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Supervisory Workers' Compensation Claims Examiner
2 weeks ago
**Duties**:
This position is Outside the bargaining unit.
For the Supervisory Workers' Compensation Claims Examiner (District Director) GS-0991-15:
- The incumbent actively contributes to and supports a comprehensive and integrated program to ensure effective implementation of benefits under the compensation provisions of the DMCWC program.
- Provides leadership, oversight, and direction throughout the District Office to adapt and pilot new and improved business processes, methods of workflow, case management, quality control, and information technology improvements.
- Directs all activities that relate to receiving, reviewing, developing, and adjudicating claims under the Federal Coal Mine and Safety Act of 1969 (FCMSA) that fall within his /her areas of jurisdiction.
- Serves as an authorized approving officer, with full responsibility, for the certification of all benefit payments in DCMWC cases and for the recovery of money paid when in cases of fraud.
Supervisory Workers' Compensation Claims Examiner (District Director) GS-0991-14:
"_The incumbent works under closer supervision while continuing to exercise supervisory and managerial authority assigned for the position. Individual assignments will typically be designed to introduce the incumbent to the full range of duties and responsibilities and will include ongoing training and instruction designed to develop in-depth knowledge and the supervisory competencies required at the full performance level."_
**Requirements**:
**Conditions of Employment**:
- Must be a U.S. Citizen.
- Must be at least 16 years old.
- Requires a probationary period if the requirement has not been met.
- Subject to financial disclosure requirements.
- Requires a supervisory probationary period if the requirement has not been met.
**Qualifications**:
**IN DESCRIBING YOUR EXPERIENCE PLEASE BE CLEAR AND SPECIFIC, PLEASE USE THIS FORMAT MM/DD/YYYY WHEN DATING YOUR EXPERIENCE. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR SPECIALIZED EXPERIENCE, DATES OF EMPLOYMENT OR SALARY.**
***
**GS-15**
- Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, 14, in the Federal Service.
- **Specialized experience** is experience that equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position demonstrating a thorough knowledge of Workers Compensation policies, regulations and processes in order to supervise the processing, adjudication and response of compensation claims and inquiries.
- Specialized experience include:
- 1) Experience providing leadership, oversight, and direction to improve processes, implement change, and achieve organizational goals.- 3) Experience in the examination, development, investigation, authorization, allowance or disallowance of claims in commercial, life, disability, benefits administration, or workers' compensation.
- 4) Delivering well-organized, informative oral presentations and written documents to organization leaders, employees, and the public regarding the adjudication of claims.
- 5) In addition, the applicant must demonstrate in his or her work experience or training that they possess, or have the potential to develop, the qualities of successful supervision such as communicating objectives, providing guidance and feedback to leadership and staff regarding mission related goals.- The foregoing may have been gained from: (1) experience in a Federal or State disability, death, workers' compensation, pension, or other similar program; (2) practice of law which included cases related to such programs or (3) experience in an insurance/reinsurance company administering and adjudicating claims in the various commercial lines.
**GS-14**
- Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, 13, in the Federal Service.
- **Specialized experience** is experience that equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position demonstrating a thorough knowledge of Workers Compensation policies, regulations and processes in order to supervise the processing, adjudicating and response of compensation claims and inquiries.
- Specialized experience include:
- 1) Experience providing leadership, oversight, and direction to improve processes, implement change, and achieve organizational goals.- 3) Experience in the examination, development, investigation, authorization, allowance or disallowance of claims in commercial, life, disability, benefits administration, or workers' compensation.
- 4) Delivering well-organized, informative oral presentations and written documents to organization leaders, employees, and the public regarding the adjudication of claims.- The foregoing may have been gained from: (1) experience in a Federal or State disability, death, workers' compensation, pension, or other similar program; (2) practice of l
