Claims Examiner Job at US Office of Workers' Compensation Programs, Wallops Island, VA

b3B3RURFTmRLRE9NN2I1aVh6Q2xlQT09

Job Description

Duties

Additional Selections may be made from this announcement.

This position is outside the bargaining unit.

This is a remote position.

Relocation/PCS funds are not authorized.

Salary posted reflects nationwide locality pay range. Once the selection has been made, the salary will be set per the selectee's home worksite.

Duties:

  • Plan, lead, and direct claims adjudication activities and performance of a Unit and is held accountable to Agency management for all aspects in the process for that Unit.

-Manage the timeliness, quantity, and quality of work and service performed within the Unit - ensuring efficient and economical work operations within the Adjudicatory and/or District Office in order to provide prompt, professional service to the public.

  • Supervise and monitor the work of claims examiners responsible for researching, examining, and studying evidence in claim files as well as identifying and analyzing complex questions of fact or law.
  • Analyze and determine the probative value of conflicting evidence presented and the inferences and conclusions to be drawn from such conflicting evidence.
  • Continuously monitor workload reports to ensure the Unit's performance meets their division and OWCP operational performance goals. Manage pending caseloads to ensure cases are processed timely.

Requirements

Conditions of Employment

  • Must be at least 16 years old and a U.S. Citizen.
  • Appointment to this position may require a background investigation.
  • Requires a probationary period if the requirement has not been met.
  • Requires supervisory probationary period if requirement has not been met.

You may not be aware, but in the regulations for agency ethics programs, there are requirements for supervisors. Section 2638.103 of Title 5 of the CFR states:

Every supervisor in the executive branch has a heightened personal responsibility for advancing government ethics. It is imperative that supervisors serve as models of ethical behavior for subordinates. Supervisors have a responsibility to help ensure that subordinates are aware of their ethical obligations under the Standards of Conduct and that subordinates know how to contact agency ethics officials. Supervisors are also responsible for working with agency ethics officials to help resolve conflicts of interests and enforce government ethics laws and regulations, including those requiring certain employees to file financial disclosure reports. In addition, supervisors are responsible, when requested, for assisting agency ethics officials in evaluating potential conflicts of interest and identifying positions subject to financial disclosure requirements.

Applicants must meet all legal and regulatory requirements. Reference the "Required Documents" section for additional requirements.

Qualifications

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. POSITION TITLES ALONE CANNOT BE USED TO DETERMINE IF YOU ARE QUALIFIED. PLEASE LIST DATES IN MM/DD/YYYY FORMAT. THIS IS IMPERATIVE IN DETERMINING IF WHETHER YOU HAVE AT LEAST 1 YEAR OF CREDITABLE SPECIALIZED EXPERIENCE. DATES WILL NOT BE ASSUMED.

Applicants must have 52 weeks of specialized experience equivalent to at least the GS-12 level in the Federal Service, Examples of specialized experience include:

  • Experienced reading, interpreting, and applying government regulations.
  • Experienced in the processing of complex medical or compensation claims.
  • Experienced reviewing and analyzing performance reports and determining priorities.
  • Experienced dealing with both internal and external government customers.
  • Experienced developing, mentoring, or leading staff.
  • Demonstrated ability to meet organizational goals and objectives.

Education

Any applicant falsely claiming an academic degree from an accredited school will be subject to actions ranging from disqualification from federal employment to removal from federal service.

If your education was completed at a foreign college or university, you must show comparability to education received in accredited educational institutions in the United States and comparability to applicable minimum course work requirements for this position. Click Evaluation of Foreign Education for more information.

Additional information

Persons who are deaf, hard of hearing, blind, or have speech disabilities, please dial 711 to access telecommunications relay services.

The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high quality employment opportunities, and assure work-related benefits and rights for all workers. As such, the Department is committed to fostering a workplace and workforce that promote equal employment opportunity, reflect the diversity of the people we seek to serve, and model a culture of respect, equity, inclusion, and accessibility where every employee feels heard, supported, and empowered.

Refer to these links for more information: GENERAL INFORMATION, REASONABLE ACCOMMODATION, ADDITIONAL DOCUMENTATION, FORMER FEDERAL EMPLOYEES


  • Benefits

    Review our benefits

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

If you meet the minimum qualifications, you will be evaluated against the evaluation factors below and will be placed into a category based on your vacancy question responses.

Categories

Category A - Meets the basic qualification requirements for the vacancy and has successful experience in the same or similar job that has demonstrated superior proficiency in applying critical competencies required by this position to work of increased levels of difficulty and complexity.

