Workers' Compensation Claims Specialist III - SR-22

Salary : $63,096.00 Annually

Location : Future vacancies with immediate vacancy in Hilo, HI

Job Type : Permanent & Temporary Positions

Job Number : 2025-00011

Department : Human Resources

Division : Workers Compensation

Opening Date : 01 / 19 / 2025

Closing Date : Continuous

Duties Summary

Serves as staff specialist in workers' compensation matters; prepares workers' compensation cases for administrative hearings; examines workers' compensation cases to determine appropriate benefits, awards, and settlements; and performs other related duties as required.

This level is characterized by its responsibility for examining and preparing the full range and variety of claims independently, including the most difficult and complex cases; class may provide management advisory service to line departments.

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 III, SR-22 position is a career ladder position. The next level in the series is Workers' Compensation Claims Specialist IV, SR-24, $5,918 / 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.

Examples of Duties

• Screens workers' compensation cases and determines appropriate procedures to be followed.
• Investigates workers' compensation cases and analyzes cases for relevant facts.
• Contacts physicians, employers, injured employees, and co-workers to secure information to be used in case determinations.
• Arranges medical evaluations, medical ratings, and mental ratings to document medical-mental status of the injured employee.
• Determines injured employee's maximum recovery and calculates appropriate benefits.
• Consults with the Corporation Counsel on third party subrogation actions to be taken.
• Counsels injured workers on benefits and responsibilities.
• Assists the Corporation Counsel with appeals cases by investigation and research of assigned tasks.
• Reviews and examines workers' compensation cases for determination of appropriate benefits, awards, and settlements.
• Develops settlements to close workers' compensation cases involving disfigurement, permanent disability, and / or death.
• Determines that all required medical, employer, and other reports are present in accordance with the workers' compensation laws.
• Reviews pertinent facts and precedent Labor Department cases; interprets and applies law and departmental policies in the adjudication of worker's compensation cases.
• Participates in subrogation settlements to recover expenditures on applicable cases.
• Prepares synopses and represents the agency in hearings.
• Assists claimants in filing workers' compensation claims.
• Explains benefits and answers inquiries regarding workers' compensation.
• Recommends referrals of claimants for limited duty, retention, and / or rehabilitation counseling.

Minimum Qualification Requirements

Training and Experience :

A combination of education and experience substantially equivalent to :

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 : State Workers' Compensation Laws and regulations; office procedures and practices; policies and practices of processing workers' compensation claims; applicable provisions of collective bargaining contracts; report writing.

Ability to : interpret and apply principles, practices, and techniques of claims examination and adjudication; interpret, understand, and explain laws and regulations pertaining to the workers' compensation program; obtains, analyze, and evaluate pertinent facts; deal effectively with others; research data.

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 employment : The 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.

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.

Supplemental Information

Please scan and attach these supporting documents to your on-line application, if required :

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.

PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME.

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 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.

Benefits of County employment : The 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.

Medical Plan (HMO or PPO)

These benefits are administered by the Hawaii Employer-Union Health Benefits Trust Fund. For more information about current employee contribution rates and plans see the EUTF website ().

All benefits are subject to eligibility requirements and to legislative and / or changes negotiated through collective bargaining.

REQUIRED SUPPLEMENTAL QUESTIONS. The information provided to these Supplemental Questions may be used in combination with your application to determine whether you meet the minimum qualification requirements and / or your final score. Failure to provide detailed and complete information may result in your application being rejected or you receiving a lower score. Please do not submit a resume in place of completing the Supplemental Questions. Any information you submit may be verified.

When applying for this position, I understand that I must thoroughly complete the Education and Work Experience Sections of my application and the Supplemental Questions. This includes a detailed description of each position that I feel qualifies me for the job I am seeking.

I have read the above statement and understand that failure to provide sufficient detailed information may result in my application being rejected or my receiving a lower examination score. I also understand that I may not submit resumes in lieu of filling out the application or answering the Supplemental Questions. However, I may attach a resume to the application to provide additional information.

Applicants must meet all the requirements for the position they are seeking as of the closing date of the recruitment, unless otherwise specified. Your possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must be of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of the position. It is essential that you 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.

Note : Calculation of experience is based on full-time, 40-hour work weeks. Part-time experience must be pro-rated. Example : Twelve months of experience at 20 hours per week is equivalent to six months of experience. In addition, hours worked in excess of 40 hours per week, per work experience, will not be credited. Example : Twelve months of experience at 60 hours per week is equivalent to one year, not one and one-half years.

Did you graduate from an accredited college or university with major work (baccalaureate degree) in business administration, public administration, or a related field?

Did you scan and attach a copy of your official college transcript to your application?

Do you have two (2) years of progressively responsible professional experience involving workers' compensation claims examination?

If you answered "Yes" to question #5, please describe where you gained your progressively responsible professional work experience. Treat each change in employer or position separately. Include the following information :

A. Employer's name

B. Your job title

C. Employment dates (from month / day / year to month / day / year)

D. Hours worked per week

E. Detailed description of your workers' compensation claims examination duties

F. The types of worker's compensation claims cases you were responsible for

G. The percentage of time you spent performing this work.

If you answered "No," enter N / A.

Be specific and complete ALL questions for ALL experience you are claiming. The following are unacceptable responses :

Do you have a valid State of Hawai'i driver's license (Class 3) or any other valid comparable driver's license at the time of filing? (Note : You will be required to submit your valid driver's license at time of hire.)

Required Question

Salary : $63,096