Review Vacancy
TitleAssistant Claims Services Representative
Occupational CategoryOther Professional Careers
Bargaining UnitASU - Administrative Services Unit (CSEA)
Salary RangeFrom $37998 to $46573 Annually
Appointment Type Contingent Permanent
Minimum Qualifications Reachable on the current Civil Service eligible list for this title; or, one year of permanent, competitive-class service in a title eligible for transfer under section 70.1 of the Civil Service Law. Examples of eligible titles include the following: Clerk 2, Calculations Clerk 2, Senior Mail and Supply Clerk, Keyboard Specialist 2, Assistant Workers Compensation Examiner, Secretary 1, and Motor Vehicle Representative.
Duties Description Under close supervision, develops and processes workers' compensation or disability benefits claims; organizes claims files; examines accident and medical reports to determine compensability and liability; analyzes claims records and initiates proper processing routines; examines medical bills and authorizes payment; negotiates an adjustment or recommends arbitration; recommends investigation of cases and prepares cases for hearings; issues payments for lower exposure compensation claims; assesses subrogation recovery potential and pursues accordingly; closes files within prescribed timeframes as determined by performance measures; refers cases for Section 32 settlement to higher-level claims staff; determines the compensability and liability of claims relating to cancelled policies; answers written and telephone inquiries from claimants, attorneys, doctors, vendors and employers; and assists higher level claims staff on more difficult and higher valued claims.
Additional Comments This position will also receive $3,026 location pay.
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