Job details
Salary $43,683 - $94,581 a year
Full job description
Duties
Summary
This position is located in the department of labor (dol), office of workers’ compensation programs (owcp), division of energy employees’ occupational illness compensation (deeoic), branch of medical benefits adjudication and bill processing (bmbabp), medical benefits adjudication unit (mbau).
This position is inside the bargaining unit.
Additional selections may be made from this announcement.
Selections can be made at any advertised grade(s).
Relocation/pcs funds are not available.
Responsibilities
This position is 100% teleworkSalary posted reflects nationwide base pay range.
Once the selection has been made, the salary will be set in accordance with the selectee`s location.
The mission of deeoic is to administer the benefits’ provisions of the energy employees occupational illness compensation program act (eeoicpa), which provides compensation and medical benefits for covered workers (or their survivors) that sustain and suffer from a broad range of employment-related illnesses as a result of exposure to beryllium, ionizing radiation, and other hazards unique to nuclear weapons’ production and testing.
Examines requests for compensable medical services and treatmentsWill serve as a point of contactExamines claims request and determines if evidence provided will support claimWill provide support and answers to internal and external customersInitiates referralsWill provide service and guidance on policies and proceduresPrepares written and oral presentationsConducts research.
Travel required
Occasional travel - for training or meetings.
Supervisory status
No
Promotion potential
12 - there is no obligation to provide future promotions if you are selectedPromotions are dependent on your ability to perform the duties at a higher level, meet all the performance requirements, and supervisor’s recommendation to the next grade.
Job family (series)
0991 worker`s compensation claims examining
Requirements
Requirements
Conditions of employment
Appointment to this position may require a background investigation.
Requires a probationary period if the requirement has not been met.
Must be at least 16 years old and a u.sCitizen.
Applicants must meet time-in-grade, time-after-competitive-appointment and qualifications requirements within 30 calendar days after the closing date of the vacancy to be eligible for consideration for selection.
Federal employees please note: your sf-50 must include enough information to be able to determine that time-in-grade requirements have been met and reflects your position title, pay plan/series/grade, tenure and the type of appointment (i.eCompetitive/excepted)In some cases you may need to submit more than one sf-50.
Reference the `required documents` section for additional requirements.
Qualifications
In describing your experience, please be clear and specificWe will not make assumptions regarding your experience.
Gs-07: applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, 05, in the federal serviceSpecialized experience is experience that equipped the candidate with the particular knowledge, skills and abilities to successfully perform the duties of the position, and that is typically in or related to the work of the position to be filledSpecialized experience must include 2 or more of the examples below:
Receiving and evaluating claims forms, evidence of employment, medical reports and supporting medical documents for completeness;
Utilizing automated systems to enter claims, adjudication and compensation information and create payments;
Writing correspondence of a business nature to claimants, doctors, employers, representatives, other government agencies, etc., seeking information.
Or
1 full year of graduate level education or superior academic achievement (more information regarding s.a.aCan be found here under “application of qualification standards/4;b;f)
Or
A combination of education and experience.
Gs-09: applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, 07, in the federal serviceSpecialized experience is demonstrating knowledge of medical terms and findings to evaluate pertinent medical facts and evidence from medical reports and diagnostic tests and studies, and to apply and interpret laws, regulations, policies, precedents, and other criteria for disability and death casesSpecialized experience must include 2 or more of the examples below:
Adjudicating a broad range of disability and death claims;
Determining the pay rate to be used for compensation purposes, authorizing and setting up monetary compensation payments;
Making determinations on nonmedical and/or medical issues;
Receiving and evaluating medical evidence, reports and medical documents for factual and legal correctness;
Utilizing automated systems to enter, update and finalize claims, adjudication and compensation information and set up payments.
Or
Master`s or equivalent graduate degree; or 2 full years of progressively higher level graduate education leading to such a degree; or ll.bOr j.d., if related
Or
A combination of experience and related graduate education.
Gs-11: applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, 09, in the federal serviceSpecialized experience is demonstrating extensive knowledge of medical terms and findings to develop and evaluate pertinent medical facts and evidence from medical reports and diagnostic tests and studies, and to apply and interpret laws, regulations, policies, precedents, and other criteria for disability and death casesSpecialized experience must include 2 or more of the examples below:
Developing, adjudicating, and authorizing claims with highly controversial medical and factual issues.
Developing all necessary evidence on difficult or highly controversial issues through correspondence, directed investigations, and the consideration of expert medical reports;
Experience with medical terms and findings, causes of diseases, treatment methods and probable results, relationship of disability to ability to work.
Education
Any applicant falsely claiming an academic degree from an accredited school will be subject to actions ranging from disqualification from federal employment to removal from federal service.
If your education was completed at a foreign college or university, you must show comparability to education received in accredited educational institutions in the united states and comparability to applicable minimum course work requirements for this positionClick evaluation of foreign education for more information.
Additional information
Dol seeks to attract and retain a high performing and diverse workforce in which employees’ differences are respected and valued to better meet the varying needs of the diverse customers we serveDol fosters a diverse and inclusive work environment that promotes collaboration, flexibility and fairness so that all individuals are able to participate and contribute to their full potential.
