Workers Compensation Claims Examiner
About the Agency
DOL seeks to attract and retain a high performing and diverse workforce in which employees’ differences are respected and valued to better meet the varying needs of the diverse customers we serve. DOL fosters a diverse and inclusive work environment that promotes collaboration, flexibility and fairness so that all individuals are able to participate and contribute to their full potential.
This position is located in the Department of Labor, Office of Workers’ Compensation Programs, Denver, CO. This position has promotion potential to GS-12. Promotion Potential: There is no obligation to provide future promotions to you if you are selected. Future promotions are dependent on your ability to perform the duties at a higher level, the continuing need for an employee assigned to the higher level, and supervisory approval. This position is inside the bargaining unit. Relocation expenses will not be paid.
Also being advertised as job announcement #MS-17-DAL-OWCP-012 for status applicants, Veterans Employment Opportunity Act (VEOA) applicants & persons eligible under these non-competitive authorities: Veterans’ Recruitment Appointment (VRA); 30% or more compensably disabled veterans; persons w/disabilities (Schedule A); present/former Peace Corps (PC) personnel & former PC volunteers. To be considered for each, apply to BOTH jobs.
The Workers’ Compensation Claims Examiner adjudicates a broad range of disability and death claims, as well as investigates, pay benefits for claims; manages ongoing cases; pays medical expenses and compensation benefits to injured workers and survivors; and helps injured employees return to work when they are medically able to do so.
The incumbent is assigned a broad range or disability and death claims on an unscreened bases, uses initiative and judgment in developing facts and evidence, and in making initial determinations for compensation in a timely manner. Examine cases which involve traumatic injuries and non-traumatic injuries. Examine claims for factual sufficiency and legal correctness. Identify the specific problems in each given case in order to determine the types of information required. Analyze the response and make the decision; often requires review and analysis of voluminous and complicated material. Review and process death claims. Make determination concerning beneficiaries’ entitlements. Adjudicate claims on the basis of written medical and factual evidence secured by correspondence or through investigation. Determines wage earning capacity. Enters data into the automated system, or is responsible for the entry of all appropriate claims adjudication, and compensation adjustment data.
- Not Required
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