Claims Specialist: Mediation, Eligibility & Modernization

State-of-Missour; Jefferson City (MO); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Pension plan

Generous leave & holidays

Health insurance eligibility

Job summary

The Division of Workers’ Compensation in Missouri is seeking a qualified professional to evaluate eligibility and award compensation from the Tort Victims Compensation Fund and the Line of Duty Fund. You will review claims, prepare rulings for MFD and SIF, and handle inquiries from the Governor’s Office and Legislature.

Ideal candidates hold a relevant degree or equivalent experience, with proficiency in Adobe DC and Microsoft Office, especially Excel; familiarity with Missouri statutes is

Qualifications

• Bachelor's degree in Risk Management, Business Management, or Public Administration OR 4 years of relevant experience.
• Lack of post‑secondary education will not be used as the sole basis denying consideration.

Responsibilities

• Evaluate and make determinations of eligibility and awarded compensation from the Tort Victims Compensation Fund
• Review claim and supporting documentation, determine eligibility, and award compensation from the Line of Duty Fund
• Review documentation and prepare determinations for Medical Fee Dispute (MFD) Administrative Rulings
• Review documentation and prepare determinations for Second Injury Fund (SIF) Rehab Benefit
• Facilitate mediation discussions for minor issues with parties to workers’ compensation cases
• Respond to constituent inquiries received by the Governor’s Office or the Missouri Legislature
• Promptly answer phone calls and emails received
• Support the Division’s Modernization efforts
• Other duties as assigned

Education

Bachelor's Degree in Risk Management, Business Management, or Public Administration

4 years of relevant experience in personal injury, auto liability, or general liability

Tools

Adobe DC

Microsoft Office Suite

Excel

Job description

The Division of Workers’ Compensation in Missouri is seeking a qualified professional to evaluate eligibility and award compensation from the Tort Victims Compensation Fund and the Line of Duty Fund. You will review claims, prepare rulings for MFD and SIF, and handle inquiries from the Governor’s Office and Legislature.

Ideal candidates hold a relevant degree or equivalent experience, with proficiency in Adobe DC and Microsoft Office, especially Excel; familiarity with Missouri statutes is