Metropolitan Council
Workers' Compensation Claims Representative II - REPOST
Metropolitan Council, Saint Paul, Minnesota, United States, 55130
Workers' Compensation Claims Representative II - REPOST
Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4511198)
Apply
Workers' Compensation Claims Representative II - REPOST
Salary
$76,148.80 - $123,510.40 Annually
Location
390 Robert St. N St. Paul, MN
Job Type
Full-Time
Job Number
2024-00163
Division
Regional Administration
Department
Risk Management
Opening Date
10/17/2024
Closing Date
Continuous
Description
Benefits
Questions
WHO WE ARE
We will NOT review resumes or cover letters for this position, so please don't attach them. You may still attach DD-214 forms, however, if a veteran and applicable.
This position is eligible for a hybrid (both remote and onsite) telework arrangement. Candidate's permanent residence must be in Minnesota or Wisconsin.
We are the Metropolitan Council, the regional government for the seven-county Twin Cities metropolitan area. We plan 30 years ahead for the future of the metropolitan area and provide regional transportation, wastewater, and housing services. More information about us on our website. (https://metrocouncil.org/About-Us/The-Council-Who-We-Are.aspx)
We are committed to supporting a diverse workforce that reflects the communities we serve.
The Risk Management work unit is part of the Enterprise Risk Management group and provides support for all divisions of the Council. The primary functions of the work unit are to administer the Council's self-insured claims, partner with other units for loss prevention and loss reduction strategies, and financial responsibility for claim reserves.
How your work would contribute to our organization and the Twin Cities region:
TheWorkers' Compensation Claims Representativewill administer Minnesota lost time and medical-only Workers' Compensation claims within the Metropolitan Council's self-insured programs and work with other departments on return-to-work and litigated claims.
This position is required on occasion to travel within the Twin Cities metropolitan area.
What you would do in this job
Coordinate and handle all aspects of the Minnesota Workers' Compensation claims for a self-insured, self-administered organization, including a thorough investigation and statements.
Work with legal counsel in managing litigated files.
Work with other departments to facilitate a return-to-work strategy for employees on Workers' Compensation leave.
Investigate and pursue subrogation, as appropriate.
Participate in bi-annual claims meetings with internal departments.
Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the Workers' Compensation claim. Negotiate any disputed bills for resolution.
Adjust claims with the ability to follow company/departmental policies and procedures.
Perform other related duties as assigned.
What education and experience are required for this job (minimum qualifications)
Any of the following combinations in completed education (degree field of study in Business, Liberal Arts or related field) and experience ( in Workers' Compensation claims adjusting with an insurance company, third-party administrator, or self-insured employer ):
High school diploma/GED with seven years of experience
Associate degree with five years of experience
Bachelor's degree with three years of experience
What additional skills and experience would be helpful in this job (desired qualifications):
Experience reviewing Workers' Compensation accident and injury reports
Experience determining disability ratings, vocational rehabilitation, job placement and return-to-work programs
Experience establishing and maintaining monetary case reserves
Experience calculating complex Indemnity and/or Permanent Total Disability (PTD) benefits
Experience working with Worker's Compensation Reinsurance (WCRA)
Experience pursuing subrogation
Experience negotiating settlements with claimants and attorneys in accordance with settlement authority
Experience preparing reports detailing claims, payments, and reserves
Experience working with diverse populations of internal and external customers
Experience working in MS Word, Excel, and Outlook
Experience using MN DOLI Campus (Work Comp Systems for State of Minnesota)
What knowledge, skills, and abilities you should have within the first six months on the job:
Thorough knowledge of Workers' Compensation laws, State of Minnesota statutes, procedures and case law regarding Workers' Compensation.
Skilled in working with Risk Management Information Systems.
Knowledge of Microsoft Word, Excel, and Outlook.
Knowledge of medical and legal terminology.
Skill in persuasion when dealing with others, both inside and outside the Council.
Ability to write clear, well-written reports.
Ability to communicate with employees, physicians, attorneys, and other stakeholders
What you can expect from us:
We offer the opportunity to make a difference and positively influence the Twin Cities metropolitan area.
