Victim Claims Specialist I

sjgov•Stockton, CA

2d•Onsite

About The Position

This examination is being given to fill 1 vacancy in the District Attorney's Office and to establish an eligible list to fill future vacancies. The position involves learning to review and evaluate victim-of-crime applications for adherence to California State statutory and eligibility requirements, obtaining and analyzing crime reports and other documents, and contacting various officials to determine program eligibility. The specialist will also learn to review and process a variety of claims including medical, mental health, funeral/burial bills, and wage loss requests, researching information to link claims to qualifying crimes, calculating losses, and determining reimbursements. The role requires effective interaction with victims, families, law enforcement, and other organizations, acting as a liaison, and coordinating services with Victim/Witness Advocates. Additionally, the specialist will learn to maintain accurate logs and detailed computer files for all claims, process approved bills for payment, create pre-authorization statements, monitor caseload data, and prepare summary reports and correspondence.

Requirements

Standard office procedures including the use of computers and other technological equipment
Basic mathematics
Basic reading and writing skills
Technical research methods as they apply to evaluating and processing financial claims
Principles of interviewing and gathering information
Fundamental aspects of human behavior
Basic medical and legal terminology
Ability to follow oral and written directions
Ability to read, understand, and apply regulations and other job related materials
Ability to maintain records and prepare reports
Ability to deal tactfully with the public
Ability to interview, gather, record and evaluate information
Ability to establish effective working relationships with a wide variety of people

Responsibilities

Learns to review and evaluate victim-of-crime applications for adherence to California State statutory and eligibility requirements
Learns to obtain and analyze crime reports and other documents from the appropriate law enforcement agency to verify factual case information
Learns to contact law enforcement officers, court officials, attorneys, and others to obtain pertinent information in order to determine initial and on-going Program eligibility
Learns to establish appropriate computer records for applicants based on approval or denial of victim application
Learns to review and process a variety of claims submitted by victims including medical bills, mental health bills, funeral/burial bills, wage loss requests and other expenses
Learns to research information as required to establish a link to the qualifying crime and to verify losses claimed by the victim
Learns to calculate losses to victims and determine reimbursements considering all other sources of compensation available
Learns to recommend approval or denial of reimbursement and level of services
Notifies victims of claim determinations
Learns to interact effectively with victims, families, law enforcement personnel and others
Learns to obtain accurate information and identify potential problem issues
Learns to act as a liaison between victims, families and other organizations/individuals regarding Program benefits
Learns to interact with other counties in order to fulfill contract obligations for claims processing
Learns to keep accurate logs of all claims submitted
Learns to create detailed computer files on all claims processed, whether approved or denied
Learns to process approved bills for payment
Learns to create pre-authorization statements as appropriate
Learns to monitor caseload data and develop comprehensive, periodic summary reports as required to receive State credit
Prepares various memorandums and correspondence
Learns to coordinate victim claim services with the Victim/Witness Advocates
Learns to refer victims to other agencies as appropriate