WORKERS’ COMPENSATION CLAIMS FACILITATOR (PT II, PT I) - WAILUKU, MAUI

Recruitment Number DLIR-2027-011 - Position is full-time and located in Wailuku, Maui.  

THIS JOB POSTING WILL REMAIN OPEN UNTIL 15 APPLICATIONS ARE RECEIVED.
PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME.

Salary:

Workers Compensation Claims Facilitator $5,107 to $6,221 monthly (SR-20, Step D to I)

Hiring rates will be based on availability of funds, the applicant's qualifications, and other relevant factors for Workers Compensation Claims Facilitator.

Consideration may be given to lower levels - Professional Trainee II and Professional Trainee I

Professional Trainee II $4,725 monthly (SR-18, Step D)

Professional Trainee I  $4,368 monthly (SR-16, Step D)

Workers’ Compensation Claims Facilitator:   This class reflects responsibility for serving as an intermediary to promote understanding and facilitate the resolution of conflicts which arise during the workers' compensation claims process.   The work involves responding to complaints from claimants, employers, physicians, attorneys, and representatives from insurance companies; explaining worker's compensation laws, rules and benefits, and the claims, hearing and appeal processes; explaining the implications that various courses of action may have on a case; securing the cooperation of parties to submit documentation required in order for the case to proceed further; identifying conflicts between award limits prescribed by laws and rules and requested awards; and whenever possible, encouraging the parties to resolve the claim.

Professional Trainee II:  This is the advanced trainee level through which the trainee advances as part of his/her progression to full performance as an independent worker.  Work assignments range from the simple to the moderately complex and are generally characterized by clear and specific objectives to be reached by the application of basic methods and techniques of the occupational specialty and specific standards, guides and regulations. The primary work processes and tasks follow well established procedures, and determinations can be made by the direct application of specific standards, guides, etc.  Additional assignments are selected to develop the employee for eventual progression to the independent worker or higher level. 

Professional Trainee I: As an entry level trainee, receives on-the-job training in the principles, concepts, work processes, methods and techniques, and reference material fundamental to professional aspects of the professional work to be performed, and orientation to the goals, objectives, philosophy, policies, procedures, rules and regulations pertinent to the assigned program.  Work assignments are clear cut, routine, and are selected and designed to develop the employee for work of a higher level and progression to the journey worker or higher level. 

To qualify, you must meet all of the following requirements:

LEGAL AUTHORIZATION TO WORK:
The State of Hawaii requires all persons seeking employment with the government of the State shall be citizens, nationals, or permanent resident aliens of the United States, or eligible under federal law for unrestricted employment in the United States.

Applicants must meet all the requirements for the position they are seeking as of the date of the application, unless otherwise specified. Please note that unless specifically indicated, the required education and experience may not be gained concurrently.

Your possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must be of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of the position.

Note: Your calculation of experience must be based on full-time, 40-hour work weeks.  Part-time experience must be pro-rated. Example: Twelve (12) months of experience at 20 hours/week is equivalent to six (6) months of experience, not one (1) year. Also, hours worked in excess of 40 hours/week will not be credited. Example: Twelve (12) months of experience at 60 hours/week is equivalent to one (1) year of experience, not one and a half (1 ½) years.

BASIC EDUCATION REQUIREMENT : 
Graduation from an accredited four (4) year college or university with a bachelor's degree. 

Excess work experience as described under the Specialized Experience, below, or any other responsible administrative, professional or analytical work experience that provided knowledge, skills and abilities comparable to those acquired in four (4) years of successful study while completing a college or university curriculum leading to a baccalaureate degree may be substituted on a year-for-year basis. To be acceptable, the experience must have been of such scope, level and quality as to assure the possession of comparable knowledge, skills and abilities. 

The education or experience background must also demonstrate the ability to write clear and comprehensive reports and other documents; read and interpret complex written material; and solve complex problems logically and systematically. 

