Claims Specialist 2026-00524
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Claims Specialist 2026-00524
Salary
$24.78 Hourly
Location
Cheyenne, WY
Job Type
Permanent Full-time
Job Number
2026-00524
Department
Department of Workforce Services
Division
Employment & Training - Cheyenne
Opening Date
02/18/2026
Closing Date
3/4/2026 11:59 PM Mountain
FLSA
Non-Exempt
Job Classification
BEWC07
Description
Benefits
Questions
Description and Functions
GENERAL DESCRIPTION:
TheWyoming Department of Workforce Servicesis seeking a detail-oriented and analyticalClaims Specialistto join its Workers' Compensation team.
In this role, you will perform comprehensive case management functions for assigned employer accounts, ensuring the timely and accurate handling of Workers' Compensation claims. Responsibilities include determining the compensability of claims based on statute and policy, reviewing documentation, analyzing facts, and making sound, well-supported decisions.
The position also monitors claims activity for potential fraud, abuse, or other improprieties, helping safeguard the integrity of the Workers' Compensation program. This role requires strong critical thinking skills, attention to detail, and the ability to communicate clearly and professionally with employers, injured workers, medical providers, and other stakeholders.
If you are committed to public service and take pride in ensuring fair, consistent, and accountable claims administration, we encourage you to apply.
Working for the State of Wyoming offers more than a paycheck. Our total compensation package includes:
Comprehensive health, dental, and vision insurance
Paid vacation, sick leave, FMLA and holidays
Retirement - Pension and 457B plans that help you build a secure future
Flexible schedules and work-life balance options
Meaningful work that makes a difference for Wyoming communities and MUCH MORE!
Click here for detailed information (https://ai.wyo.gov/for-job-seekers/benefit-information) , or you can watch this short video to learn about our benefit package! (https://youtu.be/DxeKSDMAjcw?si=90XLWN-kJ1Y0EGfL)
Want to see the full value of your compensation beyond salary?
Explore our Total Compensation Calculator: https://compensationcalculator.wyo.gov
Human Resource Contact: kelly.gayer@wyo.gov
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed at the job level.
Use case management skills to guide customers through the Workers' Compensation benefits program.
Review injury reports.
Investigate the circumstances of the injury.
Make eligibility determinations on the claim for benefits by reviewing applications and medical reports.
Process claims for indemnity benefits.
Communicate clearly the rights, responsibilities, and benefits of the Workers' Compensation program.
Assist injured workers with filing requirements and understanding the complex claims processes.
Refer appropriate cases for hearing, and may provide testimony in the hearings.
Respond directly to employers or vendors in regard to questions on procedures or the status of cases or claims.
Coordinate return to work and work restrictions with healthcare providers and employers.
Analyze medical documentation to determine the compensability of claims.
Initiate and monitor program requirements and process benefits.
Mediate disputes involving injured workers, employers, healthcare providers, and the division.
Coordinate with healthcare providers to effectively manage the compensable injury and establish appropriate diagnoses and treatment plans for the injury.
Qualifications
PREFERENCES:
Preference may be given to those with Claims Management and/or Claims Service experience.
Preference may be given to those with Customer Service experience.
Preference may be given to those with a Bachelor's degree in Management and/or Social Services.
KNOWLEDGE:
Knowledge of Workers' Compensation Law and Rules & Regulations.
Ability to assist clients in working through complex processes.
Ability to work independently.
Ability to analyze situations and provide resolutions within the statutes.
Knowledge of medical terminology
Knowledge of case management
Knowledge of customer service
MINIMUM QUALIFICATIONS:
Education:
Bachelor's Degree
Experience:
0-1 year of progressive work experience (typically in Benefits and Eligibility)
OR
Education & Experience Substitution:
3-4 years of progressive work experience (typically in Benefits and Eligibility)
Certificates, Licenses, Registrations:
None
Necessary Special Requirements
NOTES:
FLSA: Non-Exempt
Former State of Wyoming employees who are rehired less than 31 days after their final day in their old agency, must repay all leave payouts.
The Wyoming Department of Workforce Services (DWS) uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more aboutE-Verify (http://www.uscis.gov/e-verify) , including your rights and responsibilities.
For the Veteran's preference consideration, supporting documentation must accompany your application.
Offers of employment will be contingent upon the successful completion of a background check.
Supplemental Information
Clickhere (https://ai.wyo.gov/divisions/human-resources/consultative-services/compensation/pay-tables-salary-averages) to view the State of Wyoming Classification and Pay Structure.
Clickhere (https://compensationcalculator.wyo.gov/) to view the State of Wyoming Total Compensation Calculator.
URL: http://agency.governmentjobs.com/wyoming/default.cfm
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
Working for the State of Wyoming means more than a job - it's a stable, rewarding career that lets you make a difference while enjoying a great quality of life.
Employees enjoy:
Comprehensive health coverage- medical, dental, and vision plans for you and your family
Voluntary Benefits- including life insurance for you and family members, ambulance, pet insurance, short/long-term disability, flex spending and health savings accounts
Multiple retirement options- including the Wyoming Retirement System and a 457B account, helping you plan for long-term financial security
Generous paid leave and flexible schedules- vacation, sick leave, paid FMLA and 11 paid holidays each year
Public Service Loan Forgiveness eligibility- for those with qualifying student loans
Training and professional development- to support your career growth and advancement
Employee Assistance Program - Includes paid short-term counseling, legal, financial and work-life benefits and select employee discounts
Wellness Program - Earn paid time off and incentives by focusing on your personal health
Know your full value.
Your paycheck is only part of the picture. The State of Wyoming offers a Total Compensation Calculator that shows the full value of your salary plus benefits, so you can clearly see what your complete compensation package looks like.
Explore your total compensation:https://compensationcalculator.wyo.gov/
WORKING FOR THE GREATEST STATE IN THE NATION - Wyoming offers a lifestyle you can't find anywhere else - wide-open spaces, clean air, friendly communities, year-round recreation, andno state income tax.
Click here for detailed information (https://ai.wyo.gov/for-job-seekers/benefit-information) or you can watch this short video to learn about our benefit package! (https://youtu.be/DxeKSDMAjcw?si=90XLWN-kJ1Y0EGfL) .
