Claims Examiner (Sickness/ Unemployment)
What you'd do
This position is located in the Railroad Retirement Board's Office of Programs. The incumbent will be responsible for developing and adjudicating unemployment and sickness cases under the Railroad Unemployment Insurance Act (RUIA), covering initial applications, follow-ups, and complex matters.. This job announcement may be used to fill one or more vacancies. This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the Board.
Major duties
As a Claims Examiner (Sickness/ Unemployment), you will: Examine and adjudicate supplemental medical statements to make determinations on continued entitlement to sickness benefits. Determine the sufficiency, relevancy, and validity of evidence submitted in the adjudication of initial applications and claims for unemployment and/or sickness benefits. Review cases referred to the section for possible recovery of erroneous payments and collection of debts from claimants. Respond to inquiries via telephone, written replies, or electronic means from labor or railroad officials, government agencies, welfare organizations, claimants, attorneys, and others. Access various computer systems to enter, view, route, retrieve, and print data/documents used in the adjudicative processes and process various miscellaneous work items. Note: This posting is for the purpose of announcing a course of training leading to assignment to positions of Railroad Retirement Sickness and Unemployment Claims Examiner, GS-0998-08, for successful applicants. These positions will be filled at the GS-05 level only. Upon successful completion of the 38-week training, selectees will be promoted to the GS-07 level. Selectees will be promoted to the GS-08 level after successfully completing one year at the GS-07 position.
What you need to qualify
Minimum Qualifications for GS-05 level: A. One full year of specialized experience equivalent to the GS-04 grade level in the Federal service. Specialized experience is defined as experience which involves analyzing, explaining, processing, or interpreting claims, benefits, laws, regulations, or detailed technical procedures. -OR- B. Four years of education above the high school level. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. -OR- C. A combination of education and experience as listed above. Only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement. One full academic year (30 semester hours) beyond the second year equals 6 months of specialized experience. Only experience and education obtained by the closing date of this announcement will be considered. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Documenting experience: IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Qualifications are based on breadth/level of experience. In addition to describing duties performed, applicants must provide the exact dates of each period of employment (from MM/YY to MM/YY) and the number of hours worked per week if part time. As qualification determinations cannot be made when resumes do not include the required information, failure to provide this information may result in disqualification. Applicants are encouraged to use the USAJOBS Resume Builder to develop their federal resume. Do not copy and paste the duties or specialized experience from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position.
Before you apply
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