Senior Claims Specialist, NF-05

Description:

It is the applicant's responsibility to read all sections and associated links in this vacancy announcement.

This vacancy may be used to fill additional positions within 90 days of the closing date.

Requirements:

QUALIFICATIONS MUST BE CLEARLY VERIFIABLE IN YOUR RESUME. GOVERNMENT POSITIONS MUST INCLUDE PAY PLAN, SERIES, GRADE, TO AND FROM DATES, AND GOVERNMENT AGENCY/DEPARTMENT. Must include at least one year of experience performing duties at a level which equipped the applicant with the particular knowledge, skills, and abilities needed to perform successfully in the position.

MINIMUM QUALIFICATIONS:
A degree with a major course of study in finance, business administration, economics, insurance, risk management, law, banking and credit, real estate operations or other fields related to this position that would demonstrate knowledge of property and casualty insurance, coverages and claims administration, and the ability to examine a workers' compensation claim.
Or
Experience applying laws, regulations, and administrative rulings in the performance of such work as determining the kind and amount of insurance necessary to protect government assets; analyzing rates and risk classifications to determine their reasonableness; medical knowledge of occupational physical and mental impairments, the correlation of occupational hazards to injury, disease and death, and of rehabilitation.

Must have analytical ability and judgment, ability to analyze problems to identify significant factors, gather pertinent data and recognize solutions; strong written and oral communications skills; proficient in Microsoft Word, Excel, and Power Point.

All Qualified applicants will be rated against the highly qualifying criteria by a rating panel for evaluation of the quality and extent of your total accomplishments, experience and education. Those applicants determined to be highly qualified will be referred to the hiring official for consideration. The highly qualified candidates may undergo an interview and reference checks. All answers to the Highly Qualifying Criteria must be demonstrated in your resume to get credit.

HIGHLY QUALIFYING CRITERIA:
Comprehensive working knowledge of the Longshore and Harbor Workers' Compensation Act

Professional certification in Insurance or Risk Management such as Certified Risk Management Professional (CRMP), Associate in Claims (AIC) or Certified Workers' Compensation Professional (CWCP)

Working experience in, and have a comprehensive knowledge of, Commercial Property claims adjudication (Building, Contents and Business Interruption)

Working experience in, and have a comprehensive knowledge of, Property insurance, coverages, and claims administration

Working experience in, and have a comprehensive knowledge of, Tort/Casualty insurance, coverages, and claims administration

Working experience with examining a workers' compensation claim and breaking it down to its constituent parts to identify whether claim compensability was based on appropriate investigation and valid evidence

Working experience with understanding the complex and controversial issues of contested claims and how to work towards amicable resolutions