We encourage our employees to develop their skills through on-site training and tuition reimbursement.
We provide a competitive salary, excellent benefits and a good work/life balance.
More about why you should join us! (http://metrocouncil.org/Employment/Making-A-Difference.aspx)
Additional information
Union/Grade : AFSCME/Grade G
FLSA Status : Exempt
Safety Sensitive: No
What your work environment would be:
You would perform your work in a standard office setting. Work may sometimes require travel between your primary work site and other sites.
What steps the recruitment process involves:
We review your minimum qualifications.
We rate your education and experience.
We conduct a structured panel interview.
We conduct a selection interview.
Once you have successfully completed the steps above, then:
If you are new to the Metropolitan Council, you must pass a drug test (safety-sensitive positions only) and a background check, which verifies education, employment, and criminal history. A driving record check and/or physical may be conducted if applicable to the job. If you have a criminal conviction, you do not automatically fail. The Metropolitan Council considers felony, gross misdemeanor, and misdemeanor convictions on a case-by-case basis, based on whether they are related to the job and whether the candidate has demonstrated adequate rehabilitation.
If you are already an employee of the Metropolitan Council, you must pass a drug test (if moving from a non-safety sensitive position to a safety-sensitive position) and criminal background check if the job you're applying to is safety-sensitive; is a supervisory or management job; is in the Finance, Information Services, Audit, or Human Resources departments; or has access to financial records, files/databases, cash, vouchers or transit fare cards. A driving record check and/or physical may be conducted if applicable to the position.
IMPORTANT: If you make a false statement or withhold information, you may be barred from job consideration.
The Metropolitan Council is an Equal Opportunity, Affirmative Action, and veteran-friendly employer. The Council is committed to a workforce that reflects the diversity of the region and strongly encourages persons of color, members of the LGBTQ community, individuals with disabilities, women, and veterans to apply.
If you have a disability that requires accommodation during the selection process, please email HR-OCCHealth@metc.state.mn.us .
We believe our employees are a key to our agency's success! In order to attract and retain high quality employees, the Council provides a highly competitive benefits package both in choice and coverage levels. Some highlights about our benefits are listed below:
Guaranteed monthly retirement income through Minnesota State Retirement System pension fund
Opportunity to save additional funds for retirement on a tax-deferred basis through a voluntary deferred compensation (457) plan
Two or more medical plans from which to choose, with employer contribution towards premiums over 80%
Dental insurance, life insurance and vision insurance
The following benefits are provided to all employees as part of working for the Council. You will have access to free:
Well@Work clinic
bus/rail pass valued at over $1200 per year
parking at many job locations
fitness centers at many job locations
Employee Assistance Program
extensive health and wellness programs and resources
01
Applicant Instructions: It is important that your application shows all relevant education and experience you possess. The supplemental questions listed below are to further evaluate your education and experience and to determine your eligibility for this position. Answer each question completely and please do not type "see resume." Otherwise, your application will be considered incomplete and you will not receive further consideration for this position. The experience you indicate in your responses should also be consistent with the Work History section of this application. RESUMES AND COVER LETTERS WILL NOT BE ACCEPTED FOR THIS RECRUITMENT SO ENSURE YOU HAVE COMPLETELY FILLED OUT THE APPLICATION. I have read and understand the above instructions regarding supplemental questions.
Yes
No
02
How did youfirsthear about this job opening?
CareerForce Center
Community Event/Organization
Employee Referral
Facebook
Glassdoor
Indeed
Job Fair
LinkedIn
Metro Transit Bus Advertisement
Twitter
Website: governmentjobs.com
Website: metrocouncil.org
Website: metrotransit.org
Website: minnesotajobnetwork.com
Other
03
If you selected "other," please describe where you first heard about this job. If you selected "employee referral," please enter the employee's first and last name, ID number (if known), and job title.
04
Please select the option below that reflects your education and experience level.
