Claims Examiner Vacancy In Fire Department

Hiring Organization / Company: Fire Department
Basic Salary: To Be Discussed
Employement Type: Full-Time



Job Details:

FIRE DEPARTMENT
Job Posting Notice
Job ID
462597
Business Title
Claims Examiner
Civil Service Title
WORKER'S COMPENSATION BENEFITS
Title Classification
Competitive
Job Category
Health
Career Level
Experienced (non-manager)
Work Location
9 Metrotech Center, Brooklyn N
Division/Work Unit
Medical
# of Positions
1
Title Code No
40482
Level
1A
Proposed Salary Range
$ 41,389.00 - $ 47,597.00 (Annual)

Job Description

The Fire Department, City of New York (FDNY), seeks a full-time Workers Compensation Benefits Examiner in the Bureau of Health Services. Reporting directly to the FDNY Claims Supervisor the successful candidate will:
  • Examine and process WTC claims for payment in accordance to NYS Workers' Compensation Board rules and NIOSH rules
  • Calculate payment adjustments in accordance with established guidelines and fee schedules
  • Ensure compliance of quality assurance measures when processing claims
  • Investigate inquiries and mitigate resolution of outstanding cases
  • Process actions utilizing computerized processing software
  • Serve as liaison to outside agencies/providers in conveying information and providing feedback on worker's compensation issues
  • Other tasks as assigned by the supervisor, that may include creating spreadsheets to track incoming and outgoing requests and filing

Minimum Qual Requirements

1. An associate degree or completion of 60 semester credits from an accredited college or university, including or supplemented by 6 semester credits in mathematics, statistics, accounting, and/or actuarial science; or

2. A four-year high school diploma or its educational equivalent and one year of satisfactory full-time experience implementing the provisions of a workers’ compensation or retirement or medical benefits plan, involving the use of mathematical, statistical, actuarial, or accounting computations; or

3. A combination of education and/or experience equivalent to “1" or “2" above. Satisfactory completion of 30 semester credits from an accredited college, including 3 semester credits in mathematics, statistics, accounting and/or actuarial science may be substituted for 6 months of the full-time experience as described in “2" above. However, all candidates must possess at least a four-year high school diploma or its educational equivalent.

SPECIAL NOTE:
A. Upon completion of one year of satisfactory continuous service in Assignment Level Ia, employees shall be assigned to Assignment Level Ib.
B. To be eligible for placement in Assignment Level Ib or II, individuals must have, in addition to meeting the minimum requirements, either:
1. One additional year of satisfactory full-time experience implementing the provisions of a workers' compensation or retirement or medical benefits plan involving the use of mathematical, statistical, actuarial, or accounting computations; or
2. A baccalaureate degree from an accredited college including or supplemented by 6 semester credits in mathematics, statistics, accounting and/or actuarial science.

SPECIAL NOTE:
C. To be eligible for placement in Assignment Level III, individuals must have, in addition to meeting the minimum requirements, either:
1. Two additional years of full-time experience as described in "Note B. 1" above; or
2. A baccalaureate degree from an accredited college including or supplemented by 6 semester credits in mathematics, statistics, accounting and/or actuarial science and one additional year of satisfactory full-time experience as described in "Note B. 1" above.

Preferred Skills

Familiarity with systems used for invoice processing.

Additional Information

NOTE: This position is open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate in your cover letter that you would like to be considered for the position under the 55-a Program.

To Apply

NON-CITY EMPLOYEES/EXTERNAL CANDIDATES PLEASE GO TO https://a127-jobs.nyc.gov/
CITY EMPLOYEES MUST APPLY VIA EMPLOYEE SELF SERVICE https://a127-ess.nyc.gov/

Work Location

9 Metrotech Center
Brooklyn, NY

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.
POSTING DATE
05/03/2021
POST UNTIL
05/18/2021
The City of New York is an Equal Opportunity Employer



Job Location Information:
City: Brooklyn
State: Ny
Country: Us
Location: Brooklyn, Ny 11201

Date Posted: 2021-05-04
Job Listing No# : 83484


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