Claims Adjuster (Workers Compensation) -…

A non-merit vacancy exists in the Worker’s Compensation Claims Unit, Office of Human Resources.

This job announcement may close at any time with little or no notice. Applicants are advised to apply promptly.

Non-Merit positions are not classified within the Baltimore County Government Classification and Compensation Plan.

A list of eligible applicants will be established based on the examination as outlined below.

Current and future vacancies occurring in any Office or Department of Baltimore County General Government may be filled from the list of eligible applicants.

List all promotions and changes in job duties due to reclassification as separate work experiences on your application. Applicants must include the dates of the promotions and reclassifications.

Note: Failure to complete all fields of the “Work Experience” section of the application will result in your application not being considered.

You can attach your transcript(s) or license (s) to your application.

Failure to submit proof of Licenses, Certifications and Education may result in your application not being considered.

Examples of Duties:
Under general supervision, conducts adjusting activities on behalf of the self insured employer, to include investigating, negotiating, and managing claims against the County’s Self Insurance Fund.

Reviews, analyzes and processes workers’ compensation claims. Investigates injuries and accidents arising from County operations. Reviews bills and corresponding reports related to claims to determine if compensable under State law and County policies. Interprets data to identify risk exposure and recommends corrective or preventative measures, where needed, to reduce accidents and injuries.

Documents and maintains detailed claim files utilizing an electronic document and claims management system. Compares data on claim form with physician’s statements, police investigative reports, damage appraisal reports, and other records to ascertain completeness and validity of claims. Identifies claims for subrogation, investigates subrogation potential, and pursues recovery of funds from third party.

Prepares statistical, narrative, or other reports. Performs the claims handling function in compliance with Maryland Workers’ Compensation Law, Baltimore County policies, and the policies and procedures of the Claims Management Unit. Establishes appropriate reserves and resolution plans on all claims. Coordinates claim function with other activities of the Claims Management Unit. Prepares claims for hearings and/or trials by gathering pertinent information and forwarding documentation to Counsel. May attend hearings or court proceedings as needed.

Coordinates efforts with personnel in County agencies and offices as needed to insure compliance with all County policies and procedures as related to claims management and processing.

Examples of Other Duties

Participates in developing and implementing new or revised policies and procedures. Interacts with employers health services, County vendors, and other outside entities as needed to facilitate claims investigation and processing. Performs other related duties as required.

NOTE : The duties and responsibilities listed above are for the purpose of determining a common set of minimum qualifications for all positions in this class. They may not include all of the essential job functions of each position in the class. Each position may not be required to perform all of the essential job functions listed.

Qualifications:
Required Qualifications

Graduation from an accredited college or university with a bachelor’s degree

OR paralegal certificate, associate’s or bachelor’s degree from an accredited paralegal school

plus

at least five years’ experience in adjusting and managing complex insurance claims for worker’s compensation to include proficiency with electronic document filing, file management and claims reporting.

Licenses and Certificates

Possession of a valid driver’s license equivalent to a non-commercial, class C Maryland driver’s license is required at the time of appointment.

Proof of Licenses, Certifications and Education

Applicants are required to submit proof of licenses, certifications and education beyond high school to meet the required and preferred qualifications of the position. Diplomas or transcript must show the applicant’s major field of study. Copies and unofficial transcripts are acceptable.

Failure to submit proof of Licenses, Certifications and Education will result in your application not being considered. Proof of licenses, certifications, and/or education must be submitted with each application.

Proof of Degree Equivalency

Applicants who have obtained a degree from outside the United States of America are required to submit degree equivalence documentation from World Education Services, Inc. ( www.WES.org )

Mail or deliver documents to:
ATTN: Claims Adjuster – Non-Merit

Office of Human Resources

Baltimore County Government

308 Allegheny Ave.

Towson, MD 21204

You can attach your transcript(s) or license(s) to your application.

Preferred Qualifications

Experience handling claims of municipal employees, including public safety employees in Maryland and demonstrated understanding of legal and medical issues related to municipal employee claims. Good interpersonal, organizational and communication skills. Ability to work independently and as part of a team with attention to both big picture items and detail.

EXAMINATION PROCEDURE

Applicants will be qualified based on an evaluation of the training and experience as stated on their application, which includes answers to the supplemental questions. Applicants must state the dates and duties of past and present experience clearly and completely for evaluation.

Conditions of Employment:
Physical and Environmental Conditions

The work of this classification is essentially sedentary. Some positions may require travel to other work sites.

Medical Examination and Employment Background Investigation

Applicants selected for an appointment to a position in Baltimore County must successfully complete a physical examination and drug screen and an employment background investigation, including, but not limited to a criminal background, education, and fingerprint check.