Bachelor's or higher degree in Business, Liberal Arts, or related field AND three or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
Associate degree in Business, Liberal Arts, or related field AND five or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
High School diploma/GED AND seven or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
Some education in Business, Liberal Arts, or related field AND/OR some Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer, but less than the options above
None of the above
05
Please select the areas below with which you have work experience (select all that apply).
Working with vocational rehabilitation, including the job placement process, nurse case management, return-to-work programs, and determining disability ratings
Establishing and maintaining monetary case reserves
Working with Worker's Compensation Reinsurance (WCRA)
Pursuing subrogation
06
If you answered in question #5 that you have experience working with vocational rehabilitation, including the job placement process, nurse case management, return-to-work programs, and determining disability ratings, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
07
If you answered in question #5 that you have experience establishing and maintaining monetary case reserves, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
08
If you answered in question #5 that you have experience working with Workers' Compensation Reinsurance (WCRA), please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
09
If you answered in question #5 that you have experience pursuing subrogation, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
10
Please select the areas below in which you have experience calculating (select all that apply).
Temporary Total Disability (TTD)
Temporary Partial Disability (TPD)
Permanent Total Disability (PTD)
Permanent Partial Disability (PPD)
Average Weekly Wage
11
Please select the areas below with which you have work experience (select all that apply).
Completing MN State forms accurately and timely in accordance with statutory guidelines
Assigning Nurse Case Management, Qualified Rehabilitation Consultants, and other experts to claim, when necessary
Completing Independent Medical Examination letter, including a medical chronology
Using Microsoft Word, Excel, and Outlook
Using MN DOLI Campus
12
Describe your experience negotiating settlements with claimants and plaintiffs' attorneys. If this doesn't apply, please indicate "N/A."
13
The Metropolitan Council values a workplace that is as diverse as the people we serve. Please describe your experience working in a diverse, multicultural, and inclusive environment. If this doesn't apply, please indicate "N/A."
Required Question
Agency
Metropolitan Council
Address
390 Robert St. N.St. Paul, Minnesota, 55101
Website
https://metrocouncil.org
Apply
Please verify your email addressVerify Email
Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4511198)
Apply
Workers' Compensation Claims Representative II - REPOST
Salary
$76,148.80 - $123,510.40 Annually
Location
390 Robert St. N St. Paul, MN
Job Type
Full-Time
Job Number
2024-00163
Division
Regional Administration
Department
Risk Management
Opening Date
10/17/2024
Closing Date
Continuous
Description
Benefits
Questions
WHO WE ARE
We will NOT review resumes or cover letters for this position, so please don't attach them. You may still attach DD-214 forms, however, if a veteran and applicable.
This position is eligible for a hybrid (both remote and onsite) telework arrangement. Candidate's permanent residence must be in Minnesota or Wisconsin.
We are the Metropolitan Council, the regional government for the seven-county Twin Cities metropolitan area. We plan 30 years ahead for the future of the metropolitan area and provide regional transportation, wastewater, and housing services. More information about us on our website. (https://metrocouncil.org/About-Us/The-Council-Who-We-Are.aspx)
We are committed to supporting a diverse workforce that reflects the communities we serve.
The Risk Management work unit is part of the Enterprise Risk Management group and provides support for all divisions of the Council. The primary functions of the work unit are to administer the Council's self-insured claims, partner with other units for loss prevention and loss reduction strategies, and financial responsibility for claim reserves.
How your work would contribute to our organization and the Twin Cities region:
TheWorkers' Compensation Claims Representativewill administer Minnesota lost time and medical-only Workers' Compensation claims within the Metropolitan Council's self-insured programs and work with other departments on return-to-work and litigated claims.
This position is required on occasion to travel within the Twin Cities metropolitan area.
What you would do in this job
Coordinate and handle all aspects of the Minnesota Workers' Compensation claims for a self-insured, self-administered organization, including a thorough investigation and statements.
Work with legal counsel in managing litigated files.
Work with other departments to facilitate a return-to-work strategy for employees on Workers' Compensation leave.
Investigate and pursue subrogation, as appropriate.
Participate in bi-annual claims meetings with internal departments.
Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the Workers' Compensation claim. Negotiate any disputed bills for resolution.
Adjust claims with the ability to follow company/departmental policies and procedures.
Perform other related duties as assigned.
What education and experience are required for this job (minimum qualifications)
Any of the following combinations in completed education (degree field of study in Business, Liberal Arts or related field) and experience ( in Workers' Compensation claims adjusting with an insurance company, third-party administrator, or self-insured employer ):
High school diploma/GED with seven years of experience
Associate degree with five years of experience
Bachelor's degree with three years of experience
What additional skills and experience would be helpful in this job (desired qualifications):
Experience reviewing Workers' Compensation accident and injury reports
Experience determining disability ratings, vocational rehabilitation, job placement and return-to-work programs
Experience establishing and maintaining monetary case reserves
Experience calculating complex Indemnity and/or Permanent Total Disability (PTD) benefits
Experience working with Worker's Compensation Reinsurance (WCRA)
Experience pursuing subrogation
Experience negotiating settlements with claimants and attorneys in accordance with settlement authority
Experience preparing reports detailing claims, payments, and reserves
Experience working with diverse populations of internal and external customers
Experience working in MS Word, Excel, and Outlook
Experience using MN DOLI Campus (Work Comp Systems for State of Minnesota)
What knowledge, skills, and abilities you should have within the first six months on the job:
Thorough knowledge of Workers' Compensation laws, State of Minnesota statutes, procedures and case law regarding Workers' Compensation.
Skilled in working with Risk Management Information Systems.
Knowledge of Microsoft Word, Excel, and Outlook.
Knowledge of medical and legal terminology.
Skill in persuasion when dealing with others, both inside and outside the Council.
Ability to write clear, well-written reports.
Ability to communicate with employees, physicians, attorneys, and other stakeholders
What you can expect from us:
We offer the opportunity to make a difference and positively influence the Twin Cities metropolitan area.
We encourage our employees to develop their skills through on-site training and tuition reimbursement.
We provide a competitive salary, excellent benefits and a good work/life balance.
More about why you should join us! (http://metrocouncil.org/Employment/Making-A-Difference.aspx)
Additional information
Union/Grade : AFSCME/Grade G
FLSA Status : Exempt
Safety Sensitive: No
What your work environment would be:
You would perform your work in a standard office setting. Work may sometimes require travel between your primary work site and other sites.
What steps the recruitment process involves:
We review your minimum qualifications.
We rate your education and experience.
We conduct a structured panel interview.
We conduct a selection interview.
Once you have successfully completed the steps above, then:
If you are new to the Metropolitan Council, you must pass a drug test (safety-sensitive positions only) and a background check, which verifies education, employment, and criminal history. A driving record check and/or physical may be conducted if applicable to the job. If you have a criminal conviction, you do not automatically fail. The Metropolitan Council considers felony, gross misdemeanor, and misdemeanor convictions on a case-by-case basis, based on whether they are related to the job and whether the candidate has demonstrated adequate rehabilitation.
If you are already an employee of the Metropolitan Council, you must pass a drug test (if moving from a non-safety sensitive position to a safety-sensitive position) and criminal background check if the job you're applying to is safety-sensitive; is a supervisory or management job; is in the Finance, Information Services, Audit, or Human Resources departments; or has access to financial records, files/databases, cash, vouchers or transit fare cards. A driving record check and/or physical may be conducted if applicable to the position.
IMPORTANT: If you make a false statement or withhold information, you may be barred from job consideration.
The Metropolitan Council is an Equal Opportunity, Affirmative Action, and veteran-friendly employer. The Council is committed to a workforce that reflects the diversity of the region and strongly encourages persons of color, members of the LGBTQ community, individuals with disabilities, women, and veterans to apply.
If you have a disability that requires accommodation during the selection process, please email HR-OCCHealth@metc.state.mn.us .
