- Job family (Series)
0991 Worker's Compensation Claims ExaminingSimilar jobs
- Benefits Specialists
- Compensation Specialists
- Specialists, Benefits
- Specialists, Compensation
RequirementsRequirements Conditions of Employment
- Must be at least 16 years old and a U.S. Citizen.
- Requires a background investigation if the requirement has not been met.
- Requires a probationary period if the requirement has not been met.
Applicants must meet all legal and regulatory requirements. Reference the "Required Documents" section for additional requirements.Qualifications
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
GS-07: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-5 in the Federal Service. Specialized experience is experience that equipped the candidate with the particular knowledge, skills and abilities to successfully perform the duties of the position being filled. Examples of qualifying specialized experience include:
Demonstrating the knowledge and ability to develop, examine, investigate, adjudicate, and/or authorize claims for disability and/or death compensation; Examining and developing reports of disability and death and obtaining documentation; verifying benefits payments; Ability to interpret medical reports and to develop and evaluate pertinent medical facts and evidence from medical reports and diagnostic tests and studies; Applying and interpreting laws, regulations, policies, precedents, and other criteria for disability and death cases; Ability to prepare drafts of brief findings of fact and drafts of proposed questions.
GS-09 : Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-07, in Federal Service or private sector. Specialized experience is experience that equipped the candidate with the particular knowledge, skills and abilities to successfully perform the duties of the position being filled. Examples of qualifying specialized experience include:
Experience adjudicating a broad range of disability and death claims, making determinations on non-medical and/or medical issues. Examines claims for factual and legal correctness. Receives and examines forms, i.e., CM-911, CM-912, and CM-911a and all appropriate certificates such as birth, death, marriage certificates and autopsy reports. Demonstrates a knowledge of medical terms and findings (working knowledge of the human anatomy and its function, the etiology and pathology of disease), and the relationship of disability to the ability to work. Secures medical reports and evaluates medical evidence and medical documents to determine the extent of the claimant’s disability. Reviews and processes widow’s claims. Experience determining compensation due, and authorizing and setting up payments. Experience entering appropriate claims development, adjudication, and compensation data. Demonstrate the ability to develop and evaluate pertinent medical facts and evidence from medical reports, diagnostic tests, and studies, and to apply and interpret laws, regulations, policies, precedents, and other criteria for disability and death cases.Education
Individuals who, within the previous two years, graduated from qualifying educational institutions with an associates, bachelors, masters, professional, doctorate, vocational or technical degree or certificate from qualifying educational institutions. To be eligible, applicants must apply within the previous two years of degree or certificate completion except for veterans precluded from doing so due to their military service obligation, who will have up to six years after degree or certificate completion to apply.
To qualify for this position solely on education , the following education may be used to substitute for specialized experience:
For GS-07 : 1 year of graduate-level education or superior academic achievement. Information regarding S.A.A can be found in OPM’s General Schedule Qualification Policies .
For GS-09 : 2 years of progressively higher level graduate education leading to a master's degree or master's or equivalent graduate degree, if related;
Combining Education and Experience
An equivalent combination of successfully completed related undergraduate (GS-07) and graduate (GS-07 or GS-09) level education and specialized experience as described in the "Qualifications" section of this announcement, can be used to meet the total experience requirements for this position. For more information please click here ( Application of Qualification Standard/Option 5 ).
Any applicant falsely claiming an academic degree from an accredited school will be subject to actions ranging from disqualification from federal employment to removal from federal service.
If your education was completed at a foreign college or university, you must show comparability to education received in accredited educational institutions in the United States and comparability to applicable minimum course work requirements for this position. Click Evaluation of Foreign Education for more information.Additional information
DOL seeks to attract and retain a high performing and diverse workforce in which employees’ differences are respected and valued to better meet the varying needs of the diverse customers we serve. DOL fosters a diverse and inclusive work environment that promotes collaboration, flexibility and fairness so that all individuals are able to participate and contribute to their full potential.
Refer to these links for more information: GENERAL INFORMATION , ADDITIONAL DOCUMENTATION , FORMER FEDERAL EMPLOYEES
The information you provide may be verified by a review of your work experience and/or education, by checking references and through other means (ex. interview). The examining Human Resources Office (HRO) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your responses to the vacancy questions. If not, the HRO may amend your responses to more accurately reflect the level of competency indicated by the content of your resume.Your evaluation may also include a review by a Human Resources Specialist or panel and may include other assessments (ex. interview, panel review, written test, writing sample, etc.)
INFORMATION FOR ICTAP/CTAP ELIGIBLES ONLY: If you are eligible for special priority selection under ICTAP/CTAP, you must be well-qualified for the position to receive consideration. ICTAP/CTAP eligibles who are placed into Category B or higher will be considered "well-qualified".How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
If you meet the minimum qualifications, you will be evaluated against the evaluation factors below and will be placed into a category based on your vacancy question responses.
