Reference #: 4545229 THE POSITION Are you searching for a way to use and grow your analytical skills? The State Workers' Insurance Fund (SWIF) has a great opportunity for you! Join our team as a Claims Representative and investigate work-related insurance claims to determine if employees of our policy holders meet the criteria to receive compensation. Apply today and take pride in knowing that your work is making a difference in the lives of Pennsylvanians.

DESCRIPTION OF WORK In this position, you will investigate reported incidents or claims within 48 hours, considering factors including the nature of the incident, employment relationship, and relevant information to assess compensability. Responsibilities include managing minor disability claims, detecting potential fraud, and ensuring accurate claim intake data. Work involves contacting all parties involved, completing forms, reviewing medical bills and documentation, monitoring claims for risks, and recognizing when independent medical examinations or utilization reviews are needed. Your initial decisions on work-related claims will help ensure that eligible injured workers receive the support they need. Join our team and grow with us!

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information: Full-time employment Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with 30-minute lunch. Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Pittsburgh. Salary:In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.   REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS Minimum Experience and Training Requirements: Two years of clerical work experience that includes collecting, recording, compiling, or preparing documents for medical, health, or work-related insurance claims; or An equivalent combination of experience and training.

Additional Requirements:

You must be able to perform essential job functions.

How to Apply: Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education). If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable. Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted. Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans' Preference tab or contact us at ra-cs-vetpreference@pa.gov.

Telecommunications Relay Service (TRS):

711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment o portunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.