Claims And Hearings Clerk Ii

CLAIMS AND HEARINGS CLERK II (Job )

Stateof New Hampshire Job Posting

Department of Labor

Workers Compensation Division

101 Pleasant Street

Concord, New Hampshire 03301

Position# 10988

The starting pay range for this position is $17.81/hour - $23.39/hour

* See total compensation information at the bottom of announcement.

The State of New Hampshire, Department of Labor, Workers Compensation Division has a full-time vacancy for a Claims/Hearings Clerk II.

Performs technical and clerical tasks in support of the Workers’ Compensation Division. Reviews and processes workers' compensation claims and provides information and resources to the public, employers, and insurance companies regarding the provisions of the law and administrative rules. Compiles statistical information and prepares reports using word processing and computer equipment. Responsible for partial supervision of other claims staff.

Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education.

Education/

Experience:

Equivalent combination of 2 years of education and experience after completion of high school. Education and experience must be in the fields of clerical or claims or related field.

License/Certification:
None

Other Requirements:
None

Trainee Option:
Not applicable

Knowledge of modern office practices and procedures. Knowledge of principles of office management. Knowledge of claims and hearings procedures. Ability to keep complex records and to prepare periodic reports from such records. Ability to gather, assemble, correlate and analyze facts and identify existing or potential problems. Ability to establish and maintain good working relationships with other employees and the general public.

Must be willing to maintain appearance appropriate to assigned duties and responsibilities as determined by the agency appointing authority.

None

In-Band Advancement Available:
No

Broad Group Level Advancement Available:
No

The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title.

The work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position.

Responsible for reviewing Memo's of Denial and Payment, identifying unacceptable denials or inaccurate compensation rates; corrects compensation amounts if required, and provides follow-up and notification to carriers as necessary.

Assists in the review and calculation of cost-of-living adjustments to determine changes in eligibility amounts.

Investigates complex problem claims, advising parties as to respective rights and responsibilities and eliciting compliance of individuals involved. Communicates with employers, employees, and insurance companies to arrive at resolutions; consults with superior as needed.

Corresponds with a variety of individuals regarding rights and obligations, explaining the provisions of the law and departmental policies and procedures.

Assists claimants, employers, insurers, attorneys, and health care providers in workers' compensation related matters to ensure that filing…