Senior Claims/Dispute Resolution Specialist

Part-Time Position - Hourly Salary Range: $28.11 - $36.69 – Based on Experience

Position is flexible at 20-40 hours per week.

Why you will love this position:

The Division of Workers’ Compensation offers a dynamic, energetic and engaging environment to flourish and demonstrate operational excellence. The Division is modernizing its internal and external processes and procedures and there is immense opportunity to contribute to an exciting, forward-thinking, fast-moving, collaborative environment. As part of the team, you will enjoy the genuine spirit of cooperation and shared goals revolving around helping Missouri’s citizens.

What you will do:

• Evaluate and make determinations of eligibility and awarded benefits of up to $300,000 from the Tort Victims Compensation Fund.
• Facilitate mediation discussions for minor issues with parties to workers’ compensation cases.
• Respond to email inquiries on behalf of the Division.
• Respond to constituent inquires received by the Governor’s Office or Missouri Legislature.
• Oversee Line of Duty Benefit determinations of $25,000.
• Oversee Second Injury Fund (SIF) Rehab Benefit determinations.
• Oversee Medical Fee Dispute (MFD) Administrative Rulings of $1,000 or less.
• Promptly answer calls received.
• Support the Division’s Modernization efforts.
• Other duties as assigned.

All you need for success:

Qualifications (Substitions may be allowed)

• Bachelor’s Degree in Risk Management, Business Management, or Public Administration and 4 years of relevant experience with personal injury; auto liability, and general liability

OR

• Juris Doctorate (MO Bar not required) and 2 years experience with personal injury; auto liability, and general liability.

Desired Attributes

• Working knowledge of personal injury claims, insurance coverage issues, liability and comparative fault issues, statute of limitation, and eligibility requirements.
• Working knowledge of Microsoft Office Suite with expertise in Excel Working knowledge of Adobe DC.
• Ability to apply and interpret Missouri statutes Chapters 537 and 287.
• Ability to evaluate medical records and expert reports.
• Ability to apply agency policies and procedures.
• Ability to provide testimony or other support to the legal process.
• Mediation training and experience.
• Ability to operate standard office equipment.
• Ability to review documents for accuracy and completeness.
• Ability to establish and maintain effective working relationships with co-workers and stakeholders Ability to complete assignments accurately within specified timeframes.
• Ability to work independently and remain calm when dealing with stakeholders.
• Associate in Claims (AIC); Senior Claims Law Associate (SCLA); Associate in Risk Management (ARM).

More reasons to love this position:

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Tool Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.

• This position may be filled as part-time benefit eligible or part-time non-benefit eligible based on candidate preference.

If you have questions about this position, please contact: Cindy Struemph at (573) 526-3505 or Cindy.Struemph@labor.mo.gov

The State of Missouri is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.