Claims Specialist (Compliance Specialist 1), Multiple Positions
About The Position
Do you enjoy doing comprehensive research to ensure every detail is accurate? Do you have excellent organization and time management skills despite a fast‑paced environment with competing priorities? If so, please consider joining our dynamic friendly team and apply today! At the Oregon Employment Department, we actively support a workforce that is representative of the people we serve including people from various races, genders, abilities, cultures, language skills, geographic locations, and justice system involvement. We value your life experiences and encourage everyone to apply with your transferable skills and qualifications from your work, school, and volunteer experiences. Please let us know if you need a reasonable accommodation. As a Claims Specialist, you will process claims and have regular contact with individuals filing for and/or claiming Unemployment Insurance (UI) benefits. You will: Answer inbound telephone calls from claimants and employers to gather information, answer questions, and provide status updates regarding UI claims, appeals, and processes. Receive a high volume of customer information through automated entry from telephone, Frances system, and/or internet systems to assist customers in filing for UI benefits; simultaneously entering claims information and documentation into our computerized database. Analyze claims to determine eligibility for UI benefits; apply relevant statutes, rules and regulations to determine necessity for further investigation and documentation. Provide quality assurance by reviewing claims for completeness and accuracy to meet customer needs and production goals; manage the length of calls accordingly. Respond to inquiries from a diverse population of customers; answer questions related to claims, interpret UI laws and rules, and correct problems on claims already in existence. Answer technical questions regarding the status of unemployment claims, wage record discrepancies, claims procedures, or problems identified that prevent claims processing. Educate claimants, employers and businesses about UI services.
Requirements
- Two years’ experience doing administrative research that includes compiling and evaluating facts to recommend management action or decide eligibility or compliance with program guidelines and regulations.
- College-level coursework may substitute for the experience on the basis of 45-quarter units per year of experience.
Nice To Haves
- Experience with and willingness to continuously engage with customers over the phone on both inbound and outbound calls.
- Experience professionally and respectfully controlling the flow of telephone conversations to obtain or provide important information.
- Experience honestly and directly communicating with customers regarding laws, rules, or policies that affect them.
- Experience using Microsoft Outlook and Microsoft Teams.
- Commitment to valuing diversity and promoting inclusion.
- Capable of learning and using specialized software.
- Capable of working independently, using available resources, and seeking assistance when necessary to deliver a high level of accuracy.
Responsibilities
- Answer inbound telephone calls from claimants and employers to gather information, answer questions, and provide status updates regarding UI claims, appeals, and processes.
- Receive a high volume of customer information through automated entry from telephone, Frances system, and/or internet systems to assist customers in filing for UI benefits; simultaneously entering claims information and documentation into our computerized database.
- Analyze claims to determine eligibility for UI benefits; apply relevant statutes, rules and regulations to determine necessity for further investigation and documentation.
- Provide quality assurance by reviewing claims for completeness and accuracy to meet customer needs and production goals; manage the length of calls accordingly.
- Respond to inquiries from a diverse population of customers; answer questions related to claims, interpret UI laws and rules, and correct problems on claims already in existence.
- Answer technical questions regarding the status of unemployment claims, wage record discrepancies, claims procedures, or problems identified that prevent claims processing.
- Educate claimants, employers and businesses about UI services.
Benefits
- A workplace that balances productivity with enjoyment and encourages learning and mentoring.
- Rewarding work in a dynamic and creative environment with colleagues who are passionate about public service.
- Work/life balance, 11 paid holidays a year, and a competitive benefits package.
- Public Service Loan Forgiveness opportunity!
- Get There - Oregon’s easy-to-use carpool matching tool and trip planner.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
