Job Information
Commonwealth of Pennsylvania State Workers' Insurance Fund Claims Adjuster in Pittsburgh, Pennsylvania
Reference #: 4499984 THE POSITION Have you conducted investigations on workplace injuries before? The Department of Labor & Industry, State Workers' Insurance Fund (SWIF) is seeking a Claims Adjuster for our Claims Services Division. Bring your skills to a reliable workers' compensation market in Pennsylvania! Become part of our team dedicated to delivering a top-notch workers' compensation program for workers and businesses in Pennsylvania!
DESCRIPTION OF WORK
As a Claims Adjuster, you will investigate, process, and manage reported work-related injuries and claims for employees of businesses whose policies are covered by state workers' insurance fund (SWIF). You will determine compensability, monitor all aspects of each claim to conclusion, and apply your knowledge and experience to the most complex and catastrophic claims. Your responsibilities include ensuring payments and transactions are appropriately processed, determining liability on medical bills, monitoring medical treatments, and preparing reports. You will also interface with employers, claimants, and doctors as well as recommend and initiate additional examinations when needed to set fact-based reserves for claims and complete each investigation.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information: Full-time employment Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with 30-minute lunch. Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Pittsburgh. Salary:In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY QUALIFICATIONS Minimum Experience and Training Requirements:
One year of experience as a SWIF Claims Representative (commonwealth title); or One year of technical work in the processing, review, investigation, and payment of workers' compensation insurance claims in the insurance industry; or An equivalent combination of experience and training. Additional Requirements:
You must be able to perform essential job functions. How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education). If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable. Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted. Failure to comply with the above application requirements may eliminate you from consideration for this position. Veterans:
Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspxand click the Veterans' Preference tab or contact us at ra-cs-vetpreference@pa.gov. Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.