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Claims Technician - Updated

Company: Government jobs
Location: Oregon City
Posted on: January 26, 2023

Job Description:

The Position

The City of Portland, Bureau of Revenue and Financial Services is seeking a qualified Claims Technician to join their team.

About the Position:
The Claims Technician typically performs paraprofessional claims management work by assisting the Claim Analysts in their duties and by interacting with claimants and responsible parties to evaluate Workers' Compensation and Liability claims by or against the City. The current vacancy is in the Risk Management Division of the Office of Management and Finance and reports to both the Workers' Compensation and Liability Claim Managers. Other positions may become available.

As a Claims Technician, you will:

  • initiate collection processes, within defined limits.
  • Conduct interviews; investigate claims; obtain information from pertinent City bureaus, employees, citizens, and other sources to assist with claim investigation.
  • Maintain contact and provides customer service to claimants, medical providers, and bureau representatives
  • Evaluate claims for compensability, closure or collection.
  • Prepare exhibits for various adjudication forums.
  • investigate third party liability claims; medical WC claims
  • issue notices as appropriate
  • Requests restitution or files claim of subrogation as appropriate
  • Prepare and process a variety of financial transactions including, requesting payments, receipting checks and crediting funds, coding payments, setting up payment schedules.
  • Prepare and maintains digital files, records and reports, and provides technical and administrative support to Claims Adjusters, team leaders and other professionals, as required by management
  • Operates a variety of equipment such as personal computer.

    Although not required, you may have:
    • Oregon Workers' Compensation certification.
    • Experience with public entity claims investigations and outcomes.
    • Experience with Insurance or Risk Management professional designations (ARM, AIC, CCLA) is a plus.
    • Familiarity with Marsh Clear Sight/Riskonnect RMIS would be very helpful.
      This position is eligible for Language Pay Differential for qualifying employees.

      As a person, you are:

      • Collaborative: An authentic professional who has interpersonal skills, values partnerships, and develops and supports relationships to get things done.
      • Curious: A curious professional who is always seeking to learn new things and grow as a person and as a professional.
      • Results Driven: A person who can work effectively and efficiently in a high-paced, dynamic environment.
      • Strong Communicator: A person who builds trust and strong relationships through frequent, transparent, and clear communications.
      • Someone who Values Diversity, Equity, and Inclusion (DEI): Someone who embraces anti-racist approaches through intentional partnership, self-awareness, and action, showing cultural humility, advocacy, and mindfulness. Someone who understands the importance of using DEI concepts to guide and inform your work.
      • Equitable: A person who maintains and advocates for an inclusive, respectful, and culturally responsive workplace for all.
      • Emotionally Intelligent: A person who is motivated, passionate, team-oriented, and empathetic, and promotes the same characteristics in their Team.

        This classification is represented by the District Council of Trade Unions (DCTU). To view this labor agreement, please go to https://www.portland.gov/bhr/employee-relations/labor-relations/labor-agreements and click on the appropriate link. Applicants start at the entry salary rate. If you are a DCTU represented employee, see labor agreement for additional information or talk to your union representative.

        City of Portland Core Values:

        Anti-racism - Communication - Collaboration - Equity - Transparency - Fiscal Responsibility

        These values guide our actions as we serve the community and engage our workforce. To learn more about the City's core values, please click here.

        Why work at the City of Portland?

        The City of Portland workforce serves a population of over 650,000. We are culture- and solutions-driven, viewing every challenge as an opportunity to learn, improve, and share our expertise. We are committed to removing systemic barriers to resources, access, and opportunity. The City is a believer in ALL people and continues to actively recruit and retain diverse top talent every day. We offer a comprehensive benefits package, including but not limited to medical, dental, vision, basic life, short- and long-term disability coverage to eligible employees and their families. If you are open-minded, motivated, community-focused, and self-aware, please apply yourself at the City of Portland today.

        The City of Portland also participates in the Oregon Public Employees Retirement System (PERS). For more information on the City of Portland's benefits please click here.

        COVID-19 Vaccine Requirement
        As of October 18, 2021, all City employees must be fully vaccinated for COVID-19. This is required for all positions at the City of Portland. Proof of being fully vaccinated is required by date of hire. You mayrequest an exception, for health or religious reasons, from getting the COVID-19 vaccine at the time a position is offered.

        Work Location
        Many positions within the City are designated as hybrid and currently the City requires you to work in-person one day per week. Beginning in April 2023, most hybrid employees will be expected to perform at least half of their work in-person..