Category A - Meets the basic qualification requirements for the vacancy and has successful experience in the same or similar job that has demonstrated superior proficiency in applying critical competencies required by this position to work of increased levels of difficulty and complexity.
Category B - Meets the basic qualification requirements for the vacancy and demonstrates satisfactory proficiency in the critical competencies required by this position.
Category C - Meets the specialized experience described in the minimum qualifications requirements section of this announcement and demonstrates proficiency in the basic competencies.
Evaluation Factors (Competencies) - All qualified applicants will be evaluated on the following key competencies:
Planning and Evaluating - Organizes work, sets priorities, and determines resource requirements; determines short- or long-term goals and strategies to achieve them; coordinates with other organizations or parts of the organization to accomplish goals; monitors progress and evaluates outcomes.
Problem Solving - Identifies problems; determines accuracy and relevance of information; uses sound judgment to generate and evaluate alternatives, and to make recommendations.
Program Knowledge – Knowledge and application of laws, regulations, court procedures, precedents, legal practices and documents , government regulations, executive orders, agency rules, government organization and functions.
Reasoning - Discovers or selects rules, principles, or relationships between facts and other information.
Customer Service - Works and communicates with clients and customers (e.g., any individuals who use or receive the services or products that your work unit provides, including individuals who work in your agency or in other agencies or organizations outside the Government) to satisfy their expectations. Committed to quality services.
Oral Communication - Expresses ideas and facts to individuals or groups effectively; makes clear and convincing oral presentations; listens to others; facilitates an open exchange of ideas
Interpersonal Skills - Considers and responds appropriately to the needs, feelings, and capabilities of others; adjusts approaches to suit different people and situations.
Writing - Recognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience.
Technical Competence - Uses knowledge that is acquired through formal training or extensive on-the-job experience to perform one's job; works with, understands, and evaluates technical information related to the job; advises others on technical issues.
Click Application of Veterans Preference for Category Rating Jobs for more information.
To preview questions please click here .Background checks and security clearanceSecurity clearance
Not RequiredDrug test required
Required DocumentsRequired DocumentsThe following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. You are not required to submit a document if it does not apply to you. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password protected documents.
- Veterans Documents (if applicable): To be considered as a 5-point preference eligible, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD214. Your DD-214 must show the type of discharge and dates of active duty. To claim 10-point preference, you must submit a copy of your DD214; an Application for 10-point Veteran's Preference, SF15; and the proof of entitlement of this preference which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability. (For active duty service members expecting honorable or general discharge or release within 120 days, click Active Duty ). Without this documentation, you will not receive veteran's preference. For more information, go to: http://www.fedshirevets.gov/hire/hrp/vetguide/index.aspx
- Displaced Employee Placement Documents – Only required if requesting priority consideration under CTAP or ICTAP eligibility.
- Cover Letters are not mandatory and will not be used to verify experience, but may be submitted
Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship , and the E-Verify system will be used to confirm the employment eligibility of all new hires.If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits .
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
These positions are located in the Department of Labor, Office
of Workers Compensation Programs (OWCP), Division of Coal Mine
Workers' Compensation Programs (DCMWC) District Office in Mount
The mission of the office is to provide black lung benefits and medical treatment coverage to coal miners who have been totally disabled by chronic dust disease of the lungs arising out of employment in the Nation's coal mines, as well as to provide benefits to the survivors of coal miners who died from the disease.
This position is inside the bargaining unit.
Selection(s) can be made at any advertised grade(s).
Additional selections may be made from this vacancy announcement.
PCS/Relocation funds are not available.
If selected for this position, you will receive on the job
training in the duties performed as a Claims Examiner. The selectee
adjudicates increasingly difficult claims as a continuation of
their development for work at the next level. Claims are assigned
to provide training in developing facts and evidence, to develop a
lay medical knowledge of physical impairments, and to obtain
knowledge in the application of workers' compensation statutes,
regulations and precedents.
Duties performed fall into the following areas: Review, examination, development, and adjudication of disability and death claims arising under the Federal Coal Mine Health and Safety Act of 1969, as amended.; examine and develop reports of disability and death and obtains supporting documents; compile and collect all the information and evidence for the proper disposition of a claim; verifies benefit payments; reviews and processes contested cases.
Furnishing advice and assistance through interviews and correspondence; advices interested parties by telephone and in writing of the applicable provisions of the Act; secures and provides technical information of both medical and quasi legal character of the rights, duties and remedies of beneficiaries under the Act.
Reports writing and related research activities; assembles information for statements of fact and statements of issues in controversial cases involving a novel situation or establishment of precedent and policy and in cases where the issues were not resolved at the informal conference; prepares drafts of proposed questions for presentation to impartial specialist in various medical fields, for opinion and advice.
Occasional travel - For Training Purposes
12 - There is no obligation to provide future promotions to you if you are selected. Future promotions are dependent on your ability to perform the duties at a higher level, need for an employee assigned to the higher level, and supervisory approval.