skills and abilities listed above, feel that you would be a good fit for this position and would like to be part of this exceptional organization, please send a current resume and cover letter for immediate consideration. Local Candidates preferred and no calls please. WSHA is an Equal Opportunity Employer.
Security Adjudicator (At Washington, DC)
Leidos has an opportunity for Investigative Analyst Consultants at the Federal Bureau of Investigation (FBI) in Washington, DC. Duties and
The candidates will support the FBI as Investigative Analyst Consultant (IAC) to assist the FBI Personnel Security Program with investigations and making suitability and/or trustworthiness security adjudications for FBI employees, contractors, law enforcement officials, and task force members.
The candidates will be required to conduct security investigations of FBI employees, contractors, law enforcement officials and task force members where security concerns have been identified relative to maintaining a security clearance.
Candidates will analyze and investigate all necessary information for the purpose of determining the final decision on the adjudication of clearances.
Candidate will prepare and document all written findings and recommendations for the federal agency to make a determination that security adjudication creation.
Current active TOP SECRET Clearance required.
Bachelor’s degree and 3 years of related experience with 2 years in direct adjudication. Additional years of experience may be used in lieu of degree.
Candidates will have relevant experience conducting and evaluating Top Secret/Secret investigations with preferred experience in counterintelligence/espionage, counterterrorism, criminal matters, and personnel security investigations.
Candidate will render highly effective personnel security adjudications based on expert examination of the facts and supporting evidence; and conduct open source internet checks in support of investigations.
Candidates will have experience performing Quality Assurance Reviews on Reports of Investigations or Security Background Investigations.
Candidate will have the necessary skills to resolve minor issues without supervision, working major issue cases through the due-process.
Working knowledge of Microsoft Office software applications (Word, Excel, Outlook, PowerPoint).
Ability to become acclimated to the various FBI and community IT systems for conducting automated record checks.
Excellent communication skills, both oral and written.
Demonstrated knowledge and experience to conduct highly effective traditional investigations, background investigations, and security investigations. Leidos
Leidos is a global science and technology solutions leader working to solve the world’s toughest challenges in the defense, intelligence, homeland security, civil, and health markets. The company’s 33,000 employees support vital missions for government and commercial customers. Headquartered in Reston, Virginia, Leidos reported pro forma annual revenues of approximately $10 billion for the fiscal year ended January 1, 2016 after giving effect to the recently completed combination of Leidos with Lockheed Martin's Information Systems & Global Solutions business (IS&GS). For more information, visit www.Leidos.com. The company’s diverse employees support vital missions for government and commercial customers. Qualified women, minorities, individuals with disabilities and protected veterans are encouraged to apply. Leidos will consider qualified applicants with criminal histories for employment in accordance with relevant Laws. Leidos is an Equal Opportunity Employer.
L&I Apprentice Claim Manager –Workers' Compensation Adjudicator 2
Description Helping injured workers heal and return to work! You have an opportunity to make a difference. Are you interested in being a part of something big? To help injured workers heal and return to work? Make workplaces safe? To help honest workers, businesses and providers by cracking down on the dishonest ones? Come be part of the team that works for the employer of choice! ¡Los trabajadores que hablan español necesitan su ayuda! Las posiciones español bilingüe ganan un 5% adicional de salario. Your future career at Labor & Industries starts here: * 22-month apprenticeship program, which includes 10 months of classroom training * A personal coach/mentor assigned to you
Alignment with a team of experienced Claim Managers
Medical, legal and vocational professionals to assist you
Journey-level certification upon successful completion This job is complex. Claim Managers adjudicate and manage workers' compensation claims by authorizing or denying medical, vocational and monetary benefits and ensuring statutory time limits are met. As an apprentice you will do this while having your work checked for quality and accuracy. The right person for this job will enjoy a challenging, ever-changing environment and possess the ability to work with people needing help.