SPECIALIZED EXPERIENCE REQUIREMENT:
Workers’ Compensation Claims Facilitator: One and a half (1 ½) years of specialized experience required. 
Professional Trainee II: Six (6) months of specialized experience required. 
Professional Trainee I: : No specialized experience required. 

Specialized experience: Progressively responsible professional work experience in the area of workers’ compensation including case management which demonstrated the ability to deal effectively with claimants, employers, and/or insurers, and provided the knowledge and abilities described below.

Knowledge of: Workers' compensation laws, regulations, procedures, benefits, rights and obligations of parties involved; workers' compensation claims management practices; insurance industry practices; applicable privacy protection laws, rules, and regulations; pertinent sources of information on medical terminology, treatment and care of industrial injuries; research methods and techniques; problem solving methods and evaluative techniques; interviewing methods and techniques; basic arithmetic (addition, subtraction, multiplication, division); and report writing. 

Ability to: Interpret, apply and explain workers' compensation laws, rules, policies, procedures, and benefits; investigate, examine and monitor workers' compensation claims; identify problems and develop alternative solutions; establish and maintain effective working relationships; communicate effectively orally and in writing; prepare clear and concise correspondence and reports; and perform basic arithmetic calculations (addition, subtraction, multiplication, division).

NON-QUALIFYING EXPERIENCE::  Any clerical work experience, although it may be in the field of workers’ compensation, is not qualifying.

QUALITY OF EXPERIENCE:  Possession of the required number of years of experience will not in itself be accepted as proof of qualification for a position. The applicant’s overall experience must have been of such scope and level of responsibility as to conclusively demonstrate that he/she has the ability to perform the duties of the position for which he/she is being considered.

The information provided above represents a summary of the Minimum Qualification Requirements. To view the Minimum Qualification Requirements in their entirety, please click on the links below: 
Workers' Compensation Claims Facilitator CLICK HERE
Professional Trainee II and I  CLICK HERE 
The State of Hawai'i complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities.  If you require reasonable accommodations in completing an application, any pre-employment testing, or otherwise participating in the selection process, please call 808-586-9084 for assistance.

PUBLIC SERVICE LOAN FORGIVENESS (PSLF) PROGRAM
The PSLF Program is a federal program that is intended to encourage individuals to work in public service by forgiving the balance of their federal student loans. To qualify, the individual must have made 120 qualifying payments while employed by a qualifying employer. For more information, please click: https://studentaid.gov/manage-loans/forgiveness-cancellatione

ELECTRONIC NOTIFICATION TO APPLICANTS
The Department of Labor and Industrial Relations (DLIR) will use electronic mail (email) to notify applicants of important information relating to the status and processing of their applications as part of our ongoing efforts to increase operational efficiency, promote the conservation of green resources, and minimize delays and costs.

Please ensure that the email address and contact information you provide is current, secure, and readily accessible to you. We will not be responsible in any way if you do not receive our emails or fail to check your email-box in a timely manner.  In addition, please be aware that you may no longer receive notification about applications submitted if you choose to disable the Job Application Emails feature in your Account Settings.

TESTING INFORMATION
The examination for this recruitment will be conducted on an unassembled basis where the examination score is based on an evaluation and rating of your education and experience. It is therefore important that your employment application provide a clear and detailed description of the duties and responsibilities of each position you held.

In-person interviews and/or further testing in Hawaii may be required at the discretion of the hiring agency. If in-person interviews and/or further testing is a requirement, applicants who meet the minimum qualification requirements and are referred to the vacancy must be available to participate in person and at their own expense in this required phase of the selection process.

Applicants are encouraged to submit their applications as soon as possible. In addition to employment availability and score, the referral of qualified applicants may be based upon other factors including date of receipt of application.

CLICK HERE for further information about Equal Employment Opportunity, the Merit Civil Service System, Citizenship and other requirements, Reasonable Accommodation, Veterans Preference, Examination Requirements, and the State Recruiting Office's Levels of Review.