This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Workers' Compensation Claim Examiner

Department:Department Of Labor

Agency:Office of Workers’ Compensation Programs

Job Announcement Number:DE-13-HRC-OW-254

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.

SALARY RANGE:

$73,848.00 to $96,001.00 / Per Year

OPEN PERIOD:

Thursday, July 25, 2013 to Thursday, August 08, 2013

SERIES & GRADE:

GS-0991-12

POSITION INFORMATION:

Full Time - Permanent

PROMOTION POTENTIAL:

12

DUTY LOCATIONS:

FEW vacancies - Denver, CO, USView Map

WHO MAY APPLY:

Also being advertised as job announcement #MS-13-HRC-OW-254 for status applicants, Veterans Employment Opportunity Act (VEOA) applicants & persons eligible under these non-competitive authorities: 30% or more compensably disabled veterans; persons w/disabilities (Schedule A); present/former Peace Corps (PC) personnel & former PC volunteers.  To be considered for each, apply to BOTH jobs.

JOB SUMMARY:

Opportunities are Open! Begin a challenging career with the U.S. Department of Labor (DOL), and you will help shape the workforce of tomorrow.  DOL offers rewarding opportunities to contribute to a noble mission; to serve and protect American workers, prepare them for new and better jobs, and to ensure the safety and fairness of American workplaces.

The Department of Labor values its customers. Every DOL employee is responsible for delivering good customer service through accurate, courteous, efficient and effective transactions.

This position is located in the Final Adjudication Branch (FAB), Division of Energy Employees Occupational Illness Compensation (DEEOIC), Office of Workers' Compensation Programs (OWCP). The mission of DEEOIC is to administer the benefits provisions of the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), 42 U.S.C. §7384 et seq., as mandated by Executive Order 13179, dated December 7, 2000. The EEOICPA provides compensation and medical benefits for covered workers who sustain certain employment-related illnesses as a result of exposure to beryllium, ionizing radiation, and other hazards unique to nuclear weapons production and testing. Survivors of deceased covered workers are entitled to file claims for survivors' benefits. This position is that of Workers' Compensation Claims Examiner with responsibility for reviewing recommended decisions issued by the district office and drafting final agency decisions, which are subject to federal court review, on cases dealing with the complete range of EEOICPA occupational illness claims, including those of exceptional complexity. The incumbent must routinely weigh evidence and exercise sound legal judgment on the disposition of the case. The incumbent must clearly articulate factual and legal reasons for the denial of a claim so that it is upheld by any federal district court reviewing the Final Adjudication Branch (FAB) decision. The incumbent's decisions are normally accepted as drafted by the hearing representative who has signature authority.

KEY REQUIREMENTS

  • U.S. Citizenship.
  • Appointment to this position may require a background investigation.
  • Requires a probationary period if the requirement has not been met.
  • Requires applicable supplemental documents or you will be found ineligible.
  • Must be at least 16 years of age.
  • Subject to occassional travel.

DUTIES:

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Major duties include, but are not limited to:

- Independently reviews the evidence of record developed by and recommended decisions issued by any of the four DEEOIC district offices for factual and legal accuracy, on all claims filed under the EEOICPA.

- Reviews all employment and medical evidence of record used by the district office to adjudicate claims and which serves as the basis for the recommended decision; writes full decisions that integrates information provided into the decision order.

- Reviews claimant requests for reconsideration of final decisions issued by other claims examiners and hearing representatives and drafts an order granting or denying requests, based on a thorough review of arguments and evidence in support of the request.

- Authorizes and prepares documentation required for the initiation of the payment process where the final decision accepts the claim for medical benefits and/or lump sum benefits up to $400,000.

- Advises interested parties on applicable provisions of EEOICPA, according to established procedures and according to precedents furnished in decisions emanating from the FAB and various Federal Courts.

- May be selected to serve as a team member on accountability reviews to assess the quality of other FAB office operations and provide assistance to junior claims examiners in reviewing decisions and in drafting decisions.


QUALIFICATIONS REQUIRED:

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Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-11, in the Federal Service. Specialized experience must be typically in or related to the position and has equipped the candidate with the particular knowledge, skills, and abilities to successfully perform the duties of the position. Specialized experience is defined as experience independently reviewing recommended claims decisions and writing final decisions and/or orders which require an evaluation of employment and medical evidence, application of law, regulations, and policy to that evidence. 

Specialized experience also includes: Experience independently reviewing the evidence of record developed by the recommended decisions issued for factual and legal accuracy, on all claims filed; independently determining whether the claim has been properly adjudicated and drafting, for hearing representatives signatures, final decisions either affirming the findings of fact and conclusions of law set forth in the recommended decision or remanding cases for further development and new recommended decisions; deciding that recommended decisions should be reversed for acceptance of a claim; reviewing all of the employment and medical evidence of record used in the adjudication of claims and which serves as the basis for recommended decisions; evaluating medical reports, employment evidence and other types of evidence submitted in support of a claim for benefits; experience with instances where medical or scientific questions are presented by the case, and preparing statements of accepted facts and defining the questions for the presentation to a physician, toxicologist, health physicist or industrial hygenist. Integrating the information provided by specialists into the decision orders.


Education cannot be substituted at this grade level.

Applicants must meet all legal and regulatory requirements.  Reference the "Required Documents" section for additional requirements.

HOW YOU WILL BE EVALUATED:

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.

