Duluth, MN, 55805, USA
1 day ago
Claims Manager/Compliance Services Officer Senior
**Working Title: Claims Manager** **Job Class: Compliance Services Officer Senior** **Agency: Labor & Industry Dept** + **Job ID** : 83580 + **Location** : St. Paul + **Telework Eligible** : Yes + **Full/Part Time** : Full-Time + **Regular/Temporary** : Unlimited + **Who May Apply** : Open to all qualified job seekers + **Date Posted** : 02/12/2025 + **Closing Date** : 02/25/2025 + **Hiring Agency/Seniority Unit** : Labor & Industry Dept / Labor and Industry-MAPE + **Division/Unit** : Dept of Labor & Industry / Special Compensation Fund + **Work Shift/Work Hours** : 8:00 am - 4:30 pm + **Days of Work** : Monday - Friday + **Travel Required** : Yes - 5% + **Salary Range:** $31.92 - $47.05 / hourly; $66,648 - $98,240 / annually + **Classified Status** : Classified + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Nonexempt + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes **The work you'll do is more than just a job.** At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. **What's great about this job:** This position offers a hybrid work schedule which includes telework days and in office days at a DLI office building. Balanced life work schedule; 40 hours per week; flexible work hours (work within 6 am to 6 pm), hybrid work environment (home and office). This position in the Special Compensation Fund (SCF) is responsible for managing a caseload of workers’ compensation claims assigned to the SCF because the employer did not have workers’ compensation insurance coverage in place at the time of the injured worker’s work-related injury. The incumbent will receive, investigate, evaluate, litigate, manage and proceed with collections in all varieties uninsured, bankrupted self-insured, occupational injury and special circumstance workers’ compensation claims pursuant to Minn. Stat. § 176 and specifically Minn. Stat. § 176.183. The incumbent may be assigned to any task required by the SCF Director or the Special Claims Team Supervisor on a need and availability basis. **Minimum Qualifications** · Three years of workers' compensation claims administration experience* *An Associate's degree in Business, Business Administration, Rehabilitation Counseling, Vocational Rehabilitation or related field may substitute for six months of experience; a Bachelor's degree in Business, Business Administration, Rehabilitation Counseling, Vocational Rehabilitation or related field may substitute for one year of experience; a Master's degree in Business, Business Administration, Rehabilitation Counseling, Vocational Rehabilitation or related field may substitute for 18 months of experience. · Knowledge of medical terminology, conditions, treatment methods, medications, treatment parameters and CPT/ICD 9 and ICD 10 coding; and mathematical skills sufficient to compute and solve complex benefit calculations to determine appropriate distribution of liability. · Knowledge of workers’ compensation indemnity benefits. · Knowledge of Minnesota Workers' Compensation laws and rules, legal terms and syntax to understand case law decisions and issues presented in case management activities. · Research and analytical skills to interpret and apply case law, examine, review and analyze workers' compensation cases for statutory and department/division procedural compliance. · Conflict resolution skills to negotiate disputed issues and Interpersonal skills to develop and maintain effective-positive work relationships and the ability to interact effectively with difficult customers and staff. · Ability to communicate effectively with individuals with a wide range of backgrounds, who do not share your same culture, ethnicity, language, or other common experiences. **Preferred Qualifications** · Knowledge of and experience with benefits administered under Minn. Stat. §176.183, including calculation of benefits and offset provisions, and litigation of claims across all statutory changes. · Experience with investigative techniques, penalty assessments, and/or collections processes. · Knowledge of Electronic Data Interchange (EDI) processes and procedures. · Knowledge of Work Comp Campus. · Language skills other than English (such as Somali, Spanish, Hmong, Karen or ASL). **Additional Requirements** It is the policy that all final candidates submit to a background investigation prior to employment. The background check may consist of the following components: SEMA4 Records Check, Employment Reference Check, Driver’s License Check, Education/License Verification. This position is designated for hybrid: + Hybrid for State of MN allows an employee to work a portion of the time remotely with a regular schedule of time at the designated office. + Only candidates located in Minnesota and bordering states (Iowa, North Dakota, South Dakota, or Wisconsin) are eligible. AN EQUAL OPPORTUNITY EMPLOYER Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.
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