State Workers' Insurance Fund Claims Representative

Are you looking to take the next step in your career by utilizing your proven clerical skills? Do you have strong analytical skills and an eye for detail? The Department of Labor and Industry, Johnstown District Office is seeking a dedicated State Workers' Insurance Fund Claims Representative. If you would enjoy verifying information, ensuring procedural compliance, and providing excellent service, then we encourage you to apply today!

As a State Workers' Insurance Fund Claims Representative, you will investigate, process, and manage work-related injury claims for employees of policy holders covered by the State Workers' Insurance Fund (SWIF) and determine compensability. You will complete claim assignments and process timely decisions as prescribed by law. You will ensure claim intake data is complete and accurate, escalate any potential fraud determinations to SWIF Investigator, and close completed claims. This role requires effective communication to interface with claimants, employers, doctors, hospitals, and witnesses to determine eligibility for workers' compensation benefits. In addition, you will pay claims through the SWIF system, provide information to employers, claimants, and vendors regarding the payment of medical bills, and issue ongoing indemnity payments.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Johnstown. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Two years of clerical work experience that includes collecting, recording, compiling, or preparing documents for medical, health, or work-related insurance claims; or
• An equivalent combination of experience and training.

Additional Requirements:

• You must possess at least 5 years of leadership or management experience working or volunteering in government.
• You must demonstrate the ability to adhere to the values and ethics of the Department of Labor and Industry.
• You must demonstrate the ability to work with professionalism, discretion, and good work ethic.
• You must have solid written and verbal communication skills.
• You must show initiative and problem-solving skills.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Telecommunications Relay Service (TRS):

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.