What are the responsibilities and job description for the Workers' Compensation Claims Representative I or II position at Metropolitan Council?
WHO WE ARE
We will NOT review resumes or cover letters for this position, so please don't attach them.
You may still attach DD-214 forms, however, if a veteran and applicable.
This position is eligible for a hybrid (both remote and onsite) telework arrangement. Candidate's permanent residence must be in Minnesota or Wisconsin.
We are the Metropolitan Council, the regional government for the seven-county Twin Cities metropolitan area. We plan 30 years ahead for the future of the metropolitan area and provide regional transportation, wastewater, and housing services. More information about us on our website.
We are committed to supporting a diverse workforce that reflects the communities we serve.
The Risk Management work unit is part of the Enterprise Risk Management group and provides support for all divisions of the Council. The primary functions of the work unit are to administer the Council's self-insured claims, partner with other units for loss prevention and loss reduction strategies, and financial responsibility for claim reserves.
How your work would contribute to our organization and the Twin Cities region :
The Workers' Compensation Claims Representative I or II (depending on qualifications) will administer Minnesota lost time and medical-only Workers' Compensation claims within the Metropolitan Council's self-insured programs and work with other departments on return-to-work and litigated claims. We are filling two positions.
This position is required on occasion to travel within the Twin Cities metropolitan area.
What you would do in this job
- Coordinate and handle all aspects of the Minnesota Workers' Compensation claims for a self-insured, self-administered organization, including a thorough investigation and statements.
Work with legal counsel in managing litigated files.
Work with other departments to facilitate a return-to-work strategy for employees on Workers' Compensation leave.
Investigate and pursue subrogation, as appropriate.
Participate in bi-annual claims meetings with internal departments.
Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the Workers' Compensation claim. Negotiate any disputed bills for resolution.
Adjust claims with the ability to follow company / departmental policies and procedures.
Perform other related duties as assigned.
What education and experience are required for this job (minimum qualifications)
Workers' Compensation Claims Representative I
Any of the following combinations in completed education (degree field of study in Business, Liberal Arts or related field) and experience ( in insurance or medical-related field ) :
Workers' Compensation Claims Representative II
Any of the following combinations in completed education (degree field of study in Business, Liberal Arts or related field) and experience ( in Workers' Compensation claims adjusting with an insurance company, third-party administrator, or self-insured employer ) :
What additional skills and experience would be helpful in this job (desired qualifications) :
What knowledge, skills, and abilities you should have within the first six months on the job :
What you can expect from us :
More about why you should join us!
Additional information
Workers' Compensation Claims Representative I
Salary Range : $63,315 - $102,752
Union / Grade : AFSCME / Grade D
FLSA Status : Non-exempt
Safety Sensitive : No
Workers' Compensation Claims Representative II
Salary Range : $76,149 - $123,510
Union / Grade : AFSCME / Grade G
FLSA Status : Exempt
Safety Sensitive : No
What your work environment would be :
You would perform your work in a standard office setting. Work may sometimes require travel between your primary work site and other sites.
What steps the recruitment process involves :
Once you have successfully completed the steps above, then :
If you are new to the Metropolitan Council , you must pass a drug test (safety-sensitive positions only) and a background check, which verifies education, employment, and criminal history. A driving record check and / or physical may be conducted if applicable to the job. If you have a criminal conviction, you do not automatically fail. The Metropolitan Council considers felony, gross misdemeanor, and misdemeanor convictions on a case-by-case basis, based on whether they are related to the job and whether the candidate has demonstrated adequate rehabilitation.
If you are already an employee of the Metropolitan Council , you must pass a drug test (if moving from a non-safety sensitive position to a safety-sensitive position) and criminal background check if the job you're applying to is safety-sensitive; is a supervisory or management job; is in the Finance, Information Services, Audit, or Human Resources departments; or has access to financial records, files / databases, cash, vouchers or transit fare cards. A driving record check and / or physical may be conducted if applicable to the position.
IMPORTANT : If you make a false statement or withhold information, you may be barred from job consideration.
The Metropolitan Council is an Equal Opportunity, Affirmative Action, and veteran-friendly employer. The Council is committed to a workforce that reflects the diversity of the region and strongly encourages persons of color, members of the LGBTQ community, individuals with disabilities, women, and veterans to apply.
If you have a disability that requires accommodation during the selection process, please email HR-OCCHealth@metc.state.mn.us .
Salary : $63,315 - $102,752