- Workers' Compensation Specialist
- What will I be doing?
- Do I qualify?
- Can I be successful?
- How do I apply?
This is specialized professional work in the Department of Insurance related to workers' compensation insurance inquiries, complaints, policies and legislation.
The employee in this class responds to written and oral inquiries and complaints related to workers' compensation insurance, coordinates the activities of the Workers' Compensation Determinations Review Board, and facilitates legislative initiatives related to workers' compensation insurance. Work also includes administering the billing and collection of workers' compensation tax and Second Injury Fund surcharge for workers' compensation self-insurers and reviewing insurance company policy contracts related to workers' compensation. General supervision is received from an administrative superior; however, the employee is expected to exercise considerable independent judgment and discretion in the performance of assigned responsibilities.
Responds to written and oral inquiries from employers, insurers, legislators, state agencies, lobby groups, and department personnel relating to workers' compensation insurance statutes, rules and regulations.
Resolves complaints from consumers, insurance company officials and the general public relating to workers' compensation insurance coverage and other procedural issues.
Administers the billing and collection of the workers' compensation tax and Second Injury Fund surcharge for qualified workers' compensation self-insurers; prepares assessment, loss and tax reports.
Provides technical advice and assistance to the Department Director on issues related to workers' compensation legislation and regulations; confers with staff legal counsel on issues relating to current and proposed workers' compensation legislation, procedural matters and difficult or complex complaints and inquiries.
Maintains contact with insurance regulatory agencies in other states and the National Association of Insurance Commissioners (NAIC) to collect and exchange workers' compensation insurance information; researches workers' compensation statutes, underwriting rules and regulations.
Establishes and maintains a database to provide insurance premium volume information on the state's top twenty companies writing workers' compensation insurance.
Approves or disapproves complex policy contracts submitted by companies providing workers' compensation insurance.
Coordinates the activities of the Workers' Compensation Determinations Review Board, including conducting research on issues specifically relating to workers' compensation classifications, experience rating, auditing, and other basic rule interpretations; schedules board meetings.
Functions as department liaison between insurance companies, the National Council on Compensation Insurance (NCCI) and employers; assists in the settlement of informal complaints.
Participates in the development of legislation, rules and regulations, administrative bulletins and other written documents relating to workers' compensation insurance.
Facilitates the review and advocacy of legislative initiatives related to workers' compensation insurance; may serve as department liaison to explain agency programs and initiatives at legislative committee meetings and hearings.
Performs other related work as assigned.
(The following minimum qualifications will determine merit system eligibility. Allowable experience and education substitutions are provided in italics below the corresponding minimum qualification statement. 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 years of professional experience in insurance regulation, risk management, property and casualty underwriting or claims administration, policy contract review and/or development, or agency management specializing in commercial insurance, of which two years must have been directly related to workers' compensation insurance; and graduation from an accredited four-year college or university with specialization in insurance, risk management, business or public administration, or closely related areas. (Graduate work in the specified areas may be substituted on a year-for-year basis for the general experience.)
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.
Do you possess the key skills which are considered essential for successful employment in this classification?
Considerable knowledge of workers' compensation insurance, including the principles and practices of underwriting and rate-making.
Considerable knowledge of state and federal laws, regulations and court decisions affecting workers' compensation insurance.
Ability to interpret and apply statutes, regulations, agency policies and program guidelines related to workers, compensation insurance.
Ability to analyze complex workers' compensation insurance policy contracts and related forms.
Ability to communicate complicated workers' compensation insurance regulations and procedures clearly and concisely.
Ability to use independent judgment to prioritize and complete daily work assignments.
Ability to establish and maintain effective working relationships with insurance agents, brokers, company representatives, state and local officials, the general public and other employees.
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