Appellate Review Specialist (Compliance Specialist 3)
About The Position
Our mission... To equitably protect and empower consumers and workers while maintaining a predictable yet innovative regulatory environment for the businesses we regulate. The Department of Consumer and Business Services (DCBS) is a progressive business regulatory state agency dedicated to the mission of protecting and serving Oregon's consumers and workers while supporting a positive business climate. The department administers state laws and rules governing workers' compensation, occupational safety and health, financial institutions, insurance companies and building codes. The department has consumer protection and education programs, offices, and ombuds to help consumers, injured workers, and businesses. This position is with the Workers' Compensation Division (WCD). WCD administers, regulates, and enforces the laws and administrative rules governing the Oregon workers' compensation system. This position is represented by the Service Employees International Union (SEIU). As an Appellate Review Specialist, you will resolve disputes by issuing a legally binding Order on Reconsideration after the completion of a thorough analysis of the claim closure and disputed issues, including compliance with claim closure statute. In some cases, you will facilitate the dispute by mutual agreement of the parties through negotiation, mediation and/or education. This position is eligible to telework on a full-time basis once the incumbent has gained the proficiency to perform work independently. The incumbent may occasionally be asked to work from the office on an as-needed basis.
Requirements
- Five years’ experience doing administrative research that included compiling and evaluating facts to recommend management action, or decide compliance or eligibility with program guidelines and regulations. Three of the five years must be above the technical support level.
- Note: College-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years.
Nice To Haves
- Preference may be given to candidates whose work history demonstrates the skills and knowledge necessary for processing and/or management of Oregon Workers’ Compensation claims.
- Demonstrated ability to manage a large caseload composed of medical documents and legal documents
- Demonstrated ability to know and meet strict timelines
- Demonstrated ability to work collaboratively with diverse groups
- Demonstrated skill in analysis and evaluation of medical and/or legal decisions, using professional and impartial judgment in decision making
- Demonstrated ability to interpret policy, rules, statutes and case law
- Preference may be given to those with a strong background in medical terminology and understanding of human anatomy/physiology
Responsibilities
- Resolve disputes by issuing a legally binding Order on Reconsideration after the completion of a thorough analysis of the claim closure and disputed issues, including compliance with claim closure statute.
- Facilitate the dispute by mutual agreement of the parties through negotiation, mediation and/or education.
Benefits
- Rewarding work in a productive and creative environment
- Colleagues who are passionate about public service
- Work/life balance, 11 paid holidays a year, and a competitive benefits package
- Advancement and learning opportunities that will help grow your career with the State of Oregon
- Possible eligibility for the Public Service Loan Forgiveness Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
