Claims Examiner

  • Claims Examiner
  • What will I be doing?
  • Do I qualify?
  • Can I be successful?
  • Benefits
  • How do I apply?
Class Number: 
0719
Exam Components: 
Non-Competitive Registration
Annual Salary Range:
$24,864.00 – $39,792.00
Twice-a-Month Salary Range:
$1,036.00 – $1,658.00
Pay Grade: 
03

View Class Specification Document

Definition

This is entry-level technical processing and related work in the unemployment insurance benefit/claims program of the Missouri Division of Employment Security.

Job Duties

Receives basic unemployment insurance claims for both state and federal benefits, and processes continued claims.

Reviews benefit eligibility of claimants scheduled for Eligibility Review Program (ERP) telephone interviews.

Prepares standard form letter responses relating to unemployment insurance claims.

Reviews a variety of data on claims records for technical accuracy prior to entering it into the computer.

Inputs and retrieves unemployment insurance claims information using a personal computer.

Examines federal unemployment insurance claims, such as Unemployment Compensation for Federal Employees (UCFE), and Unemployment Compensation for Ex-service Members (UCX); determines whether a veteran has qualifying military service, and establishes the base period and subsequent wages for veterans who qualify; makes monetary determinations based on covered wages; and makes redeterminations of claims previously filed as state claims for which wages from federal or military service are applicable.

Corrects and handles items and situations occurring in the processing of unemployment insurance claims such as: transferring of Missouri wage credits to other states and notifying other states of their share of benefits paid to a claimant in Missouri; processing additional wage credits including the monetary redeterminations; preparing control documents on duplicate claims and ERP error listings; and processing requests for supplemental checks and benefit year corrections.

Adjusts continued claims and forged and lost unemployment insurance checks; processes forms regarding missing wages on combined wage claims; processes Federal withholding forms; enters work search waiver information; and takes calls from claimants to delete personal identification number and/or change the individual’s mailing address.

Reviews incoming appeal requests and related correspondence for completeness and possible reconsideration or setting of appeals; makes calls to obtain missing information; and retrieves all imaged documents relating to appeals.

Refers issues that should be reconsidered to the proper Regional Claims Center.

Exercises judgment and discretion within the limits of established policies and procedures; receives close supervision.

Performs other related work as assigned.

Areas of Interest: 
BUSINESS SERVICES

View Class Specification Document

(The following minimum qualifications will determine merit system eligibility.  Allowable experience and education substitutions are provided in italics below the corresponding minimum qualification statement; no other substitutions will be permitted.  These minimum qualifications may also be used to evaluate applicants for Missouri Uniform Classification and Pay System positions not requiring selection from merit registers.)

Three or more years of experience in sales; public contact work; clerical work; and/or in business, personnel, and/or public administration; and possession of a high school diploma or proof of high school equivalency.

(Earned credit hours from an accredited college or university may substitute on a year-for-year basis for the stated experience at a rate of 30 earned credit hours for one year.)

Please note that documentation that supports your eligibility (i.e. transcripts, employment records, etc.) may be required at any time during the application and hiring process. If you do not possess the minimum qualifications, please consider one of many other employment opportunities with the State of Missouri.

View Class Specification Document

Key Skills

Do you possess the key skills which are considered essential for successful employment in this classification?

Introductory knowledge of, and the ability to apply, interviewing techniques in practical work situations.

Introductory knowledge of the purpose and overall objectives of Employment Security Programs.

Introductory knowledge of techniques, procedures, and policies involved in processing claims for unemployment insurance and allowances under training programs.

Introductory knowledge of state and federal unemployment insurance laws and regulations.

Introductory knowledge of office procedures, practices, and equipment.

Skill in typing accurately from rough draft or plain copy.

Ability to understand and follow complex directions.

Ability to obtain basic facts and apply them to specific situations.

Ability to use office equipment and personal computer.

Ability to retrieve and apply stored information.

Ability to make accurate mathematical computations.

Ability to work rapidly and accurately in examining and processing a variety of documents.

Ability to establish and maintain effective working relationships with claimants, employers, and coworkers.

View Class Specification Document

The following link will provide you with general information about State of Missouri employee benefits.

View benefits

View Class Specification Document