Reimbursement Specialist (Compliance Specialist 2)

Oregon Department of Human Services; Salem, Tumwater (VA, WA); Hybrid; USD 59,000 - 91,000; Full time

Job summary

The Oregon Department of Consumer and Business Services (DCBS) is seeking a Reimbursement Specialist (Compliance Specialist 2) to audit workers’ compensation applications and authorize reimbursements from the Workers' Benefit Fund. This role supports the Workers' Compensation Division and may telework part-time after proficiency is shown.

Qualified candidates will have 4+ years of administrative research experience, with strong math, data entry, and analytical skills, and the ability to

Qualifications

• Four years of experience doing administrative research including compiling and evaluating facts to recommend action or ensure compliance with guidelines.

Responsibilities

• Audit insurer and self-insured employer applications under statute, rule and bulletin requirements.
• Determine validity and accuracy of payment calculations and authorize reimbursement.
• Provide written and verbal guidance to insurance industry personnel, up to management, employers, injured workers, attorneys and others.
• Ensure timely and accurate completion of audits.
• Coordinate reimbursement programs including audit preparation and training (no supervisory oversight).

Skills

Math & bookkeeping

Data entry

Report writing

Regulations & statutes

Communication

Analytical skills

Job description

Salary Range: $4,954 - $7,592

Position Type: Employee

Position Title: Reimbursement Specialist (Compliance Specialist 2)

Job Description: Our mission... To equitably protect and empower consumers and workers while maintaining a predictable yet innovative regulatory environment for the businesses we regulate. The Department of Consumer and Business Services (DCBS) is a progressive business regulatory state agency dedicated to the mission of protecting and serving Oregon's consumers and workers while supporting a positive business climate. The department administers state laws and rules governing workers' compensation, occupational safety and health, financial institutions, insurance companies and building codes. The department has consumer protection and education programs, offices, and ombuds to help consumers, injured workers, and businesses.

This position is with the Workers' Compensation Division (WCD). WCD administers, regulates, and enforces the laws and administrative rules governing the Oregon workers' compensation system. This position is represented by the Service Employees International Union (SEIU).

What’s in it for you:

• Rewarding work in a productive and creative environment
• Colleagues who are passionate about public service
• Work/life balance, 11 paid holidays a year, and a competitive benefits package
• Advancement and learning opportunities that will help grow your career with the State of Oregon
• Possible eligibility for the Public Service Loan Forgiveness Program

This position is eligible to telework on a part-time basis once the incumbent has gained the proficiency to perform work independently. However, regular, scheduled office hours are also required.

Here’s what you will do:

As a Reimbursement Specialist, you will perform audits of applications from the workers' compensation insurance industry and authorize reimbursement from the various Department of Consumer and Business Services reimbursement programs within the Workers' Benefit Fund.

Duties include:

• Interpreting and applying statute, rule and bulletin requirements in order to audit applications from insurers and self-insured employers
• Determining validity and accuracy of calculation of payments and authorizing reimbursement
• Providing expertise and assistance through written and verbal communication to insurance industry personnel, up to and including management level, employers, injured workers, attorneys, and other interested parties
• Ensuring timely and accurate completion of audits
• Coordinating assigned reimbursement programs including audit preparation, work distribution, and training not requiring supervisory oversight

  For a complete listing of the duties and responsibilities of this position, please review the position description.

  Here’s what you need to qualify:

  Minimum Qualifications:

  • Four years of experience doing administrative research that included compiling and evaluating facts to recommend management action, or decide compliance with program guidelines and regulations.
  • Two of the four years must be above the technical support level.

  Note: college-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years.

  Requested Skills:

  • Math and basic bookkeeping skills
  • Experience with data entry
  • Strong letter and report writing skills
  • Experience researching and comprehending rules, regulations and statutes as they apply to various programs
  • Experience communicating with a variety of internal and external customers
  • Strong analytical skills

  Additional information:

  Per the Pay Equity Law passed in 2017, an employee pay assessment will be conducted to determine what pay step the successful candidate will be offered. The assessment will be based on the relevant experience, education, training, and certifications documented in the application materials. On average, candidates new to state service will most likely be offered compensation in the lower to mid-level of the salary range. The salary range listed is the non-PERS eligible rate. If you are already a participating PERS member or once you become PERS eligible after 6 months of employment, the salary range will increase by 6.95% and the required 6% employee retirement contribution will be deducted from your pay.

  This position is subject to a fingerprint background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an educational institution during the application process. This information may be required after the interview process, depending on the requirements of the position.

  Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. For further information, please see the following website: Veterans, Disabled Veterans & State Servicemembers. NOTE: If claiming preference please be sure to check your Workday account for pending tasks in the “My Tasks” section at the top of the Candidate Home page. We hire preferred workers! For more information, please visit our website: Preferred Worker Program.

  The Department of Consumer and Business Services (DCBS) does not offer VISA sponsorships. If your employment authorization and documentation is contingent on sponsorship now or in the future, you will not meet our agency employment eligibility standards. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. DCBS will use E-Verify to confirm that you are authorized to work in the United States.

  Helpful links and contact information:

  Learn more about DCBS

  DCBS Career Fairs and Workshops

  Understanding the State Application Process

  Help and Support webpage

  For more information you may contact us by e-mail at [e-mail].

  DCBS is fully committed to attracting, retaining, developing, and promoting the most qualified candidates without regard to their race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, or veteran status. For more information, please visit our diversity, equity, inclusion and belonging webpage.

  Oregon state government is a large organization by nearly any standard. With over 40,000 employees working all over the state, in small communities and large, we are proving that government can be innovative. We work as a team, challenging ourselves to be better, faster and more efficient with taxpayer dollars. After all, when every day we are responsible for caring for the needs of a diverse population and thriving business community, we simply must have the best and brightest workforce. If you take responsibility for your actions, are passionate about helping others succeed, and have a reputation for excellence and honesty, why not make Oregon state government your next career move? Joining our team means you open the door to many possibilities. From entry level to executive, outdoor work to policy setting, we have a role for nearly every calling, expertise and background. If you’re looking at us from across the country (or beyond!), know that Oregon is one of the most beautiful places on earth. Made up of seven diverse regions, Oregon has the ocean, mountains, valleys, high desert, cities, small towns, and almost everything in between. Oregon “flies with her own wings.”