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Workers' Compensation Claims Specialist IV - SR-24

County of Hawai`i
Hilo, HI Full Time | Temporary
POSTED ON 1/25/2025
AVAILABLE BEFORE 2/25/2025
Serves as the County's specialist in workers' compensation and coordinates the day-to-day activities of the County's workers' compensation program; coordinates the limited duty and retention, rehabilitation, and placement programs; and performs other related duties as required.

There is one (1) immediate temporary full-time vacancy not-to-exceed 11/15/2027 with the Department of Human Resources - Worker's Compensation Division in Hilo.

The Workers' Compensation Claims Specialist IV, SR-24 position is a career ladder position.  The next level in the series is Human Resources Manager II, EM-03, $6,745/month.  Persons hired into career ladder positions must meet minimum qualifications for the next level in the career ladder series, perform work at the higher level, and meet performance requirements to move to the next level in the career ladder series.  

The eligible list may be used for other permanent and temporary vacancies as they arise during the life of the list. Temporary appointment may lead to conversion to permanent appointment.  

  • Supervises and coordinates the establishment of workers' compensation case files, the vouchering of appropriate payments, i.e., temporary total disability benifits, medical, and other compensation benefits, in accordance with provisions of Workers' Compensation and other laws, and the processing of cases for closing.
  • Follows up or investigates problem cases, questionable claims, cases where claimant does not seem to be making satisfactory progress toward recovery, and other cases when warranted.
  • Reviews medical reports as necessary to follow claimant's progress in recovery and to determine appropriateness of treatment.
  • Interviews claimant's physician, supervisor, and others to determine propriety of questionable claims.
  • Arranges for disability evaluations and other special examinations where indicated.
  • Recommends denial or acceptance of liability on questionable cases.
  • Oversees the development of subrogation and stipulated settlements involving workers' compensation cases.
  • Attends workers' compensation hearings as the representative of the County.
  • Provides pertinent information to departmental officials, physicians, employees, and union representatives on the procedures and regulations governing workers' compensation and informs them of the status of cases.
  • Advises departments on various courses of action available when long term disabled employees are involved.
  • Coordinates the County's limited duty and retention, rehabilitation, and placement programs.
  • Advises departments on restructuring disabled employee's job to accommodate impairment.
  • Participates in search for other jobs for which disabled employees might be suitable.
  • Develops rehabilitation and placement plans for those employees unable to return to their pre-injury jobs.
  • Counsels disabled employees on employment  opportunities and advises of rights and responsibilities.
  • Studies and reviews existing practices, procedures, policies, and laws and makes recommendations for changes thereto.
  • Develops new and revised procedures, forms, and instructions to improve the processing of claims.
  • Drafts correspondence and prepares periodic and special reports.

Training and Experience: 
A combination of education and experience substantially equivalent to:

  • graduation from an accredited college or university with major work (baccalaureate degree) in business administration, public administration, or a related field (scan and attach a copy of your official college transcript to your application), and
  • three (3) years of progressively responsible professional experience in workers' compensation claims examination, of which
  • one (1) year shall have been in a supervisory capacity or as a specialist independently examining the full range and variety of workers' compensation claims, and
  • possession of a valid State of Hawai'i Driver's License (Class 3) or any other valid comparable drivers license at time of filing.  (You will be required to submit your valid driver's license at time of hire.)

Examination:   All applicants who meet the minimum qualification requirements will be assigned a score of 70 points.  An education and experience evaluation will be conducted based on the applicant's training, education and experience as presented in the application.

Please read the minimum qualification requirements carefully.  Be certain to list all pertinent training and experience, as this may be important in determining your examination score.  It is essential that the applicant describe fully the duties and responsibilities of each position held, specify the date of each position held (from and to, month and year), and indicate the number of hours worked per week.   

Attach all required documentation (e.g. official transcript, professional license(s)/certification(s), DD-214, etc.) at the time of submitting your application. 

Note:   In-person interviews and/or further testing in Hawai'i County may be required at the discretion of the hiring department/agency.  If in-person interviews and/or further testing are required, applicants who are referred to the hiring department/agency must be available to participate in person and at their own expense at that phase of the selection process.

