Appellate Review Specialist, Compliance Specialist 3
Oregon Department of Human Services
full-time
Posted on:
Location Type: Hybrid
Location: Salem • Oregon • United States
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Salary
💰 $5,988 - $9,191 per month
About the role
- As an Appellate Review Specialist, you will resolve disputes by issuing a legally binding Order on Reconsideration after the completion of a thorough analysis of the claim closure and disputed issues, including compliance with claim closure statute
- In some cases, you will facilitate the dispute by mutual agreement of the parties through negotiation, mediation and/or education
Requirements
- Five years’ experience doing administrative research that included compiling and evaluating facts to recommend management action, or decide compliance or eligibility with program guidelines and regulations
- Three of the five years must be above the technical support level
- Note: College-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years
- Preference may be given to candidates whose work history demonstrates the skills and knowledge necessary for processing and/or management of Oregon Workers’ Compensation claims
- Demonstrated ability to manage a large caseload composed of medical documents and legal documents
- Demonstrated ability to know and meet strict timelines
- Demonstrated ability to work collaboratively with diverse groups
- Demonstrated skill in analysis and evaluation of medical and/or legal decisions, using professional and impartial judgment in decision making
- Demonstrated ability to interpret policy, rules, statutes and case law
- Preference may be given to those with a strong background in medical terminology and understanding of human anatomy/physiology
Benefits
- Rewarding work in a productive and creative environment
- Colleagues who are passionate about public service
- Work/life balance, 11 paid holidays a year, and a competitive benefits package
- Advancement and learning opportunities that will help grow your career with the State of Oregon
- Possible eligibility for the Public Service Loan Forgiveness Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
administrative researchcompliance analysiseligibility evaluationcase managementmedical document analysislegal document analysispolicy interpretationstatute interpretationcase law analysismedical terminology
Soft Skills
negotiationmediationeducationcollaborationimpartial judgmenttime managementanalytical skillsdecision making