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Compensation Insurance Specialist II

L5

morgan community collegeDenver, COtoday

$2,287 - $6,956 per month

Occupations

Compensation, Benefits, and Job Analysis SpecialistsCompliance OfficersClaims Adjusters, Examiners, and Investigators

Industries

All Other Insurance Related ActivitiesAdministration of Human Resource ProgramsRegulation, Licensing, and Inspection of Miscellaneous Commercial Sectors
Job TitleThe salary range for this position is: HOURLY $28.59 - $40.13 BIWEEKLY $2,286.92 - $3,210.62 MONTHLY $4,955.00 - $6,956.34 The Carrier Practices unit examines and evaluates claims handling procedures of insurance companies through remote audits of claims files to determine levels of compliance with the Workers' Compensation Act, rules of procedure, and applicable case law. The unit issues formal findings and recommendations relative to the audit and prepares fine orders for the Director for failure to comply with the Act and Rules. A Carrier Practices Auditor in the Division of Workers' Compensation Carrier Practices Unit audits insurance carriers' and self-insured employers' claims administration practices for compliance with the Workers' Compensation Act and Rules of Procedure. The primary purpose for this position is to determine levels of compliance and state necessary measures when levels do not meet acceptable standards. The auditor analyzes data, issues preliminary findings, negotiates agreements, and issues final reports with summaries of deficiencies. A Carrier Practices Auditor analyzes audit results and comparative data to develop follow-up action and recommendation. Orders for fines are drafted for the Director's signature when compliance levels are below standards set forth in Rule 4. This position interacts with insurers business and legal representatives, and investigates and resolves complaints. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application. Class Code & Classification Description: H6J3XX Compensation Insurance Specialist II Minimum Qualifications: Experience Only: Five (5) years of relevant experience in an occupation related to the work assigned to this position to include: H andling or reviewing workers' compensation claims which includes including calculating indemnity benefit calculations, determining statutory and regulatory deadlines and applying applicable statutes, rules, or claim administration requirements. Experience which is limited to completing Workers' Compensation forms for submission but does not include the above duties and requirements will not be considered.
Or Education and Experience: A combination of related education and/or relevant experience in an occupation related to the work assigned equal to five (5) years
Preferred Qualifications:
  • Experience researching and interpreting statutes, regulations, or case law; documenting findings; and communicating or resolving disputed conclusions
  • Experience reviewing detailed records, analyzing information, and preparing written documentation.
  • Ability to organize and manage multiple assignments, prioritize competing deadlines, and maintain accuracy.
  • Experience interpreting and applying Workers' Compensation Rules 5,6, and 7Experience performing similar duties as a State of Colorado classified employee.
Conditions of Employment: Must be a Colorado resident at time of application. You must pass a thorough background check prior to employment to include the E-Verify process. Appeal Rights: As an applicant who has been removed from consideration during the selection or comparative analysis process, you may file an appeal with the State Personnel Board and/or request a review by the State Personnel Director. A standard appeal form is available on the State Personnel Board website, https://spb.colorado.gov/forms-and-filing. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within ten (10) days of your receipt of this notice: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: 303-866-5038.
Phone: 303-866-3300. Email address: dpa_state.personnelboard@state.co.us. The ten-day deadline and these appeal procedures also apply to all charges of discrimination. Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at spb.colorado.gov.
Benefits: The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.
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Level

SeniorL5

Salary

$2,287 - $6,956 per month

Location

Denver, CO

Occupation

Compensation, Benefits, and Job Analysis Specialists

Industry

All Other Insurance Related Activities

Posted

today

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