Knowledge of:  principles and practices of supervision; laws, rules, and regulations governing workers' compensation in the State of Hawai`i; pertinent personnel laws and regulations; applicable provisions of collective bargaining contracts; lay knowledge of various kinds of disabilities and loss of bodily functions incurred as a result of disease or injury; various kinds of occupations and their physical requirements; laws, policies, basic principles, and practices relating to vocational rehabilitation; community resources in vocational and related rehabilitation services; report writing.

Ability to:  plan, organize, and supervise the work of others; develop, implement, and maintain system of recordkeeping; interpret and apply workers' compensation laws and regulations; apply a general lay knowledge of physical impairments and degree of limitations and determine whether injuries prevent individuals from performing certain kinds of work; review, analyze, and evaluate facts; research data and prepare reports; express ideas logically, both orally and in writing; deal tactfully and effectively with other employees, operating officials, claimants, their representatives, physicians, and others.

Physical Requirements:  Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper to perform the essential functions of the position with or without reasonable accommodations.

Physical Effort Grouping:  Light

Benefits of County employmentThe County of Hawai‘i offers a competitive compensation package.  Your total compensation is comprised of your salary and a generous range of valuable benefits, subject to eligibility requirements.
  • Flexible Working Arrangements:  Options may include telecommuting, alternate work schedules (4-10) and flexible working hours.  (Not all Departments/Agencies participate and not all positions are eligible.)   
  • Vacation:  Start accruing paid vacation time immediately upon hire – up to 21 days per year.
  • Sick Leave:  Start accruing paid sick leave time immediately upon hire – up to 21 days per year.
  • Holidays:  The County provides 13 paid holidays per year (plus General Election Day when applicable).
  • Training and Development:  The County has a variety of training and development opportunities for employees.  
  • County Tuition Reimbursement Program: This scholarship program rewards employees who take the initiative to advance their education and learning.
  • Public Service Loan Forgiveness (PSLF) Program:  You may be eligible for this federal program which forgives portions of federal student loans for individuals working in public service.  
  • Retirement Plan:  The Employees’ Retirement System is a qualified defined benefit public pension plan that provides retirement, disability, survivor and other benefits to all eligible full-time and part-time county employees in the State of Hawaii as well as their beneficiaries.
  • Deferred Compensation:  Save additional money for retirement - this voluntary supplemental retirement savings plan allows for the investment of tax-deferred contributions.
  • Flexible Spending Plan:  Use pre-tax dollars to pay for qualified dependent care and/or medical expenses, as well as insurance premiums.
  • Health Benefit Plans:  The County of Hawai‘i offers a variety of health benefit plans for eligible employees.
  • Employee Assistance Program (EAP):  This voluntary assistance program provides employees and their family members with free professional and confidential assistance in overcoming personal and work-related problems.
  • Group Life Insurance:  Free life insurance policy for active employees.  
  • Credit Union Membership
  • Other Leaves:  You may be eligible for other leaves, including Family Leave, Funeral Leave, Leave Sharing, Military Leave, Donor Leave, Victims Protection Leave, as well as leave for Parent-Teacher Conferences, Disaster Relief, Blood Bank Donations, and Jury Duty.

All benefits are subject to eligibility requirements and change due to legislative actions and/or changes negotiated through collective bargaining. Please check out the benefits tab for additional information.  Please scan and attach these supporting documents to your on-line application, if required:
  • an official college transcript,
  • a valid driver's license,
  • a temporary assignment verification, 
  • professional licenses, and/or
  • certificates,

Veterans applying for veteran's preference points shall also scan and attach their DD-214 form and as needed, their VA claim letter to the on-line application.

ELECTRONIC NOTIFICATION TO APPLICANTS:
Please ensure that the email address and mobile phone number you provide is current, secure, and readily accessible to you.  We will not be responsible in any way if you do not receive our emails and text messages or fail to check your email box or NEOGOV account INBOX in a timely manner.  Checking your NEOGOV account INBOX daily is recommended and is the most secure method to check on notices sent to you.  This is a new feature created by our vendor, NEOGOV.
 
Please add info@governmentjobs.com to your contact list.  Open your NEOGOV account using your user name and password.  In the upper right hand corner of the account is your name, and under your name, click on INBOX to view all notices sent you.  The notices will appear here in the INBOX even in the event you don't receive it on your cell phone, computer, or other electronic device.  This is the best way to check and view all notices sent to you.
 
You will receive a confirmation email upon successfully submitting your application.  Failure to receive this confirmation email, indicates that your application was not submitted.     

Salary : $71,016

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