CLAIMS AND HEARINGS CLERK II

State of New Hampshire Job Posting

Department of Labor

Division of Workers Compensation

95 Pleasant St. Concord NH 03301

Part Time Claims & Hearings Clerk II

Labor Grade:12

Position #TMPPT6194

* THIS POSITION IS ELIGIBLE TO WORK FROM HOME.

The State of New Hampshire, Department of Labor, Division of Workers' Compensation has a part time vacancy for a Claims & Hearings Clerk II.

SUMMARY: Performs technical and clerical tasks in support of the Claims Bureau Unit of the Worker�??s 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.

RESPONSIBILITIES:

Reviews Memos 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.

Reviews and calculates 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: High school diploma or high school equivalency credential. 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 Michelle Sousa, Administrator I, at 603-271-3328 or [email protected]

EOE

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