NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner, WCB Item #8454 Occupational Category No Preference Salary Grade 14 Bargaining Unit ASU - Administrative Services Unit (CSEA) Salary Range From $54860 to $66634 Annually Employment Type Full-Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To 4 PM Flextime allowed? No Mandatory overtime? No Compressed workweek allowed? No Telecommuting allowed? Yes County Schenectady Street Address Office of Financial Services, Waiver Agreement Mgmt 328 State Street City Schenectady State NY Zip Code 12305 Duties Description Under the general direction of a Senior Workers’ Compensation Examiner, the Workers’ Compensation Examiner will be assigned to the Waiver Agreement Management Office (WAMO) unit of the Special Funds Group (SFG) within the Office of Financial Services, which is responsible for administering, defending and facilitating the closure of the Special Disability Fund (SDF) under WCL §§ 14(6) and 15(8) on behalf of the Workers’ Compensation Board (WCB). The duties of the Workers’ Compensation Examiner position will include, but not be limited to, the following:• Assist in processing requests for WAMO Retail settlements from intake through completion. This includes but is not limited to: o Receipt, review and prioritization of new Section 32 Agreement requests; o Request additional information or reject incomplete settlement requests; o Review/Examine claims thoroughly in the WCB’s Claims Information System (CIS)/OnBoard and pertinent Microsoft Access databases to determine eligibility and appropriateness of settlement and recommend action; o Discuss potential settlements with WAMO supervisors and SFG reimbursement and legal staff as needed; o Communicate and request information from carriers, claimants, attorneys, etc. o Calculate projected lifetime claim costs and proposed settlement amounts for indemnity and medical benefits; o Review medical records, proposed Medicare Set Aside Arrangements (MSA) and approval letters from the Centers for Medicare and Medicaid Services (CMS); o Request drafting of Section 32 Agreement after confirming settlement agreement terms with parties, if agreement reached; o Track assigned settlement requests; o Update WAMO’s Access database as needed when status of settlement changes;• Assist in processing requests for WAMO Wholesale Agreements by reviewing/examining lists of claims to be included in the Wholesale Agreement;• Review individual claims or lists of claims in Westlaw or LexisNexis databases; • Respond to internal/external inquiries concerning SFG, WAMO and Wholesale Waiver Agreement matters; • Review pending WCL §§ 14(6) and 15(8) claims and assist SFG with resolving the outstanding claims by contacting parties and filing Requests for Further Action with the WCB; • Participate in WAMO and SFG claims and database cleanup projects;• Assist other sections within WAMO and SFG with tasks or backlogs as needed including among other assignments, data entry, mail sorting or distribution, review of Board notices and decisions, hearing scheduling tasks, assisting with WAMO payments to claimants, and monitoring various email boxes; • Crosstrain and assist with other SFG units’ tasks as necessary; and• Assist with any special projects as assigned. Minimum Qualifications Candidates must be reachable on the appropriate Civil Service eligible list.ORCandidates must have one year permanent or 55 b/c service in a title designated as appropriate for transfer in accordance with 70.1 of the Civil Service Law.ORIndividuals certified eligible for the 55b/c program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law will also be considered. To be considered, you must meet the minimum qualifications and provide a copy of your letter of eligibility with your response.Candidates must have:Either 1. Three years of full-time experience in a position where your primary responsibilities included extensive in-person or telephone customer service experience with the general public resolving customer's issues and/or problems; explaining programs/services, policies, or procedures; reconciling accounts; or experience examining, investigating, processing, or adjusting insurance claims; or responding to technical questions from policyholders or claimants;Or 2. An associate's degree and two years of full-time experience described in #1;Or 3. A bachelor's degree and one year of full-time experience described in #1 Additional Comments Please Note: A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and a generous benefits package, worth 65% of salary, including:Holiday & Paid Time Off• Thirteen (13) paid holidays annually.• Thirteen (13) days of paid vacation leave in year one, increasing to 20+ days with additional years of service.• Five (5) days of paid personal leave annually.• Thirteen (13) days of paid sick leave annually for PEF/CSEA and eight (8) days paid sick leave annually for M/C.• Annual professional leave and educational leave opportunities for eligible staff.Health Care Benefits• Eligible employees and dependents can choose from a variety of affordable and generous health insurance programs.• Family dental and vision benefits at no additional cost.Additional Benefits• Public Service Loan Forgiveness (PSLF).• Enrollment in the New York State pension system which has earned the distinction of being one of the best-managed and best-funded plans in the nation OR Optional Retirement Defined Contribution Plan with 8% salary match (eligibility requirements apply).• NYS Deferred Compensation and an exclusive 403(b) Optional Retirement Savings Plan.• Paid Parental Leave for all employees and Paid Family Leave.• Eligibility for various life insurance options.• Access to NY 529 and NY ABLE College Savings Program• Flexible Spending Program, which allows employees to set aside pre-tax payroll deductions for eligible health care and dependent care expenses.For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.The Workers’ Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives. Some positions may require additional credentials or a background check to verify your identity. Name Recruitment Unit Telephone Fax 518-486-6364 Email Address HRM@WCB.NY.GOV Address Street Human Resources Management 328 State Street City Schenectady State NY Zip Code 12305 Notes on Applying Qualified candidates should send a letter of interest and resume which lists your actual Civil Service title, salary grade and specific verifiable information as to how you meet the minimum qualifications to be eligible to apply for this position. Please send your application to HRM@WCB.ny.gov (email applications are preferred). It is important that you reference the WCB Item #8454 in the subject line of your email to ensure receipt of your application. (Please do not reference the Vacancy ID No.)