[Hiring] Workers' Compensation Claims Examiner @Office of Workers Compensation Programs

Role Description

This position is for a "Hearing Representative", located in the Department of Labor, Division of Energy Employees Occupational Illness Compensation (DEEOIC), Final Adjudication Branch (FAB). DEEOIC administers the benefits' provisions of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).

The purpose of this position is to serve as the Final Adjudication Branch's authority and representative in reviewing claims, conducting hearings and issuing determinations.

Responsibilities:

• Independently review the evidence of record and the recommended decisions issued by the DEEOIC District Offices for factual and legal accuracy prior to scheduling a hearing.
• Craft 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.
• Review claimant requests for reconsideration of final decisions with delegated authority to finalize or modify decisions of the initial claims examiner.

Qualifications

• You must meet the Specialized Experience to qualify for Workers' Compensation Claims Examiner, as described below.
• For GS-13: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level GS-12 in the Federal Service.

Requirements

• 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 GS-13 includes:
• Applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits.
• Adjudicating highly complex cases for benefits based on evidence.
• Composing and issuing final decisions that affirm or remand cases for further development.