Successful Claim Managers: * Have strong and effective written and verbal communication skills
Demonstrate the ability to learn quickly, be organized and work well under pressure
Calmly handle adversarial situations while maintaining a good sense of judgement and making sound decisions
Are comfortable answering a high volume of phone calls in a customer-focused environment
Easily move through multiple computer programs and type 40 words per minute (WPM), accounting for errors
Are motivated to research and interpret facts, apply rules, policies and laws fairly and objectively
Have experience responding to difficult and sensitive situations with a strong sense of empathy and compassion
Can perform multiple tasks under tight deadlines without sacrificing quality or accuracy
Are committed to being on-time and here 40 hours per week
What we are looking for: One year experience in a workers' compensation or crime victims' program
OR a bachelor's degree. Experience working in insurance, investigation, medical, legal, law enforcement, business management, military administration or related field will substitute year-for-year for education. A professionally formatted Letter of Interest describing how your skills and abilities will make you a successful Claim Manager. The ability to type 40 WPM accounting for errors. Please provide an online typing assessment, ensuring it includes net WPM and is a minimum of
4 minutes in length. Typing assessments cannot be more than 12 months old. *
for suggested online typing assessment*
Your application will be considered __incomplete__if your Letter of Interest and Typing Assessment are not attached.
Please note: you will be invited to take a two-hour assessment if you meet the minimum qualifications and submit a complete application.
Work Schedule Expectations: Work shifts available for the first 10 months: Monday
- Friday, 7 a.m. to 3:30 p.m. or 8 a.m. to 4:30 p.m. Flex/alternate work schedules will not be considered until the classroom training is complete. Additionally, vacation will not be granted during this time, unless it's during a built in break week. Overtime may be granted, with prior approval, after the classroom training is complete.
Salary Information: * $ 3467.00 monthly beginning salary for non-bilingual positions * $ 3587.00 after six months * $ 3706.00 after ten months * $ 3985.00 after 22-months (Journey Level) * 5% Annual Periodic Increase after completion of apprenticeship program from $3985.00 - $4506.00 Spanish Bilingual jobs include a 5% salary increase for dual language responsibilities. If you are currently a permanent state employee, and your salary is above the beginning salary listed above, you will enter into our apprenticeship program with your current salary. You will retain your salary until the basic apprenticeship salary is higher. At that point, you will receive the basic apprenticeship salary. If your starting salary is higher than the 22 month salary, your pay will adjust to 48G ($3,985.00 per month) upon completion of the apprenticeship program.
_____________________________________________________________________ If you have any questions regarding this announcement, program, or the agency please contact Christine Dominguez at 360-902-5241 or email email@example.com_. _ Supplemental Information Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle. Prior to any new hire into L&I;, a background check, including criminal record history, will be conducted. To apply, follow the "Apply" link above. Your application materials and assessment will be used for deciding who will be selected for an interview. For more information about the Department of Labor & Industries visit: http://www.lni.wa.gov/ OR Contact us at: Jobs@Lni.wa.gov L&I; strives to attract and retain a high-performing and diverse workforce in which our differences are respected and valued to better meet the needs of the diverse customers we serve. L&I; fosters an inclusive environment that promotes safety, collaboration, flexibility and fairness so that all employees can participate and contribute to their full potential. This position is represented by the Washington Federation of State Employees (WFSE). That means that, as a condition of employment, no later than the 30th day following the beginning of your employment, you must pay the WFSE either membership dues, a representation fee or, for bona fide religious non-associators an amount equal to dues to be used in a program within the union in harmony with the employee's conscience. Persons with a disability, who need assistance in the application process, or those needing this announcement in an alternative format, may call (360) 902-5700. Applicants that are deaf or hard of hearing may call through the Washington Relay Service at 7-1-1.The State of Washington is an Equal Opportunity EmployerSalary: See Position Description
Location:* Thurston County – Tumwater, WA
Job Type:* Full Time
Department:* Dept. of Labor & Industries
Job Number:* 2017-10051 Closing: 11/22/2017 11:59 PM Pacific
Agency:* State of Washington
Address:* View Job Posting for Agency Information View Job Posting for Location, Washington, 98504. Phone: View Posting for Agency Contact
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