Claims Investigator

Work for Indiana

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

Our mission is to develop a premier workforce that will allow Indiana employers to flourish and entice businesses from outside our state to relocate to Indiana. Everyone at DWD will be required to think outside-the-box; to determine metrics that will allow for measurement and improvement and efficiencies to be made along the way. Cutting edge technologies will be utilized to help assess Indiana’s employment future.

If managed properly, Indiana’s workforce will be second to none and completely prepared for the next phase of the state and country’s economic growth.

The primary job responsibilities of a Claims Investigator are to investigate unemployment issues. This involves reaching out to claimants, employers, and third‑party administrators. An ideal candidate can work independently, make decisions quickly, and can work through claims expeditiously. This involves sedentary work, using both telephone and computer skills all day, to complete your tasks.

The salary for this position traditionally starts at $42,900.00 but may be commensurate with education or work experience.

The essential functions of this role are as follows:

• Coordinate with claimants, employers, and agency staff to make basic eligibility determinations.
• Explain laws, procedures and various unemployment programs to claimants and employers including benefit rights and eligibility requirements.
• Investigate eligibility issues, which includes in‑depth interviews of claimants and employers to determine employment history and/or separation information.
• Make and compile final written determinations of entitlement to, or denial of benefits and forward to Central Office for monetary determinations.
• Receive, investigate, and reply to all correspondence from all claimants and employers involving claims in local office.
• Investigate stolen, lost, destroyed, or forged benefits warrants.
• Assist both claimant and employers in filing appeal forms for protested claims.
• Determine exhibits to be offered during appeals hearings and defend determinations.
• Receive, investigate, and correct system error list related to wage reporting, claim computation, and payment of benefits.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

You must meet the following requirement to be considered for employment:

• Must have a High School Diploma or High School Equivalent (HSE) or three (3) years of comparable experience.
• Successfully completed the Claims Investigator Trainee Program.
• The ability to quickly acquire general knowledge of state and federal statutes and administrative rules, case law and procedures regarding unemployment insurance.
• Recognize and detect potential instances of claimant and employer fraud.
• A broad knowledge of the UI system, laws, and policies necessary to discover.
• Knowledge of how to conduct interviews that display good communication skills under unfavorable and adverse conditions.
• Recognize eligibility issues and apply proper state and federal statutes, administrative rules, case law, policies and written guidelines to make an eligibility determination.
• The ability to work well under pressure and always maintain a professional disposition.
• The ability to make quick and efficient decisions.
• The ability to be organized and have attention to detail.
• The ability to navigate multiple computer systems efficiently and effectively and stay abreast of regular changes and updates.
• The ability to effectively prioritize…