        To Qualify

        The following minimum qualifications are required for this position and must be specifically addressed in your cover letter and resume:
      • Knowledge, experience, and proficiency with legal and medical terminology; claim processing; file maintenance activities, and preparing, recording, and verifying claim financial and accounting data.
      • Ability to collaborate and work effectively with others, effective problem-solving and customer service skills.
      • Ability to communicate effectively (orally and in writing) with people from a variety of cultures and with diverse perspectives and appropriately respond to questions or concerns from employees and the public with diplomacy and tact.
      • Ability to maintain confidentiality as appropriate.
      • Ability to use Microsoft office suite.Applicants must also possess:
        • Must be fully vaccinated for COVID-19 per City/State mandate or have an approved exception by date of hire.
        • Oregon Workers' Compensation certification or ability to become certified within one year from date of hire.

          The Recruitment Process

          An evaluation of each applicant's training and experience, as demonstrated in your cover letter and resume weighted 100%. Do not attach materials not requested. Only candidates who meet the minimum qualifications will be placed on the equally ranked eligible list. You have 14 days from the notice of the examination results to let us know if you disagree with your results. Please read the City of Portland Administrative Rule 3.01 for complete information. Additional evaluation may be required prior to establishment of the eligible list and/or final selection.

          **PLEASE NOTE: The eligible list generated from this recruitment may be used to fill future vacancies**
          Recruitment Timeline:
          • Job Posting Closes: 1/17/2023
          • Applications Reviewed: 1/10/23- 1/20/23
          • Eligible List Created: week of 1/23/23
          • Selection Phase Begins: Tentatively the week of 1/30/23
            *Timeline is approximate and subject to change

            Application Instructions

            Applicants must submit a cover letter and professional resume online, specifically focused on your qualifications for this position as identified in the "To Qualify" section of this announcement in accordance with the following Application Instructions:
            • Your rsum and cover letter will be the basis for our evaluation of your qualifications for this position. Incomplete or inappropriate information may result in disqualification.
            • Your cover letter should include details describing your education, training and/or experience, and where it was obtained which clearly reflects your qualifications for each of the numbered items in the "To Qualify" section of this announcement.
            • Your resume should support the details described in the cover letter.
            • If you are requesting Veteran's Preference, as identified below, please describe in your cover letter any transferrable skills obtained during your military service and how they relate to each of the required minimum qualifications under the "To Qualify" section above.

              Please note, all completed applications for this position must be submitted no later than 11:59 pm, on the closing date of this recruitment. All applications must be submitted via the City's online application process. E-mailed and/or faxed applications will not be accepted.

              Additional Information

              Work Status: Non-citizen applicants must be authorized to work in the United States at the time of application.

              Veterans' Preference: If you are requesting Veterans' Preference, attach a copy of your DD214/DD215 and/or Veterans Administration letter stating your disability to your profile, as well as checking the box identifying yourself as a Veteran. You must request Veterans' Preference AND include a copy of your documentation for each recruitment to which you apply. Veterans' Preference documentation must be submitted no later than the closing date and time of this recruitment.

              ADA, Pregnancy, and Religious Accommodations: If you identify as a person with a disability, are pregnant or nursing, or observe a religious practice(s), and would like to request a reasonable accommodation when applying for this job, please contact the Recruiter below for assistance.

              Equal Employment Opportunity: It is the policy of the City of Portland that no person shall be discriminated against based on race, religion, color, sex, marital status, family status, national origin, age, mental or physical disability, protected veteran status, sexual orientation, gender identity or source of income. The City values diversity and encourages everyone who is interested in employment with the City to apply.

              Language Pay Differential: City of Portland employees who speak one or more languages in addition to English, may be eligible to receive a "language pay differential." This is compensation for qualifying multilingual City employees who use their language skills to assist the community. More about the language pay differential can be found here.

              Did you know? The City of Portland offers How to Apply Classes that are free and review best practices for applying to the City. Follow the link for the most recent list of scheduled dates: https://www.portland.gov/bhr/events

              Contact Information
              Karen Ehn, Senior Recruiter
              Bureau of Human Resources

              An Equal Opportunity / Affirmative Action Employer

              A Career with the City of Portland offers many Employee Benefits

              This summary outlines the benefit programs, actual benefits may vary depending on bargaining unit and employment status.

              The City of Portland offers a comprehensive benefit package that is competitive with other private and public sector employers.

              More detailed information can be obtained by calling the Benefits & Wellness Office at 503-823-6031.

