Workers' Compensation Claims Examiner

Summary

This position is located in the Department of Labor (DOL), Division of Energy Employees Occupational Illness Compensation (DEEOIC), Final Adjudication Branch (FAB).

This position is inside the bargaining unit.

Salary posted reflects nationwide base pay range. Once the selection has been made, the salary will be set in accordance with the selectee's location.

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Help Duties

Additional selections may be made from this announcement.

Relocation (PCS) expenses are not authorized.

Duties:

• Responsibilities include, but are not limited to, the following: researching the associated employment-related illness; thoroughly reviewing and evaluating voluminous evidentiary documents (e.g., medical reports, employment evidence, hearing transcripts, exposure information, medical documentation, and other types of documents submitted to support a claim for benefits) from a variety of sources that the District Office used as the basis for the recommended decision; carefully analyzing, cross-checking, and interpreting data; and determining whether or not the recommended decision has been properly adjudicated.
• Collaborates with other claims examiners and hearing representatives in adjudicating complex and unusual cases to ensure each case is properly reviewed and each decision is factually accurate. Conducts research into, and analysis of, complex court decisions, policies, and procedures.
• Crafts a final decision to either affirm the recommended decision or remand the case back to the District Office for further development and the issuance of a new recommended decision.
• Routinely weighs evidence and exercises sound legal judgment on the disposition of a case while clearly articulating factual and legal reasons for the acceptance or denial of a claim that can be upheld by any Federal district court.
• Reviews claimant requests for reconsideration of final decisions with delegated authority to finalize or modify decisions of the initial claims examiner.
• Independently reviews the evidence of record and the recommended decisions issued by the DEEOIC District Offices for factual and legal accuracy prior to scheduling a hearing.

Help Requirements

Conditions of Employment

• Requires a probationary period if the requirement has not been met.
• Must be a U.S. Citizen.
• Must be at least 16 years old.
• Candidate required to obtain the necessary security/investigation level.

Qualifications

IN DESCRIBING YOUR EXPERIENCE PLEASE BE CLEAR AND SPECIFIC, PLEASE USE THIS FORMAT MM/DD/YYYY WHEN DATING YOUR EXPERIENCE. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR SPECIALIZED EXPERIENCE, DATES OF EMPLOYMENT OR SALARY.

Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-13 in the Federal Service.

Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level.

Qualifying specialized experience for the GS-13 is defined as:

• Experience adjudicating highly complex cases for benefits based on evidence.
• Experience making and issuing final decisions that affirm or remand cases for further development
• Experience applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits
• Experience reviewing reconsideration requests or appeals for benefits.

Education

This position does have a positive education requirement.

Additional information

This position is inside the bargaining unit. If the duty location is within the Washington, D.C. metropolitan area, the position will be included in the Local 12, AFGE bargaining unit. If the duty location is outside the Washington, D.C. metropolitan area, the position will be included in the NCFLL bargaining unit.

Persons who are deaf, hard of hearing, blind, or have speech disabilities, please dial 711 to access telecommunications relay services.

The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high-quality employment opportunities, and assure work-related benefits and rights for all workers. As such, the Department is committed to fostering a workplace and workforce that promote equal employment opportunity, reflects the diversity of the people we seek to serve, and models a culture of respect, equity, inclusion, and accessibility where every employee feels heard, supported, and empowered.

Refer to these links for more information: GENERAL INFORMATION, REASONABLE ACCOMMODATION, ADDITIONAL DOCUMENTATION, FORMER FEDERAL EMPLOYEES

Full Promotion Potential: This position is at the Full-Performance Level (FPL).

Telework or Telework Positions: Eligibility is determined by management based on position duties during the recruitment process. Employee participation in telework on a routine or situational basis is determined by management primarily based on business needs. Employees participating in telework are subject to the terms and conditions of the Department of Labor's Telework Program.

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• Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens 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 intermittent. Contact the hiring agency for more information on the specific benefits offered.

Office of Workers Compensation Programs

200 Constitution Avenue NW

Washington, DC 20210

US