Workers Compensation Examiner (NY HELPS), WCB Items #3510, 8453, and 8944

Workers' Compensation Examiner (NY HELPS), WCB Items #3510, 8453, and 8944 State of New York - Workers' Compensation Board - 3.9 Menands, NY Job Details Full-time $56,506 - $68,630 a year 1 day ago Benefits Paid parental leave Paid holidays Health insurance Dental insurance Flexible spending account Paid time off Family leave Parental leave Vision insurance 403(b) Loan forgiveness Life insurance Paid sick time Qualifications Document review (document control) Phone communication Mid-level Workers' compensation 1 year Associate's degree Client interaction via phone calls Account reconciliation Full Job Description The duties that the incumbent of the vacancy will be expected to perform. Duties Description Under the direction of the Senior Workers' Compensation Examiner within the Medical Directors Office's Fee Schedule & Medical Billing Unit, the Workers' Compensation Examiner duties will include but not limited to:

• Process HP-1s and HP-2s to ensure that items are processed in a timely and accurate manner
• Create, review and rescind administrative awards as necessary
• Review requests and supporting documentation for accuracy and timeliness
• When warranted, prepare letters of rejection, indicating the appropriate reason for rejection
• Prepare administrative awards for accepted requests, utilizing the Health Provider Administration (HPA) system
• Process all insurance carrier objections to administrative awards
• Respond to stakeholder inquiries via phone The minimum qualifications required for this vacancy.

Minimum Qualifications This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).For the duration of the

NY HELPS

Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making permanent non-competitive appointments and the official probationary period will begin.

At a future date (within one year of permanent appointment), it is expected employees hired under

NY HELPS

will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a

NY HELPS

title, employees may take part in any promotion examination for which they are qualified.

NON-COMPETITIVE MINIMUM QUALIFICATIONS

Candidates must have: Either 1. Three years of full-time experience in a position where your primary responsibilities included extensive in-person or telephone customer service experience with the general public resolving customer's issues and/or problems; explaining programs/services, policies, or procedures; reconciling accounts; or experience examining, investigating, processing, or adjusting insurance claims; or responding to technical questions from policyholders or claimants;Or 2. An associate's degree and one year of full-time experience described in #1;Or 3. A bachelor's degree55 B/C

QUALIFICATIONS

Individuals certified eligible for the 55b/c program under the Governor's Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law will also be considered. To be considered, you must meet the minimum qualifications and provide a copy of your letter of eligibility with your response.

COMPETITIVE MINIMUM QUALIFICATIONS

CIVIL

SERVICE LIST APPOINTMENT

Candidates must be reachable on the appropriate Civil Service eligible list.

TRANSFER QUALIFICATIONS

Candidates must have one year permanent or 55 b/c service in a title designated as appropriate for transfer in accordance with 70.1 of the Civil Service Law. Additional comments regarding the vacancy.

Additional Comments Please Note:

This position requires both in-office and remote work. A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.

We offer a work-life balance and a generous benefits package, including: Holiday & Paid Time Off

• Thirteen (13) paid holidays annually.
• Thirteen (13) days of paid vacation leave in year one, increasing to 20+ days with additional years of service.
• Five (5) days of paid personal leave annually.
• Thirteen (13) days of paid sick leave annually for PEF/CSEA and eight (8) days paid sick leave annually for M/C.
• Annual professional leave and educational leave opportunities for eligible staff.

Health Care Benefits

• Eligible employees and dependents can choose from a variety of affordable and generous health insurance programs.
• Family dental and vision benefits at no additional cost.

Additional Benefits

• Public Service Loan Forgiveness (PSLF).
• Enrollment in the New York State pension system which has earned the distinction of being one of the best-managed and best-funded plans in the nation OR Optional Retirement Defined Contribution Plan with 8% salary match (eligibility requirements apply).
• NYS Deferred Compensation and an exclusive 403(b) Optional Retirement Savings Plan.
• Paid Parental Leave for all employees and Paid Family Leave (M/C Only).
• Eligibility for various life insurance options.
• Access to NY 529 and NY ABLE College Savings Program
• Flexible Spending Program, which allows employees to set aside pre-tax payroll deductions for eligible health care and dependent care expenses.

For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.

The Workers' Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives.

We are happy to provide reasonable accommodations during the hiring process. If you have a disability or special need that requires a reasonable accommodation, please send a request to . Some positions may require additional credentials or a background check to verify your identity.