              Health Care (Medical, Vision and Dental)
              • A choice of two medical/vision plans and two dental plans.
              • Coverage is available to benefits-eligible employees, their spouse/domestic partner and eligible dependent children up to age 26.
              • For full time employees, the City pays 95% of the cost of coverage, you pay 5%.
              • The part-time employees' cost is pro-rated based on the number of hours in the employee's regular work schedule.
                Wellness Benefits
                • We offer many on-site fitness center locations and classes, stretching,
                • discounts to local fitness clubs,
                • smoking cessation benefits,
                • chronic care coaching programs,
                • worksite wellness screenings and flu shots.
                  Life Insurance
                  • Basic life insurance at no cost to full time employees.
                  • Levels of coverage are based on bargaining units, employment status and/or annual salaries.
                    • Supplemental life insurance - employees may purchase up to $500,000 for themselves
                    • up to $300,000 for their spouse or domestic partner.
                    • up to $25,000 for dependent children.
                    • This coverage is portable upon retirement or separation. There are some limitations on coverage level.
                      Long Term Disability
                      • Depending on your bargaining unit, you may be eligible for Basic Long Term disability coverage which will pay up to 40% of your basic monthly earnings up to $3,333 per month.
                      • The benefit is available 60 days from the onset of the approved disability, or exhaustion of sick leave, whichever is later.
                      • Preexisting condition limitations do apply.
                      • Employees may also purchase an additional 20% (of your basic monthly earnings up to $1,667 per month) coverage.Short-Term Disability
                        • Depending on your bargaining unit, you may be eligible for Basic Short-Term disability coverage which will pay up to 40% of pre-disability earnings for eligible employees
                        • The benefit is available after a 14-day waiting period, and can continue for 90 days.
                        • Pre-existing condition limitations do apply.
                        • Employees may also purchase an additional 20% benefit (of your basic monthly earnings up to $1,667 per month) coverage.
                          Employee Assistance Plan
                          • Employee Assistance Plan (EAP) provides confidential counseling services for employees and eligible dependents.
                          • Effective July 1, 2013, the plan provides up to five free visits per year.
                            Flexible Spending Accounts
                            • Medical Expense Reimbursement Plan (MERP) allows you to make pre-tax contributions to your account to pay for eligible medical/dental/vision expenses which are not paid by your health insurance (deductibles, co-pays, etc.)
                            • Dependent Care Account Program (DCAP) allows you to pay for your eligible dependent care expenses with pre-tax dollars. The maximum allowable you may contribute to this plan is $5,000.
                              • Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP)
                                • The City currently pays the employee's share of the retirement contribution.
                                • Employees who are OPSRP members are vested after five years of contributions or when they reach age 65 (age 60 for police and fire.)
                                • Option to contribute a portion of your earnings on a pre-tax basis to the City's Deferred Compensation Program.
                                  Paid Leave
                                  • 112 hours of vacation each year initially. This accrual will increase over time.
                                  • Sick leave typically accrues up to a maximum rate of 40 hours per calendar year
                                  • 10 paid holidays each year
                                  • Three personal days accrue each yearFamily Medical Leave

                                    In accordance with federal and state law, and the City policy for family medical leave, the City grants family and medical leave to eligible employees for certain family and medical related reasons.

                                    Other Benefits
                                    • City's TRIP Reduction Incentive Program (for transportation options)

                                      01 Thank you for your interest in the City of Portland. We value your time and hope to make your application experience as positive as possible. Your Cover Letter and Resume are an important step to assist us in the review for minimum qualifications for the posted vacancy.

                                      In your Cover Letter, write specific and unique responses to address each of the minimum qualification listed in the "To Qualify" section. The information you provide must correctly reflect your work history/resume. A lack of information in your application materials to each of the minimum qualifications may result in elimination from the recruitment.

                                      Note: Request for veterans' preference, please add a copy of your DD214 and/or Veteran's Benefit letter. All documents must be uploaded by the closing date and time of this announcement.

                                      Have you read and understood all the information listed above?
                                      • Yes
                                      • No - If you have any questions, please contact the recruiter on the announcement.

                                        02 Where did you first learn about this job opportunity? (If on a website or job board, please specify which one)

                                        03 The City of Portland receives public records requests at times. Please indicate which response you find appropriate: (Answer will not disqualify you from the process)
                                        • My application was submitted with the understanding that the City of Portland would keep the information confidential and would only disclose the information if ordered to do so. I would not have submitted this application without the promise of confidentiality.
                                        • You may release my application; I am waiving confidentiality.

                                          04 I have read the City of Portland's COVID-19 vaccine requirement.
                                          • I plan to comply with the COVID-19 vaccine requirement by being fully vaccinated by my hire date and submitting proof of vaccination, or by asking for a religious/medical exception.
                                          • I do not plan to be vaccinated or ask for a religious/medical exception for the COVID-19 vaccine requirement.

                                            * Required Question

Keywords: Government jobs, Portland , Claims Technician - Updated, Accounting, Auditing , Oregon City, Oregon

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