Category B - Meets the basic qualification requirements for the vacancy and demonstrates satisfactory proficiency in the critical competencies required by this position.

Category C - Meets the specialized experience described in the minimum qualifications requirements section of this announcement and demonstrates proficiency in the basic competencies.

Evaluation Factors (Competencies) - All qualified applicants will be evaluated on the following key competencies:

Administration and Management - Knowledge of planning, coordination, and execution of business functions, resource allocation, and production.

Compliance - Knowledge of procedures for assessing, evaluating, and monitoring programs or projects for compliance with Federal laws, regulations, and guidance

Partnering - Develops networks and builds alliances; collaborates across boundaries to build strategic relationships and achieve common goals.

Written Communication - Writes in a clear, concise, organized, and convincing manner for the intended audience.

The information you provide may be verified by a review of your paid, unpaid, volunteer, and other lived experience, as it demonstrates the competencies or skills required for the position to be filled. Your evaluation may include an interview, reference checks, or other assessment conducted by HR specialists, subject matter experts, or panel members and may include other assessment tools (ex. interview, structured interview, written test, work sample, etc.). The examining Office of Human Resources (OHR) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your vacancy question responses. If not, the OHR may amend your responses to more accurately reflect the level of competency indicated by the content of your resume.

INFORMATION FOR ICTAP/CTAP ELIGIBLE(S) ONLY: If you are eligible for special priority selection under ICTAP/CTAP, you must be well-qualified for the position to receive consideration. ICTAP/CTAP eligible(s) who are placed into Category [INSERT WELL-QUALIFIED CATEGORY] or higher will be considered "well-qualified." Be sure to review DOL Account Eligibility Questions #24 to reflect that you are applying as an ICTAP or CTAP eligible and submit supporting documentation. Click Application of Veterans Preference for Category Rating Jobs for more information.



You may preview questions for this vacancy.

  • Benefits

    Review our benefits

  • Required Documents

    As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

    The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. You are not required to submit a document if it does not apply to you. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password-protected documents.

    - Resumes are required - provide a resume either by creating one in USAJOBS or uploading one from your profile. To receive full consideration for relevant and specialized experience, please list the month, year, and number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions, and confirm that your resume supports your question responses.

    The following documents are required if applicable:

    - Displaced Employee Placement Documents - Only required if requesting priority consideration under Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) Eligibility. Click/Review these ICTAP/CTAP links to confirm what must be submitted as proof that the requirement has been met.

    - Veterans Documents (if applicable) - To be considered as a 5-point preference eligible, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD214. Your DD-214 must show the type of discharge and dates of active duty (ex. Member Copy 4 and 2 are acceptable vs. Copy 1 which is not acceptable to adjudicate veteran's preference). To claim 10-point preference, you must submit a copy of your DD214; an Application for 10-point Veteran's Preference, SF15; and the proof of entitlement of this preference which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability. (For active duty service members expecting honorable or general discharge or release within 120 days, click Active Duty). Without this documentation, you will not receive the veteran's preference. For more information, go to Feds Hire Vets - Veterans' Preference

    • Cover Letters are not mandatory and will not be used to verify experience, but may be submitted. Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship, and the E-Verify system will be used to confirm the employment eligibility of all new hires.

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

  • How to Apply

    To apply for this position, you must complete the initial online application, including submission of the required documentation specified in the Required Documents section.

    Follow the steps below to apply. Your application and ALL required supplemental documents MUST be received by 11:59 pm Eastern Time (ET) on the vacancy closing date to receive consideration. Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered. Click here for information on Reasonable Accommodations.

    SAVE your information before the 30 MINUTE TIMEOUT! For help, go to https://www.usajobs.gov/Help/how-to/.

    STEP 1 - Create USAJOBS Account on www.usajobs.gov, including Resume and Saved Documents
    Your resume must provide sufficient information to substantiate your responses in the self-assessment vacancy questions. If not, HR may amend your responses to more accurately reflect the competency indicated by resume content. FOR EACH EMPLOYMENT PERIOD, include: start/end month & year and note full-time or part-time (if part-time, include # of hours worked per week); otherwise, your application may be considered incomplete.


    STEP 2 - Complete the 1st part of the application process (USAJOBS)
    Once you have identified a job on www.usajobs.gov that you wish to apply for, click on the title and click the "Apply" button. For questions about the vacancy, contact the Agency Contact at the bottom of the announcement. Click “Start Application” and proceed through the 5 steps noted at the top of the USAJOBS page. You will be able to select a resume and documents from your USAJOBS Account that you can submit as a package as part of your DOL application. In Step 5, click “Continue to Agency Site”.

