Lead Claims Examiner (04209)

MISSION STATEMENT:

The Montana Department of Labor & Industry exists to promote and protect the well-being of Montana’s workers, employers and citizens, and to uphold their rights and responsibilities.



DLI CORE VALUES:

• 
  Customer Focus
  
• Individual Responsibility
• Individual Growth
• Ethics in the Workplace
• Continuous Improvement

Learn more about the department HERE !

JOB OVERVIEW:

Are you looking for a position where you get to work with a great group of professionals who love what they do and are dedicated to public service? Are you ready to show off your leadership ability? If so, then you may be interested in the Lead Claims Examiner position in the Employment Relations Division .

As the Lead Claims Examiner you will:

• Provide training, direction and support for claims examiners within the Division.
• Work a variety of workers' compensation claims to determine whether coverage is available and with what insurer while determining compensability.
• Act as key contact for internal and external customers on workers' compensation claim and medical regulation issues.
• Collaborate with staff attorney and management when disputes arise.

Qualifications:


KNOWLEDGE, SKILLS AND ABILITIES:

If you are the right person for this opportunity, you will have the following knowledge, skills or abilities:

Knowledge of :

• Current issues and national trends relating to medical regulations.
• Processing medical/insurance claims including understanding of ICD 10, ICD 9, diagnostic codes and ADA codes.
• Providing presentations on various aspects of workers' compensation.

Skills in :

• Offering consistent, exceptional internal and external customer service.
• Performing a variety of tasks while remaining organized and accurate.
• Using computers including Microsoft Office products and various database systems.

Ability to :

• Build and maintain positive working relationships while displaying a team spirit.
• Work independently and as part of a team.
• Apply general rules to specific problems to produce logical conclusions.

PHYSICAL AND ENVIRONMENTAL DEMANDS:

The claims examining duties are performed in a typical office environment. This position spends a significant portion of their day on the phone and at a desk on the computer. Occasional in-state and possible out-of-state travel may be required to attend or provide training.

MINIMUM QUALIFICATIONS:

• Relevant bachelor's degree in business, economics or a medical related field.
• Five years experience working directly in workers' compensation with specific claims examining experience.
• Must have Montana Claims Examiner Certification for workers' compensation or the ability to obtain within 30 days of higher.

Equivalent combinations of education and experience may also be considered on a case-by-case basis.

HOW TO APPLY:

You are REQUIRED to attach a cover letter and resume at the time of application.

In your cover letter please address the following question:

• How does your education, experience, knowledge , skills and abilities meet the necessary qualifications and make you the best fit for this position?

In your resume, include all work experience you have held that would help you qualify for this position, including duties and dates of employment (month & year - start & end).

A complete state application is not required; however, you will need to initiate the application and attach the cover letter and resume in order to be considered for this position. Failure to attach the cover letter and resume will result in your application being incomplete and will not be considered further.

Only electronic applications will be accepted. Materials submitted but not requested will not be considered in the selection process.

All documents for Veteran or Disability preference must be received or date stamped by the closing date. You will receive an email with instructions on how to submit such documents.

If you need an accommodation with the application process please contact the HR office.

For a copy of the complete job description send your request to dliapps@mt.gov .

BENEFITS:
Your paycheck is just part of your total compensation package! Upon date of hire, employees working at least half-time for more than six months are eligible for state paid premiums toward employee “core” medical, dental, and basic life insurance coverage. Employees earn 15 working days of annual leave, 12 days of sick leave and 10-11 paid holidays each year. Membership in a Retirement System - vesting criteria applies. Flexible schedules may be considered. Learn more about them HERE !



Eligible Training Assignment:

46,111.00