Claims Specialist: Workers’ Comp & Mediation Expert

State of Missouri; Jefferson City (MO); On-site; USD 52,000 - 76,000; Full time

Job summary

State of Missouri Division of Workers’ Compensation seeks a qualified professional to evaluate eligibility and award compensation from multiple funds, review supporting documents, and prepare rulings. The role involves mediation and responding to inquiries from the Governor’s Office and Legislature.

Preferred candidates hold a related Bachelor's degree or equivalent experience, with strong Excel and MS Office skills, and a track record in personal injury or liability matters.

Qualifications

• Bachelor's Degree or 4 years of relevant experience in risk, claims, or public administration.
• Knowledge of Missouri statutes Chapters 537 and 287, and ability to apply agency policies.
• Ability to review medical records and expert reports.

Responsibilities

• Evaluate eligibility and award compensation from Tort Victims Compensation Fund.
• Review claim documentation and determine eligibility for Line of Duty Fund.
• Prepare determinations for Medical Fee Dispute (MFD) Administrative Rulings.
• Prepare determinations for Second Injury Fund (SIF) Rehab Benefit.
• Facilitate mediation discussions for minor issues in workers’ compensation cases.
• Respond to constituent inquiries from Governor’s Office or Missouri Legislature.
• Support modernization efforts within the Division.

Skills

Personal injury claims

Insurance coverage

Liability issues

Statute of limitations

Eligibility requirements

Education

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

Tools

Adobe DC

Microsoft Office Suite

Excel

Job description

State of Missouri Division of Workers’ Compensation seeks a qualified professional to evaluate eligibility and award compensation from multiple funds, review supporting documents, and prepare rulings. The role involves mediation and responding to inquiries from the Governor’s Office and Legislature.

Preferred candidates hold a related Bachelor's degree or equivalent experience, with strong Excel and MS Office skills, and a track record in personal injury or liability matters.