NY HELP Yes
Agency Workers' Compensation Board
Title Workers' Compensation Examiner (NY HELPS), WCB Item #8147
Occupational Category No Preference
Salary Grade 14
Bargaining Unit ASU - Administrative Services Unit (CSEA)
Salary Range From $56506 to $68630 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Competitive Class
Travel Percentage 0%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 8:30 AM
To 4:30 PM
Flextime allowed? No
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? Yes
County Schenectady
Street Address Office of Compliance and Litigation, Payor Penalty
328 State Street
City Schenectady
State NY
Zip Code 12305
Duties Description Under the direction of a Senior Workers Compensation Examiner, SG-18, within the Compliance & Litigation/Payor Compliance/Payor Penalty Unit this position will process quarterly Payer Penalty requests for review submitted by claims administrators. Specific duties include, but are not limited:- Demonstrate a working knowledge of specific sections of the WCL, Board policies and procedures, and claims handling procedures for WC claims.- Display a professional and courteous manner to both external customers and staff members. Answer basic telephone and email inquiries, complaints or other issues from system participants regarding report cards, performance penalties or appeal procedures. Prepare written correspondence correctly. - Responsible for the distribution of quarterly performance report cards to system participants once per quarter using Board established Information Technology systems.- Ensure accuracy of all data maintained in Board systems used to evaluate performance. Maintain Board databases of all data elements used to evaluate performance.- Issue penalty notices to system participants that fail to meet established performance goals on quarterly basis using Board established ITS.- Maintain any established central repository for communications received. Maintain neat, orderly, and accurate files according to office procedures. Files must be complete so all persons unfamiliar with the issues addressed will be able to discern the facts of case and basis for any decisions reached.- Provide information on procedures for an appeal of any penalties issued and information needed for Board to make a ruling. Recognize communications that are appeals of penalties and insure they are responded to on timely basis according to Board procedure.- Provide notes, records and documents any actions taken in systems provided as required by unit policies.- Refer cases where information has been received, or fraudulent activities are suspected to supervisory personnel in accordance with established procedures.- Assist with the creation of new procedures or provide feedback on new or pending processes to senior management. May include training of Assist. WCE's, provide guidance or seek clarification on guidelines or objectives as well as assist other units.- Complete special projects as assigned in support of the monitoring of system participants, or in support of audits being conducted by the Monitoring & Audit unit or any other Board unit as needed.- Complete mandatory training.
Minimum Qualifications This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making permanent non-competitive appointments and the official probationary period will begin.At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.NON-COMPETITIVE MINIMUM QUALIFICATIONSCandidates must have:Either 1. Three years of full-time experience in a position where your primary responsibilities included extensive in-person or telephone customer service experience with the general public resolving customer's issues and/or problems; explaining programs/services, policies, or procedures; reconciling accounts; or experience examining, investigating, processing, or adjusting insurance claims; or responding to technical questions from policyholders or claimants;Or 2. An associate's degree and two years of full-time experience described in #1;Or 3. A bachelor's degree and one year of full-time experience described in #155 B/C QUALIFICATIONS:Individuals certified eligible for the 55b/c program under the Governor's Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law will also be considered. To be considered, you must meet the minimum qualifications and provide a copy of your letter of eligibility with your response.COMPETITIVE MINIMUM QUALIFICATIONS:CIVIL SERVICE LIST APPOINTMENT:Candidates must be reachable on the appropriate Civil Service eligible list.TRANSFER QUALIFICATIONS:Candidates must have one year permanent or 55 b/c service in a title designated as appropriate for transfer in accordance with 70.1 of the Civil Service Law.
Additional Comments Please Note: This position requires both in-office and remote work. A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and a generous benefits package, including:Holiday & Paid Time Off- Thirteen (13) paid holidays annually.- Thirteen (13) days of paid vacation leave in year one, increasing to 20+ days with additional years of service.- Five (5) days of paid personal leave annually.- Thirteen (13) days of paid sick leave annually for PEF/CSEA and eight (8) days paid sick leave annually for M/C.- Annual professional leave and educational leave opportunities for eligible staff.Health Care Benefits- Eligible employees and dependents can choose from a variety of affordable and generous health insurance programs.- Family dental and vision benefits at no additional cost.Additional Benefits- Public Service Loan Forgiveness (PSLF).- Enrollment in the New York State pension system which has earned the distinction of being one of the best-managed and best-funded plans in the nation OR Optional Retirement Defined Contribution Plan with 8% salary match (eligibility requirements apply).- NYS Deferred Compensation and an exclusive 403(b) Optional Retirement Savings Plan.- Paid Parental Leave for all employees and Paid Family Leave (M/C Only).- Eligibility for various life insurance options.- Access to NY 529 and NY ABLE College Savings Program- Flexible Spending Program, which allows employees to set aside pre-tax payroll deductions for eligible health care and dependent care expenses.For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.The Workers' Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives.We are happy to provide reasonable accommodations during the hiring process. If you have a disability or special need that requires a reasonable accommodation, please send a request to officeofgeneralcounsel@wcb.ny.gov.
Some positions may require additional credentials or a background check to verify your identity.
Name Recruitment Unit
Telephone
Fax 518-486-6364
Email Address HRM@WCB.NY.GOV
Address
Street Human Resources Management
328 State Street
City Schenectady
State NY
Zip Code 12305
Notes on Applying Qualified candidates should send a letter of interest and resume which lists your actual Civil Service title, salary grade and specific verifiable information as to how you meet the minimum qualifications to be eligible to apply for this position. Please send your application to HRM@WCB.ny.gov (email applications are preferred). It is important that you reference the WCB Item #8147 in the subject line of your email to ensure receipt of your application. (Please do not reference the Vacancy ID No.)
