Overview

CLAIMS AND HEARINGS CLERK II Jobs in Concord, NH at The State of New Hampshire

Title: CLAIMS AND HEARINGS CLERK II

Company: The State of New Hampshire

Location: Concord, NH

State of New Hampshire Job Posting

Department of Labor

Division of Workers’ Compensation

95 Pleasant Street, Concord NH 03301

Claims and Hearings Clerk II

Labor Grade: 12

Position #10988

*See total compensation information at the bottom of announcement.

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

SUMMARY:
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 general 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.
RESPONSIBILITIES:
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 procedures and claims processes are understood. Investigates inquiries by the general public regarding the proper handling of workers compensation claims including, completion of appropriate forms, submission of medical records, and coordination with insurance carriers. Interviews and records information from complaints through phone calls, correspondence or in-person Monitors the performance of insurance carriers in complying with department hearing decisions, recommending the issuance of civil penalties for failure to comply. Maintains a computer tracking system to follow up with claimants who are having difficulty with their employers in the filing of their workers compensation claim. Provides information to other state and federal agencies for verification of benefits.

MINIMUM QUALIFICATIONS:

Education: Graduation from high school, G.E.D. or its equivalent. Each additional year of approved formal education may be substituted for one year of required work experience.

Experience: Three years’ of clerical experience, preferably two years of which shall be with the claims and hearings process, for an agency or business.

License/Certification: None required.

RECOMMENDED WORK TRAITS: 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.

For further information please contact Susan Aznive, Administrator I, at 603-271-3328 or [email protected]

*TOTAL COMPENSATION INFORMATION

The State of NH total compensation package features an outstanding set of employee benefits, including:

HMO or POS Medical and Prescription Drug Benefits:
The actual value of State-paid health benefits is based on the employee’s union status, and employee per pay period health benefit contributions will vary depending on the type of plan selected.

Value of State’s share of Employee’s Retirement: 14.53% of pay

Other Benefits:
o Dental Plan at minimal cost for employees and their families ($500-$1800 value)
o Flexible Spending healthcare and childcare reimbursement accounts
o State defined benefit retirement plan and Deferred Compensation 457(b) plan
o Work/life balance flexible schedules, paid holidays and generous leave plan
o $50,000 state-paid life insurance plus additional low cost group life insurance
o Incentive-based Wellness Program (ability to earn up to $500)

Want the specifics? Explore the Benefits of State Employment on our website:

EOE
TDD Access: Relay NH 1-800-735-2964

Upload your CV/resume or any other relevant file. Max. file size: 80 MB.

About The State of New Hampshire