Refer to these links for more information: general information, additional documentation, former federal employees
Position telework eligibility is determined by management based on position duties during the recruitment processEmployee participation in telework on a routine or situational basis is determined by management primarily based on business needsEmployees participating in telework are subject to the terms and conditions of the department of labor’s telework program.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Evaluation factors (competencies) - all qualified applicants will be evaluated on the following key competencies:
Technical competence - uses knowledge that is acquired through formal training or extensive on-the-job experience to perform one`s job; works with, understands, and evaluates technical information related to the job; advises others on technical issues.
Customer service - works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services.
Decision making - makes sound, well-informed and objective decisions; perceives the impact and implications of decisions; commits to action, even in uncertain situations to accomplish organizational goals; causes change.
Oral communication - makes clear and convincing oral presentationsListens effectively; clarifies information as needed.
Written communication - writes in a clear, concise, organized, and convincing manner for the intended audience.
The information you provide may be verified by a review of your work experience and/or education, by checking references, and through other means (exInterview)Your evaluation may also include a review by an hr specialist or panel and may include other assessment tools (exInterview, structured interview, written test, work sample, etc.)The examining office of human resources (ohr) makes the final determination concerning applicant ratingsYour resume must provide sufficient information to substantiate your vacancy question responsesIf not, the ohr may amend your responses to more accurately reflect the level of competency indicated by the content of your resume.
Click here for evaluation details.
Information for ctap[/ictap] eligible(s) only: if you are eligible for special priority selection under ctap [or ictap], you must be well-qualified for the position to receive considerationIctap/ctap eligible(s) will be considered `well-qualified` if they attain at least a rating score of _85_ in a numerical rating schemeBe sure to review dol account eligibility questions #24 to reflect that you are applying as an ictap or ctap eligible and submit supporting documentation.
To preview questions please click here.
Background checks and security clearance
Security clearance
Not required
Drug test required
No
Position sensitivity and risk
Noncritical-sensitive (ncs)/moderate risk
Trust determination process
Credentialing, suitability/fitness
Required documents
Required documents
The following documents must be submitted by 11:59 p.m(et) on the vacancy closing dateWarning: if you submit a document using the same document title, the 2nd submission will overwrite the 1st submissionAlso, do not upload password-protected documents.
The following documents are required from all applicants (please read carefully):
Are you a current or former federal employee? if applying as a status candidate with current or former federal service, please provide a copy of your last or most recent sf-50, `notification of personnel action” which shows your appointment eligibility for the position for which you are applyingYour sf-50 must identify the highest grade you held on a permanent basis, pay plan/pay schedule, series, and grade/pay band, and career statusMultiple sf-50 may be submitted to demonstrate your highest previous rate and eligibility.
Warning: an award sf-50 (exCash or time off award) may not indicate grade, step, and competitive statusFor current dol employees, an award sf-50 does not indicate grade and step.
- resumes are required - provide a resume either by creating one in usajobs or uploading one from your computer and usajobs profileTo receive full consideration for relevant and specialized experience, please list the month, year, and the number of work hours worked for the experience listed on your resumeWe also suggest that you preview the vacancy questions, and confirm that your resume supports your question responses.
Most recent performance appraisal/evaluation signed and dated within 18 months is requested by the agency, but will not disqualify candidates if not submittedIf not submitted during the application process, one may/will be requested at the time of the interview if the opportunity is extendedApplies to current and former federal employees.
The following documents are required if applicable:
- displaced employee placement documents - only required if requesting priority consideration under ictap/ctap eligibility.
- dd-214 - verifying military service, eligibility for consideration under the veterans employment opportunity act (veoa), and showing the character of discharge (exMember copy 4 and 2 are acceptable vsCopy 1 which is not acceptable to adjudicate veteran`s preference)
- special/non-competitive appointing authority documents - applicants who are eligible for consideration, and wish to be considered, under one of the following non-competitive hiring authorities must submit appropriate documentation (click on the links below to see the documentation requirements): [hr to edit as necessary] (a) military spouses (misp) (e) other
Land management eligible(s): a copy of your most recent notification of personnel action (sf-50 or equivalent) proving your eligibility for appointment under the land management workforce flexibility actThis service must have been performed in the competitive service, under a time-limited appointment in a land management agency, as defined by p.l114-328For more information, click here.
Cover letters are not mandatory and will not be used to verify experience, but may be submitted.
Applicants selected for employment who are not current dol employees will be required to provide proof of citizenship, and the e-verify system will be used to confirm the employment eligibility of all new hires.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the u.sDepartment of education in order for it to be credited towards qualificationsTherefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the u.sDepartment of education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Benefits
Benefits
A career with the u.sGovernment provides employees with a comprehensive benefits packageAs a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewardingOpens in a new windowlearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittentContact the hiring agency for more information on the specific benefits offered.
Help
This job is open to
Federal employees - competitive service
Current or former competitive service federal employees.
Career transition (ctap, ictap, rpl)
Federal employees who meet the definition of a `surplus` or `displaced` employee.
Land & base management
Certain current or former term or temporary federal employees of a land or base management agency.
Military spouses
Veterans
Clarification from the agency
All current/former federal employees with competitive status; ictap/ctap eligibles within the commuting area; veoa eligibles; military spouse eligibles; land base management eligiblesThis position is 100% telework.
