Workers Compensation Claims Examiner - Department Of Labor - Pikeville, KY

This position is located in the U.S. Department of Labor (DOL), Office of Workers’ Compensation Programs, Division of Coal Mine Workers’ Compensation, Black Lung District Office in Mount Sterling, KY. The office has the responsibility for the administration of benefits payable under the provisions of Title IV, Parts B and C of the Federal Coal Mine Health and Safety Act of 1969, as amended. A few positions may be filled from this announcement.

– Relocation expenses will not be paid.

– This position is inside the bargaining unit.

– This position has promotion potential to GS-12.


TRAVEL REQUIRED



RELOCATION AUTHORIZED

KEY REQUIREMENTS

  • U.S. Citizenship.

  • Requires a probationary period if the requirement has not been met.

  • Appointment to this position may require a background investigation.

  • Must be at least 16 years of age.


DUTIES: Back to top

The incumbent adjudicates a broad range of disability and death claims on an unscreened basis and makes initial determination for compensation in a timely manner.

  • Reviews, examines, develops and adjudicates disability and death claims.

  • Furnishes advice and assistance through interviews and correspondence.

  • Compose written reports and assembles related research activities.

  • Corresponds with claimants, insurance company representatives, attorneys, employees and union officials both in writing and by phone.

  • Examines claims for factual sufficiency and identifies the specific problems in each given case in order to determine the types of information required.

  • Analyzes the response and makes the decision.

  • Enters data into the automated system, or is responsible for the entry of all appropriate claims adjudication, and compensation adjustment data.


QUALIFICATIONS REQUIRED: Back to top

For the GS-9 level, Applicants must possess one (1) year of specialized experience equivalent to the GS-7 level OR two (2) full years of full-time graduate education or a Masters or equivalent graduate degree (such as an LL.B. or J.D.).


Specialized experience for this grade level is experience that equipped the applicant with the particular knowledge, skills, and abilities to research issues, elicit specific information, and review facts in order to determine eligibility for benefits. This experience may have been gained in a medical, insurance or similar organization that required analyzing legal, employment, or medical records.


A combination of education and experience may be used to meet the required experience requirements at the GS-9 level. To be creditable, graduate education must have completed at an accredited college or university (or law school). Such education must be in a discipline related to the work of the position and demonstrate the knowledge, skills, and abilities necessary to do the work. Related disciplines include, but are not limited to, public administration, business administration, law, finance, economics, statistics, or accounting.


NOTICE TO APPLICANTS: Applicants referred to the selecting official will be asked to provide a short writing sample during the course of the interview. This sample will be used as an additional source of information regarding the applicant’s ability to communicate in writing, an important aspect of the work of this position. For additional information, refer to OPM Qualification Standards Operating Manual, Group Coverage Qualification Standards for Administrative and Management Positions.


If you wish to use your education as a basis for meeting the eligibility and/or minimum qualification requirements for this position, you must submit academic transcripts demonstrating that you meet the qualifying educational requirements. If specific course work is required to fulfill the eligibility and/or minimum qualification requirements, you must supply transcripts from each academic institution in which the required courses were taken in order to receive credit for that course work. See the ‘Qualifications and Evaluations’ section of this announcement for more details.


If you do not submit sufficient academic documentation necessary to demonstrate that you meet the eligibility and minimum qualification requirements described in this announcement, your application will be deemed incomplete and you will be ineligible for further consideration for this vacancy.


College Transcript and Evaluation of Foreign Education – The Department of Labor does not recognize academic degrees from unauthorized secondary schools or post-secondary institutions that are not accredited by an accrediting body recognized by the Department of Education. Any applicant falsely claiming an academic degree from an accredited school will be subject to actions ranging from disqualification from federal employment to removal from federal service. If your education was completed at a foreign college or university, you must show comparability to education received in accredited educational institutions in the United States and comparability to applicable minimum course work requirements for this position. Click Evaluation of Foreign Education for more information.


Applicants must meet all legal and regulatory requirements. Reference the “Required Documents” section for additional requirements.


HOW YOU WILL BE EVALUATED:
If you meet the minimum qualifications, you will be evaluated against evaluation factors below and be placed into a category based on your vacancy question responses.

Categories

Category A – Meets basic qualification requirements for the vacancy and has successful experience in the same or similar job that has demonstrated superior proficiency in applying critical competencies required by this position to work of increased levels of difficulty and complexity.

Category B – Meets the basic qualification requirements for the vacancy, demonstrates satisfactory proficiency in the critical competencies required by this position.

Category C – Meets specialized experience described in the minimum qualifications requirements section of this announcement and demonstrates proficiency in the basic competencies.


Evaluation Factors (Competencies) – All qualified applicants will be evaluated on the following key competencies:

Legal, Government, and Jurisprudence – Knowledge and application of the laws, regulations, court procedures, precedents, legal practices and documents, executive orders, agency rules, government organization and regulations.

Customer Service – Works with clients/customers to assess needs, provide information or assistance, resolve problems, satisfy expectations.

Decision Making – Makes sound, well-informed, objective decisions; perceives the impact/implications of decisions; commits to action, in uncertain situations, to accomplish organizational goals; causes change.

Self Management – Sets well-defined realistic personal goals; displays high level of initiative, effort, commitment towards completing assignments timely; works with minimal supervision; motivated achiever; demonstrates responsible behavior.

Written Communication – Recognizes, uses correct English grammar, punctuation, spelling; communicates information (example, facts, ideas, messages) in a succinct organized manner; produces written information, which may include technical material, that is appropriate for the intended audience.

Flexibility – Open to change/new information; adapts behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with ambiguity.

Oral Communication : Expresses information to individuals effectively, makes clear and convincing oral presentations; listens to others and responds appropriately.


The information you provide may be verified by a review of your work experience and/or education, by checking references and through other means (ex. interview). The examining Human Resources Office (HRO) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your responses to the vacancy questions. If not, the HRO may amend your responses to more accurately reflect the level of competency indicated by the content of your resume. Your evaluation may also include a review by a Human Resources Specialist or panel and may include other assessments (ex. interview, panel review, written test, writing sample, etc.)

INFORMATION FOR ICTAP ELIGIBLES ONLY: If you are eligible for special priority selection under ICTAP, you must be well-qualified for the position to receive consideration. ICTAP eligibles who are placed into Category B or higher will be considered “well-qualified”.

Click Application of Veterans Preference for Category Rating Jobs for more information.

To preview questions please click here .


BENEFITS: Back to top

You can review our benefits at:

http://www.dol.gov/oasam/doljobs/BenefitsPermanentVacancies.htm


OTHER INFORMATION: The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.


The Department of Labor does not make unfavorable hiring decisions on the basis of an applicant’s previous or current unemployment, or the fact that an applicant has experienced financial difficulty through no fault of his/her own and has undertaken good faith efforts to meet his/her financial obligations. Consideration is given to financial status in relation to appointments only where required by law, regulation, or Executive Order.


Refer to these links for more information: GENERAL INFORMATION , REASONABLE ACCOMMODATION , ADDITIONAL DOCUMENTATION , SELECTIVE SERVICE REGISTRATION , PROBATIONARY PERIOD , FORMER FEDERAL EMPLOYEES



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