We believe our employees are a key to our agency's success! In order to attract and retain high quality employees, the Council provides a highly competitive benefits package both in choice and coverage levels. Some highlights about our benefits are listed below:
Guaranteed monthly retirement income through Minnesota State Retirement System pension fund
Opportunity to save additional funds for retirement on a tax-deferred basis through a voluntary deferred compensation (457) plan
Two or more medical plans from which to choose, with employer contribution towards premiums over 80%
Dental insurance, life insurance and vision insurance
The following benefits are provided to all employees as part of working for the Council. You will have access to free:
Well@Work clinic
bus/rail pass valued at over $1200 per year
parking at many job locations
fitness centers at many job locations
Employee Assistance Program
extensive health and wellness programs and resources
01
Applicant Instructions: It is important that your application shows all relevant education and experience you possess. The supplemental questions listed below are to further evaluate your education and experience and to determine your eligibility for this position. Answer each question completely and please do not type "see resume." Otherwise, your application will be considered incomplete and you will not receive further consideration for this position. The experience you indicate in your responses should also be consistent with the Work History section of this application. RESUMES AND COVER LETTERS WILL NOT BE ACCEPTED FOR THIS RECRUITMENT SO ENSURE YOU HAVE COMPLETELY FILLED OUT THE APPLICATION. I have read and understand the above instructions regarding supplemental questions.
Yes
No
02
How did youfirsthear about this job opening?
CareerForce Center
Community Event/Organization
Employee Referral
Glassdoor
Indeed
Job Fair
Metro Transit Bus Advertisement
Website: governmentjobs.com
Website: metrocouncil.org
Website: metrotransit.org
Website: minnesotajobnetwork.com
Other
03
If you selected "other," please describe where you first heard about this job. If you selected "employee referral," please enter the employee's first and last name, ID number (if known), and job title.
04
Please select the option below that reflects your education and experience level.
Bachelor's or higher degree in Business, Liberal Arts, or related field AND three or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
Associate degree in Business, Liberal Arts, or related field AND five or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
High School diploma/GED AND seven or more years of Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer
Some education in Business, Liberal Arts, or related field AND/OR some Workers' Compensation claims adjusting experience with an insurance company, third-party administrator, or self-insured employer, but less than the options above
None of the above
05
Please select the areas below with which you have work experience (select all that apply).
Working with vocational rehabilitation, including the job placement process, nurse case management, return-to-work programs, and determining disability ratings
Establishing and maintaining monetary case reserves
Working with Worker's Compensation Reinsurance (WCRA)
Pursuing subrogation
06
If you answered in question #5 that you have experience working with vocational rehabilitation, including the job placement process, nurse case management, return-to-work programs, and determining disability ratings, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
07
If you answered in question #5 that you have experience establishing and maintaining monetary case reserves, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
08
If you answered in question #5 that you have experience working with Workers' Compensation Reinsurance (WCRA), please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
09
If you answered in question #5 that you have experience pursuing subrogation, please describe that experience including duties performed, where it took place, and the duration. If this doesn't apply, please indicate "N/A."
10
Please select the areas below in which you have experience calculating (select all that apply).
Temporary Total Disability (TTD)
Temporary Partial Disability (TPD)
Permanent Total Disability (PTD)
Permanent Partial Disability (PPD)
Average Weekly Wage
11
Please select the areas below with which you have work experience (select all that apply).
Completing MN State forms accurately and timely in accordance with statutory guidelines
Assigning Nurse Case Management, Qualified Rehabilitation Consultants, and other experts to claim, when necessary
Completing Independent Medical Examination letter, including a medical chronology
Using Microsoft Word, Excel, and Outlook
Using MN DOLI Campus
12
Describe your experience negotiating settlements with claimants and plaintiffs' attorneys. If this doesn't apply, please indicate "N/A."
13
The Metropolitan Council values a workplace that is as diverse as the people we serve. Please describe your experience working in a diverse, multicultural, and inclusive environment. If this doesn't apply, please indicate "N/A."
Required Question
Agency
Metropolitan Council
Address
390 Robert St. N.St. Paul, Minnesota, 55101
Website
https://metrocouncil.org
Apply
Please verify your email addressVerify Email