TDI-Claims Examiner I (Regional Docketing Specialist)

TDI-Claims Examiner I (Regional Docketing Specialist)

This position performs routine (journey-level) disability determination or workers' compensation work, to include dispute resolution, claims, and analysis. Work involves reviewing and evaluating claims for proceedings. Identifies and directs specific claims-related inquiries to appropriate staff; provides the public with responses to routine questions regarding workers' compensation rules, policies, forms, and dispute services. Works with the confidentiality of the claim file information. May train others. Work may require travel, extended hours, and/or weekends. Works under moderate supervision with limited latitude for the use of initiative and independent judgment. The selected candidate will be able to work from one of the following office locations: Amarillo, Austin, Beaumont, Corpus Christi, Denton, Houston East, Houston West, Laredo, Lubbock, Midland, San Antonio, or Weslaco.

This position:

• Schedules and reschedules proceedings within the mandated time frames based on assigned rotations.
• Assists in coordinating, assembling, and preparing hearing records and other correspondence such as orders, formal requests, motions, and subpoenas.
• Responsible for producing digital copies of documents for retention purposes.
• Prepares files for scanning.
• Enter and verify claim information in systems.
• Processes documents in a paperless environment and generates claims and proceedings correspondence to eligible parties.
• Provides efficient customer service to all customers related to informal and formal dispute resolution, orders, formal requests, motions, and subpoenas.
• Research and review claims to answer questions from internal and external system participants in person or telephonically, and documents customer contacts in the division's internal computer system.
• Monitors the compliance of systematic rotations.
• Performs other duties as assigned.

This position requires:

• High School Diploma or Equivalent.
• One year of experience in office practices and administrative procedures.
• Regular work attendance.
• Education and experience relevant to position requirements may be substituted for one another on a year-for-year basis.

Preferences for this position include:

• Experience in disability determination, workers' compensation claims processing, health care or social work environment, paralegal, and/or dispute resolution.
• Bilingual in English and Spanish language skills (oral).

This position requires demonstrated knowledge of:

• State laws, rules, procedures, and regulations relevant to job requirements.
• Office practices and administrative procedures.
• Word processing and data/key entry.
• Spelling, punctuation, and grammar.

This position requires demonstrated skill in:

• Problem solving and critical thinking.
• Using Microsoft Office software applications, including Word, Excel, Outlook, and SharePoint.
• Using personal computers sufficient to enter and extract data from related systems and programs such as Centralized Accounting Payroll and Personnel (CAPPS) and other systems required to perform the job.
• Planning and decision-making.
• Effective oral and verbal communication.
• The use of automated equipment.
• Providing exemplary customer service.

This position requires the demonstrated ability to:

• Communicate and work effectively with a wide range of people with varied skills, knowledge, and backgrounds.
• Maintain the confidentiality of sensitive information.
• Analyze and solve work-related problems and work independently on a variety of administrative work and technical assignments.
• Manage and coordinate multiple tasks and priorities to meet necessary deadlines.
• Work both independently and as a team player.