Supervisory Workers' Compensation Claims Examiner

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. POSITION TITLES ALONE CANNOT BE USED TO DETERMINE IF YOU ARE QUALIFIED. PLEASE LIST DATES IN MM/DD/YYYY FORMAT. THIS IS IMPERATIVE IN DETERMINING IF WHETHER YOU HAVE AT LEAST ONE YEAR OF CREDITABLE SPECIALIZED EXPERIENCE. DATES WILL NOT BE ASSUMED. For GS-13: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-12 in the Federal Service. Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. Qualifying specialized experience for Supervisory Workers Compensation Claims Examiner includes: 1. Experience reading, interpreting, and applying government regulations. 2. Experience processing complex medical or compensation claims. 3. Experience reviewing and analyzing performance reports; determining priorities; and meeting organizational goals. 4. Experience dealing with both internal and external government customers. 5. Experience developing, mentoring, or leading staff. This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Division of Energy Employees Occupational Illness Compensation Program (DEEOICP). The purpose of this position is to serve as a Unit supervisor assigned to an Adjudicatory and/or District Office with responsibility for leading, managing, and directing a staff of subordinate employees. This position is Outside the bargaining unit.

• The primary duties and responsibilities as the Supervisory Workers Compensation Claims Examiner include but are not limited to: Plan, lead, and direct claims adjudication activities and performance of a Unit and is held accountable to Agency management for all aspects In the process for that Unit. Each Unit is responsible for receiving, reviewing, examining, developing, preparing, adjudicating. and/or maintaining claims under their divisions' specific Act, which are frequently highly complex and controversial In nature. Manage the timeliness, quantity, and quality of work and service performed within the Unit- ensuring efficient and economical work operations within the Adjudicatory and/or District Office in order to provide prompt, professional service to the public. Supervise and monitor the work of claims examiners responsible for researching, examining, and studying evidence in claim files as well as identifying and analyzing complex questions of fact or law. As a Unit supervisor, the incumbent is responsible for the interpretation and implementation of OWCP policies and procedures In regards ta claims processing. Provides seasoned policy guidance, assistance, and direction to subordinate staff in order to resolve novel or precedent-setting issues, controversial interpretations of the law, and peculiar medical phenomena. Constantly draw upon knowledge and judgment when discerning between relevant and irrelevant factors in weighing the evidence and in evaluating a claimant's rights to benefits. The Issues involved may include the jurisdiction of the Act., employer-employee relationship, dependency status of beneficiaries in death cases, etc. Continuously monitor workload reports to ensure the Unit's performance meets their division and OWCP operational performance goals. Manage pending caseloads to ensure cases are processed timely. Review all categories of cases that subordinates process as a performance and quality control mechanism. Through sampling of case­ related data, the incumbent ensures the integrity of entries in automated systems such as status codes, name entries, address entries, medical condition codes, etc. Considerable initiative, originality, and ingenuity are required to be able to adapt or develop procedures and techniques suited to changing operating conditions and workloads.