Claims Adjudicator – Presque Isle – Multiple Vacancies

Claims Adjudicator – Presque Isle – Multiple Vacancies

Presque Isle , Maine , United States | Professional & Technical | Full-time

Apply by: Oct. 22, 2024

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Department of Labor – Bureau of Unemployment CompensationJob Class Code:0686

Grade: 21 (Professional/Technical)

Salary: $ 44,803 – $62,691

Location: Presque IsleOpening Date: October 7, 2024Closing Date: October 22, 2024

We’re looking for a decision architect to join our team as an adjudicator! If you thrive on analyzing complex cases, delivering fair outcomes, and navigating the nuances of regulations, this role is perfect for you.

This is a hybrid position with at least 1 day per week in the office. Remote work starts upon completion of the probationary period.

Primary responsibilities include:

Interviews claimants, employers, and other witnesses largely by phone in order to determine claimant eligibility for compensation and which employer account, if any, to charge.

Writes clear and concise decisions in order to document UC benefit determinations and which employer account, if any, to charge.

Evaluates and assesses all investigative information to make referrals and determine and initiate best course of action that protects the State’s application of laws, rules, and use of unemployment funds.

Explains laws, regulations, commission rules, precedents, and Department policies regarding eligibility, disqualifications, and appeals in order to provide information to claimants, employers, and the public.

Investigates, research, and documents allegations of misrepresentation and fraudulent claims in order to determine validity and prepare reports of investigation.

Testifies at hearings and in court in order to present and justify written decision rendered.

Plans, assigns, and oversees work of subordinate staff as well as provides training in order to ensure applicable laws, rules, regulations, and policies are applied in a consistent and equitable manner.

Skills or knowledge required:

Interviewing and investigative techniques.

Research techniques and practices.

Labor-management relations.

Federal and state laws, rules, regulations, precedent cases, and agency manuals governing UC programs.

Policies and procedures relating to the prevention, detection, and recovery of overpayments.

Public sector and private industry employment practices.

Quality Control Program goals and objectives.

Ability to communicate effectively.

Ability to write clearly and effectively.

Ability to determine benefit eligibility.

Ability to interpret and apply laws, rules, and regulations in specific circumstances.

Ability to compile and analyze facts, reach logical conclusions, and make sound recommendations.

Ability to deal effectively with irate or confused clients.

Ability to demonstrate competent time management.

Ability to use desktop and laptop computers.

Ability to write complete and understandable decisions and reports.

Ability to plan, direct, and coordinate the work of subordinate staff.

Ability to train subordinate personnel.

Minimum qualifications:

A Bachelors Degree in Business Administration, Human Resources, Economics, Finance, or related field and two (2) years of technical, administrative, or paraprofessional support level experience in public contact work which demonstrates interviewing, data gathering, and analytical skills. Comparable work experience may be substituted for education on a year-for-year basis.

Preference will be given to those applicants:

If there are no preferences, delete this section.

Contact information:

Questions about this position should be directed to Denis M. Collins atDenis.M.Collins@Maine.gov.

Application Instructions:

Interested applicants need to apply online by selecting the “Apply for this opening” button along with uploading a cover letter, current resume, and copies of any transcripts or certifications you wish to have considered while evaluating your application. In order for us to properly determine if you meet the minimum qualifications for any posting, you must be sure your resume includes month and year for any experience listed along with the duties and responsibilities associated with each particular time period. Any experience that was not full-time employment should be identified as such.

If you require a paper application, please download and print one here https://www.maine.gov/bhr/state-jobs/application-process or contact our office at 207-623-6700. Paper applications for this posting should be submitted along with cover letter and resume before the closing date to Security & Employment Service Center, 45 Commerce Drive, Augusta, ME 04330 or faxed to 207-287-2018. Be sure title of the job you are applying for is included. Applications cannot be accepted after the posting closing date.

Benefits of working for the State of Maine:

No matter where you work across Maine state government, you find employees who embody our state motto—”Dirigo” or “I lead”—as they provide essential services to Mainers every day. We believe in supporting our workforces health and wellbeing with a valuable total compensation package, including:

Work-Life Fit– Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3 weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.

Health Insurance Coverage – The State of Maine pays 85%-100%of employee-only premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.

Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.

Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).

Retirement Plan – The State of Maine contributes 13.41% of pay to the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.

Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.

Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.

Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.

Living Resources Program – Navigate challenging work and life situations with our employee assistance program.

Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including fathers and adoptive parents—receive four weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act (https://www.maine.gov/bhr/state-employees/rules-policies/policy-practices-manual/Employee-Rights-and-Responsibilities-Federal) .

Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.

Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness (https://www.maine.gov/bhr/oeh/) .

Theres a job and then theres purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.

Thinking about applying?

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.