    STEP 3 – Complete the 2nd part of the application process (DOL)
    On the Department of Labor (DOL) page, create a DOL Account if you have not already and click “APPLY TO THIS VACANCY”. Continue through the 7 progress steps indicated by circles at the top of the DOL page. The 3rd progress step is where you answer the vacancy-specific questions. The 4th progress step "Documents" is where you submit the required documents (only if applicable to you) specified in the "Required Documents" section of this vacancy. If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission.

    STEP 4 – On the “Review and Submit” step, click “Submit Application”
    The last “Confirmation” step will turn green noting that your application was submitted successfully.

    STEP 5 - Edit Application as needed by 11:59 pm ET of the Closing Date by returning to USAJOBS, clicking the vacancy, then “Update Application”.

    Agency contact information

    Melissa Storey

    Phone

    215-446-3704

    TDD

    711

    Email

    storey.melissa.l@dol.gov

    Address

    Labor, Ofc of Workers' Compensation Programs
    1835 Market Street, Suite 2100
    Philadelphia, Pennsylvania 19103
    United States

    Next steps

    Once your complete application is received, we will conduct an evaluation of your qualifications and refer candidates for selection consideration. Candidates will be referred to the hiring manager for further consideration and possible interviews. You will be notified of the outcome. A selection is expected to be made within 30 calendar days from the issuance date of the certificate.

    For instructions on how to check the status of your application, go to Step 7 on Using DOORS and USAJOBS Help Guide. To sign up for Application Status Updates via email: Click Here for instructions.

  • Fair and Transparent

    The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

    • Equal Employment Opportunity (EEO) Policy
    • Reasonable accommodation policy
    • Financial suitability
    • Selective Service
    • New employee probationary period
    • Signature and false statements
    • Privacy Act
    • Social security number request

Required Documents

The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. You are not required to submit a document if it does not apply to you. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password-protected documents.

- Resumes are required - provide a resume either by creating one in USAJOBS or uploading one from your profile. To receive full consideration for relevant and specialized experience, please list the month, year, and number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions, and confirm that your resume supports your question responses.

The following documents are required if applicable:

- Displaced Employee Placement Documents - Only required if requesting priority consideration under Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) Eligibility. Click/Review these ICTAP/CTAP links to confirm what must be submitted as proof that the requirement has been met.

- Veterans Documents (if applicable) - To be considered as a 5-point preference eligible, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD214. Your DD-214 must show the type of discharge and dates of active duty (ex. Member Copy 4 and 2 are acceptable vs. Copy 1 which is not acceptable to adjudicate veteran's preference). To claim 10-point preference, you must submit a copy of your DD214; an Application for 10-point Veteran's Preference, SF15; and the proof of entitlement of this preference which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability. (For active duty service members expecting honorable or general discharge or release within 120 days, click Active Duty). Without this documentation, you will not receive the veteran's preference. For more information, go to Feds Hire Vets - Veterans' Preference

  • Cover Letters are not mandatory and will not be used to verify experience, but may be submitted. Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship, and the E-Verify system will be used to confirm the employment eligibility of all new hires.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.


Help

This job is open to

  • Career transition (CTAP, ICTAP, RPL)

    Federal employees who meet the definition of a "surplus" or "displaced" employee.

  • The public

    U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Clarification from the agency

Open to All U.S Citizens and ICTAP/CTAP eligibles. Also advertised as job #MS-23-PHIL-OWCP-0104 for status applicants, VEOA eligibles, Military spouses eligibles and LandBase Management eligibles. To be considered for each vacancy, apply to BOTH jobs.

Similar Jobs

Panasonic Energy of North America

Tool and Die Maker Job at Panasonic Energy of North America

3+ years of related experience, preferably in a manufacturing environment. Develop and implement daily work logs/end of shift reports.

Cabela's

Customer Service Representative Job at Cabela's

The CLUB Customer Service Outfitter provides world class customer service for our guests while presenting customers with the benefits of becoming a CLUB Member.

UnitedHealth Group

Clinical Medical Director - Albuquerque, NM Job at UnitedHealth Group

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's

Amazon.com Services LLC

Control Systems Lead - Coppell, TX Job at Amazon.com Services LLC

1+ years of Microsoft Office products and applications experience Associate's degree, or 2+ years of professional or military experience Work a flexible schedule/shift/work area, including

Walmart

Senior Human Resources Manager Job at Walmart

In this role, you will lead a broad range of HR functions to include but not limited to employee engagement, training, and development, recruiting and staffing,