Complnc Specialist 3, RCP062, PG:M, Managed Care &Rehabilitation Division
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Workers Compensation, State Board of
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About an hour ago Post Date
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Job Summary: Under broad supervision, may plan, organize, or coordinate the activities of the organization's WC/MCO certification and Rehabilitation Supplier registration programs. Reviews, monitors, and ensures compliance with assigned program area's policies and procedures. Includes coordination and execution of the organization's procedures for registering qualified rehabilitation suppliers and case managers; coordination and execution of the organization's procedures for certifying workers' compensation managed care organizations. Provides general, advanced administrative support to the Division Director.
State Board of Workers' Compensation Employee Benefits Include
Health, dental, and vision insurance
Retirement and pension plans
401(k)/457 options with employer matching
Paid vacation and sick leave
Paid holidays
Employee assistance program (EAP)
Career development and training opportunities
Location: 270 Peachtree Street NW, Atlanta, Georgia 30303. A hybrid work schedule may be available based on business needs and is subject to change.
State Minimum Qualifications
High school diploma/GED and four (4) years of job-related experience; or two (2) years of experience required at the lower level Compliance Specialist 2 (RCP 061) or position equivalent
SBWC Preferred Qualifications
· 5 years of experience in working with rehabilitation cases in the Workers' Compensation field
SBWC Specific Qualifications and Competencies
Provides personal assistance and advanced administrative support to the Division
May represent the Division Director in various matters
Conducts reviews, audits, or surveys of reports from regulated entity operations
Coordinates data management and quality assurance functions
Determines compliance with applicable statutes and rules
Monitors, tracks, and maintains records on compliance by regulated individuals and entities
Coordinates investigations involving allegations of non-compliance consistent with applicable statutes and rules
Research and analyze state statutes and rules regarding policies and procedures
Reviews applications for accuracy and compliance with guidelines, regulations, and laws
Performs job responsibilities with minimal supervision and works cooperatively with others.
Completes administrative tasks, file review and research, and special projects as requested to include, but not limited to proof reading and editing documents; preparing documents; understanding and navigating computer claim files
Provides select program oversight which includes interaction with external customers relative to each program
Provides assistance and problem resolution to internal and external Board customers. Telephone and email etiquette is a must, including the ability to comfortably assist attorneys, rehabilitation/medical/business professionals, and injured workers in a professional manner
Establishes and maintains a positive working relationship with internal and external agency customers, and other related contacts
Have excellent computer skills to learn and work in the Agency's Integrated Claims Management (ICMS) system
Monitors effectiveness of compliance operations, assesses quality of service and makes recommendations to improve operations
Prepare reports of findings and analysis; may make recommendations to management for operational changes
Receives additional training, as required, to gain full proficiency and experience in all areas
Specific Application Instructions
Submit your application via Team Georgia Careers
Attach the following documents:
Updated resume
Cover letter addressed to Neil Thom
Copies of relevant certifications or licenses
Incomplete applications or those missing required documentation may not be considered
IMPORTANT INFORMATION FOR ALL SBWC JOBS
The interview is just one part of the overall selection process and is not the only criteria used to make the final selection. In addition to the interview, the final selection is based on the applicant's work history and performance (documented in HR and/or Office files), PeopleSoft/employee status (i.e. rehire code), employee performance reviews, personnel file review (HR & Office Files), Motor Vehicle Report (MVR), criminal background check and employment reference checks (including references and commendations from Managers and other relevant documentation) and, for supervisory positions, demonstrated leadership skills based on past and current work history will be considered.
Internal Applicants:
In accordance with Internal policy an applicant must have no active disciplinary actions to be in good employment standing. Actions that may disqualify an applicant include letters of reprimand (active for 12 months after issuance date); suspension without pay or disciplinary demotion (active for 12 months from the effective date); Performance Improvement Plans (PIP) and Leave Restriction Plans (active until 12 months after the date of conclusion). In addition, an employee must have an overall e-Performance rating score of three (3) or higher on their most current evaluation. Please note that Memorandums of Concern are not considered disqualifying factors. Human Resources may remove any employee from consideration for selection who is pending a disciplinary action; however, if the action is resolved in the employee's favor, he or she will be allowed to compete.
This is an internal and external job announcement. This is an unclassified position.
Please include all relevant job information on the application for consideration. All applications will be prescreened.
STATE BOARD OF WORKERS' COMPENSATION IS AN EQUAL OPPORTUNITY EMPLOYER .
High school diploma/GED and four (4) years of job-related experience; or two (2) years of experience required at the lower level Complnc Specialist 2 (RCP061) or position equivalent. Note: Some positions may require a certification or licensure. Note: Some positions may require a valid driver's license.
Additional Information
Agency Logo:
Requisition ID: REG04IG
Number of Openings: 1
Advertised Salary: $65, 000.00
Shift: Day Job
