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Claims Examiner I Job at Government of the Virgin Islands

Government of the Virgin Islands St Thomas, VI 00802

JOB
DEFNITION: This is level claims examining work in enforcing and calculating outstanding workmen's compensation premiums. The employee works under the direction of the immediate supervisor, and work is reviewed for accuracy and completeness. In the event of a complex situation, work is referred to a higher level employee for appropriate action.

EXAMPLE OF DUTIES
DUTIES (NOT ALL INCLUSIVE): Examines all vouchers received from the Department of Labor, in order to validate them so that employees on workmen's compensation can be paid.Locates policy numbers for employers, to ensure that the correct account is being charged for the specific injury. Researches date of injury, medical code, type of injury, and inserts into the computer.Stamps all vouchers received and validates such. Notifies the Department of Labor to pick up such documents.Files all sheets attached to vouchers in numerical sequence, as well as DTM's for future reference.Calculates workmen's compensation premiums for employers, so that they will know their premium liability for each employee on an annual basis.Types and submits Failure to File and Failure to Pay Notices to delinquent employers to keep them abreast of their current status. Submits a reminder when necessary.Notifies employers when returned checks are received so that outstanding checks can be collected.Performs other related work as required.

MINIMUM QUALIFICATIONS
MINIMUM OUALFICATIONS: High School diploma or its equivalent.

SUPPLEMENTAL INFORMATION
KNOWELDGE, SKILLS AND ABILITIES: Knowledge of workmen's compensation rules and regulations.Knowledge of departmental rules, regulations, policies and procedures.Knowledge of basic mathematics.Knowledge of basic computer operations.Ability to read, write and comprehend.Ability to prepare reports.Ability to deal effectively with all persons contacted during the course of work.Ability to communicate orally and in writing.


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