Part Time Resident Monitor

Minimum Qualifications

SUMMARY:

Under direction, is responsible for workers' compensation program work of considerable difficulty and supervisory work of average difficulty; and performs related work as required. DISTINGUISHING FEATURES:
The employee in this class supervises the claims, coverage, compliance, and fraud units of the workers' compensation program.

• Supervises staff in the claims, coverage, compliance, and fraud units of the workers' compensation program: reviews and makes decisions on employment, retention, promotions, demotions, or other human resources actions; interprets new or modified policies and procedures; sets goals and priorities of staff and assigns tasks to employees; evaluates performance and assigns job performance ratings for staff based on job performance information gathered through employee discussions, personal observations, and review of work products;
  
  trains current and new staff in workers' compensation law, rules, and regulations and divisional policies and procedures; contracts training for employees through outside agencies.
• Develops policies and procedures for claims, coverage, compliance, and fraud units of the workers' compensation program: studies the workers' compensation organization, operations, and services and makes recommendations for improvements in economy, efficiency, and quality of organization, operations, and services; studies workers' compensation policies and procedures and makes recommendations for change; interprets statistical analysis data collected by various government and private institutions regarding the administration and enforcement of workers' compensation policies and procedures.
• Reviews computer programs in use by the Department of Labor: reviews computer programs used for processing workers' compensation claims, coverage, and adjustment; identifies programs that are not current to federal and state statutory requirements, laws, rules, and regulations; develops plans for the customization of computer programs utilized by the Department of Labor; implements plans for the customization of computer programs.
• Informs the general public of workers' compensations programs and their requirements and benefits under the law: serves as a liaison between insurance companies, attorneys, and other relevant parties; speaks to community groups, insurance companies, employers, and employees to explain workers' compensation programs; explains workers' compensation policies, procedures, rules, and regulations to interested parties; answers questions regarding the administration of workers' compensation programs.
• Assists the Workers' Comp Director in the administration of the Workers' Compensation Division: participates in the preparation, review, and maintenance of a wide variety of operating records and reports for the division; participates in research of current trends in the workers' compensation field; performs special projects assigned by the director (e.g., internal budget, tri-state education conferences, in-house policy and procedure development).

Education and Experience:

Graduation from an accredited college or university with a bachelor's degree and experience equivalent to five years of full-time work in one or a combination of the following: administering insurance or workers' compensation claims; advising or representing clients through legal arbitration; or providing occupation health or vocational rehabilitation services for clients.

Non‑substitutable experience:
At least one of the five years of required experience must be supervising of staff in the above‑mentioned areas.

Substitution of Experience for

Education:

Additional experience administering insurance or workers' compensation claims; advising or representing clients through legal arbitration; and/or providing occupation health or vocational rehabilitation services for clients experience, may substitute for the required education on a month‑for‑month basis to a maximum of four years.

Substitution of Graduate Education for

Experience:

Graduate coursework credit received from an accredited college or university with emphasis in business administration…