Claims Manager/Workers' Compensation Claims Management Specialist Intermediate

Working Title: Claims Manager

Job Class: Workers' Compensation Claims Management Specialist Intermediate

Agency: Labor & Industry Dept

• Job ID : 81386

• Location : St. Paul

• Telework Eligible : Yes

• Full/Part Time : Full-Time

• Regular/Temporary : Limited

• Who May Apply : Open to all qualified job seekers

• Date Posted : 01/10/2025

• Closing Date : 01/23/2025

• Hiring Agency/Seniority Unit : Labor & Industry Dept / Labor and Industry-MAPE

• Division/Unit : Dept of Labor & Industry / SCF Claims Reimb & Penalties

• Work Shift/Work Hours : 8:00 am - 4:30 pm

• Days of Work : Monday - Friday

• Travel Required : No

• Salary Range: $27.84 - $40.82 / hourly; $58,129 - $85,232 / annually

• Classified Status : Unclassified

• Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE

• End Date : Two years from start date

• FLSA Status : Nonexempt

• Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : No

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

This position was previously announced. If you already applied for this job, you are still under consideration and do not need to reapply.

This is a temporary unclassified position expected to last two years.

This position authorizes reimbursement approval on workers’ compensation cases for which the Special Compensation Fund (“SCF”) has agreed to reimburse a stakeholder pursuant to Minnesota Statutes §176.131 and §176.132 for benefits paid as a result of a second injury or in the form of supplementary benefits, and to authorize approval for reimbursement of medical treatments and services for claims submitted below a dollar limit of $5,000.00. The incumbent evaluates and appropriately reimburses claims from stakeholders based on the terms of acknowledged SCF liability and adequate documentation of reasonableness and necessity of expenditures by the stakeholders. This position also assesses short and long-term SCF liabilities, analyzes the language in settlement documents, pursues repayment of overpaid amounts to insurers, and denies inappropriate amounts claimed by stakeholders.

Minimum Qualifications

· Two years’ experience administering workers’ compensation indemnity and medical claims.

· Knowledge of Minnesota Workers' Compensation laws and rules, case law decisions, appropriate federal laws and agency policies and procedures.

· Knowledge of medical terminology, conditions, treatment methods, medications, treatment parameters, and CPT/ICD10 coding.

· Ability to interpret and understand rehabilitation and medical records, medical reports and medical provider statements.

· Strong mathematical skills to calculate benefit amounts due, using statutory and/or complex case law formulas.

· Strong organizational and decision-making skills and ability to work independently.

· Strong written and verbal communications skills to effectively explain SCF policies to stakeholders and interact in verbal and written formats with all customers.

· Ability to communicate effectively with individuals from a wide range of backgrounds, including those who may not share your same culture, ethnicity, language, or common experiences.

Preferred Qualifications

• Language skills other than English (such as Somali, Spanish, Hmong, Karen or ASL).

• Six months professional claims experience managing or administering second injury and/or supplementary benefit claims.

• Six months experience using DLI's Work Comp CAMPUS claims management system.

Additional Requirements

It is the policy that all final candidates submit to a background investigation prior to employment. The background check may consist of the following components: SEMA4 Records Check, Employment Reference Check, Driver’s License Check, Education/License Verification.

This position is designated for hybrid:

• Hybrid for State of MN allows an employee to work a portion of the time remotely with a regular schedule of time at the designated office.

• Only candidates located in Minnesota and bordering states (Iowa, North Dakota, South Dakota, or Wisconsin) are eligible.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.