Claims Investigator

State of Indiana

Indianapolis, IN

JOB DETAILS
SALARY
SKILLS
Calculators, Case Law, Claims Management, Coaching, Communication Skills, Community and Social Services, Computer Systems, Corrective Action, Dental Insurance, Detail Oriented, Economic Growth, Establish Priorities, Federal Laws and Regulations, Health Plan, Insurance, Interviewing Skills, Leading Edge Technology, Metrics, Organizational Skills, People Management, Prescription Drugs, Quality Metrics, Reimbursement, Retirement Plan, Social Work, Staff Training, State Laws and Regulations, Team Lead/Manager, Time Management, Training/Teaching, User Interface/Experience (UI/UX), Vision Plan
LOCATION
Indianapolis, IN
POSTED
16 days ago

Work for Indiana

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, youll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, youll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Indiana Department of Workforce Development (DWD):

Our mission is to develop a premier workforce that will allow Indiana employers to flourish and entice businesses from outside our state to relocate to Indiana. Everyone at DWD will be required to think outside-the-box; to determine metrics that will allow for measurement and improvement and efficiencies to be made along the way. Cutting edge technologies will be utilized to help assess Indiana's employment future. If managed properly, Indiana's workforce will be second to none and completely prepared for the next phase of the state and country's economic growth.

Role Overview:

Claims Investigator Supervisors are working supervisors. They have their own tasks to complete, focusing on combined wage claims or federal claims, in addition to supervising a team of claims investigators. Supervisors conduct training and internal quality reviews. Supervisors may have to cover evening and weekend shifts when overtime is required. This position requires organization and effective time management.

Salary:

The salary for this position traditionally starts at $47,320.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package.

A Day in the Life:

The essential functions of this role are as follows:

  • Coordinate with claimants, employers, and agency staff to make basic eligibility determinations.
  • Explain laws, procedures and various unemployment programs to claimants and employers including benefit rights and eligibility requirements.
  • Investigate eligibility issues, which includes in-depth interviews of claimants and employers to determine employment history and/or separation information.
  • Make and compile final written determinations of entitlement to, or denial of benefits and forward to Central Office for monetary determinations.
  • Receive, investigate, and reply to all correspondence from all claimants and employers involving claims in local office.
  • Investigate stolen, lost, destroyed, or forged benefits warrants.
  • Assist both claimant and employers in filing appeal forms for protested claims.
  • Determine exhibits to be offered during appeals. hears and defends determinations. Receive, investigate, and correct system error list related to wage reporting, claim computation, and payment of benefits.
  • Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
  • Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees.  Ensure work adheres to quality standards, deadlines, and proper procedures.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

What Youll Need for Success:

Individuals in this role should minimally be able to articulate or demonstrate the following:

  • Broad knowledge of, state and federal statutes and administrative rules, case law and procedures regarding unemployment insurance is necessary.
  • Ability to recognize and detect potential instances of claimant and employer fraud.
  • A broad knowledge of the UI system, laws, and policies necessary to discover.
  • Knowledge of how to conduct interviews that display good communication skills under unfavorable and adverse conditions.
  • Recognize eligibility issues and apply proper state and federal statutes, administrative rules, case law, policies and written guidelines to make an eligibility determination.
  • The ability to work well under pressure and able to always maintain a professional disposition.
  • The ability to make quick and efficient decisions.
  • The ability to be organized and have attention to detail.
  • The ability to navigate multiple computer systems efficiently and effectively and stay abreast of regular changes and updates.
  • The ability to effectively prioritize and manage time.
  • Advanced knowledge of the Indiana Unemployment Security Act, Wagner-Peyser Act and Social Services Act.
  • Ability to delegate work, set clear direction, and manage workflow.
  • Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets.

A degree is not required. However, a High School Diploma or High School Equivalent (HSE) and at least 3+ years of experience in claims including 1+ years of supervisory experience applying the outlined knowledge, skills, and abilities in a similar role may be considered.

Individuals should have the ability to perform essential functions with or without reasonable accommodation.

Supervisory Responsibilities/Direct Reports:

This role may provide direct supervision for one or more staff members.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

  • Three (3) medical plan options (including RX coverage) as well as vision and dental plans

  • Wellness Rewards Program: Complete wellness activities to earn gift card rewards

  • Health savings account, which includes bi-weekly state contribution

  • Deferred compensation 457(b) account (similar to 401(k) plan) with employer match

  • Two (2) fully-funded pension plan options

  • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:

  • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers

  • Up to 15 hours of paid community service leave

  • Combined 180 hours of paid vacation, personal, and sick leave time off

  • 12 paid holidays, 14 on election years

  • Education Reimbursement Program

  • Group life insurance

  • Referral Bonus program

  • Employee assistance program that allows for covered behavioral health visits

  • Qualified employer for the Public Service Loan Forgiveness Program

  • Free Parking for most positions

  • Free LinkedIn Learning access

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.

About the Company

S

State of Indiana

A State of Opportunities! Indiana State Government is a goal driven, performance oriented, customer focused workforce. If you are looking to advance your career in a dynamic and energized environment, then we welcome you to explore opportunities within state employment. In joining our workforce, you will gain a rewarding experience working on behalf of Hoosiers to build a better Indiana.

No other organization can offer the diversity of careers, the upward mobility or the ability to change disciplines like the State of Indiana. Plus you'll find that enhancing your job description is something that is actually encouraged throughout the organization.

Indiana State Government has more than 70 state agencies and approximately 31,000 Full-Time Employees located throughout the state. Within our agencies we are proud to offer a diverse workforce and a variety of job categories that include: Architecture & Engineering, Clerical & Office Support, Education, Training & Library Science, Executive, Health Care, Human & Social Services, Information Technology, Law Enforcement and Public Safety, Legal, Accounting & Finance, Human Resources, Environmental & Natural Resources, Animal Health, Maintenance Trades, Biologic & Scientific, Transportation, Food Service, Administrative & Managerial.

To search for your next career opportunity with Indiana State Government, please visit our website at www.in.gov/spd.

  • Apply to jobs 24-7.
  • Jobs openings are posted to the state job bank on a daily basis.
  • Create your own profile and submit an application to multiple jobs at once.
  • Edit/update your information as often as you like
  • Your profile will now be searchable by hiring managers.
  • Use job search agents to aid in your job search.


COMPANY SIZE
10,000 employees or more
INDUSTRY
Government and Military
WEBSITE
http://www.in.gov/spd