Categories
Best Qualified (Category A) - Meets the specialized experience outlined in the vacancy announcement and demonstrates extensive experience: Independently reviewing the evidence of record developed by the recommended decisions issued for factual and legal accuracy, on all claims filed; independently determining whether the claim has been properly adjudicated and drafting, for hearing representatives signatures, final decisions either affirming the findings of fact and conclusions of law set forth in the recommended decision or remanding cases  for further development and new recommended decisions; deciding that recommended decisions should be reversed for acceptance of a claim; reviewing all of the employment and medical evidence of record used in the adjudication of claims and which serves as the basis for recommended decisions; evaluating medical reports, employment evidence and other types of evidence submitted in support of a claim for benefits; extensive experience with instances where medical or scientific questions are presented by the case, and preparing statements of accepted facts and defining the questions for the presentation to a physician, toxicologist, health physicist or industrial hygenist. Integrating the information provided by specialists into the decision orders.

Well Qualified (Category B)- Meets the specialist experience outlined in the vacancy announcement and demonstrates moderate experience: Independently reviewing the evidence of record developed by the recommended decisions issued for factual and legal accuracy, on all claims filed; independently determining whether the claim has been properly adjudicated and drafting, for hearing representatives signatures, final decisions either affirming the findings of fact and conclusions of law set forth in the recommended decision or remanding cases  for further development and new recommended decisions; deciding that recommended decisions should be reversed for acceptance of a claim; reviewing all of the employment and medical evidence of record used in the adjudication of claims and which serves as the basis for recommended decisions; evaluating medical reports, employment evidence and other types of evidence submitted in support of a claim for benefits; moderate experience with instances where medical or scientific questions are presented by the case, and preparing statements of accepted facts and defining the questions for the presentation to a physician, toxicologist, health physicist or industrial hygenist. Integrating the information provided by specialists into the decision orders.

Minimally Qualified (Category C) - Meets the specialized experience outlined in the vacancy announcement and demonstrates basic experience: Independently reviewing the evidence of record developed by the recommended decisions issued for factual and legal accuracy, on all claims filed; independently determining whether the claim has been properly adjudicated and drafting, for hearing representatives signatures, final decisions either affirming the findings of fact and conclusions of law set forth in the recommended decision or remanding cases  for further development and new recommended decisions; deciding that recommended decisions should be reversed for acceptance of a claim; reviewing all of the employment and medical evidence of record used in the adjudication of claims and which serves as the basis for recommended decisions; evaluating medical reports, employment evidence and other types of evidence submitted in support of a claim for benefits; basic experience with instances where medical or scientific questions are presented by the case, and preparing statements of accepted facts and defining the questions for the presentation to a physician, toxicologist, health physicist or industrial hygenist. Integrating the information provided by specialists into the decision orders.

Evaluation Factors (Competencies) - All qualified applicants will be evaluated on the following key competencies (click Evaluation Tools for information):

Technical Knowledge - Knowledge of the EEOICPA, the Code of Federal Regulations as it relates to the EEOICP, the application of Federal Laws, Final Adjudication Branch decisions and court case precedents, and the programs procedure manuel, sufficient to make recommendations which interpret or enhance the program. Knowledge of the Final Adjudication Branch organization, operation and practices.

Written Communication - Skill in research, analysis and problem solving. Skill in writing prose which accurately captures important legal and factual distinctions while remaining clear and informative for a wide variety of readers. Knowledge of various physical ailments, the etiology of disease and relationship to employment.

Oral Communication - Excellent speaking skills and ability to verbally explain EEOICPA regulations and procedures in a clear and concise manner.

Legal, Government and Jurisprudence - Demonstrate the ability to review the evidence of record and the district office's recommended decision in order to independently determine whether the claim has been properly adjudicated and drafts, for hearing representative signature, a final decision either affirming the findings of fact and conclusions of the law set for in the recommended decision or remanding the case to the district office for further development and a new recommended decision.

Planning and Organization Skills - Ability to initiate and direct a variety of special and regular studies of workers' compensation claims, adjudication, appeals and benefit payment functions.


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 ELIGIBLES ONLY: If you are eligible for special priority selection under ICTAP, you must be well-qualified for the position to receive consideration.  ICTAP eligibles who are placed into Category [INSERT WELL-QUALIFIED CATEGORY] or higher will be considered "well-qualified".

Click Application of Veterans Preference for Category Rating Jobs for more information.


To preview questions please click here.


BENEFITS:

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The Department of Labor (DOL) offers a great benefit package to eligible employees.  The benefit package includes but is not limited to health benefits, supplemental dental and vision plans, flexible spending accounts, 13 days paid sick leave per year, vacation leave and 10 paid holidays per year.  We offer a variety of employee benefit options, a family-friendly work environment, a child care subsidy program, transit subsidy program, career assistance program, health services and fitness programs, access to LifeCare, a resource and referral service and more.  For a comprehensive site about all federal benefits, please refer to OPM.  For specific DOL benefits information, please refer to DOL BENEFITS.

OTHER INFORMATION:

The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Refer to these links for more information: GENERAL INFORMATION, REASONABLE ACCOMMODATION, ADDITIONAL DOCUMENTATION, SELECTIVE SERVICE REGISTRATION, PROBATIONARY PERIOD, FORMER FEDERAL EMPLOYEES

HOW TO APPLY:

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Follow the 5 steps below to apply.  Your application and ALL required supplemental documents must be received by 11:59 pm Eastern Time (ET) on the vacancy closing date to be considered.  Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered.

For more details, click How To Apply Detailed Instructions Document .  For help, refer to the Vacancy Contact in the "Questions about this job" section.  SAVE your information before the 30 MINUTE TIMEOUT!

STEP 1 - Create USAJOBS Account, including Resume and Saved Documents
Your resume must provide sufficient information to substantiate your responses in the self-assessment vacancy questions.  If not, the HRO may amend your responses to more accurately reflect the competency indicated by resume content.

STEP 2 - Answer Vacancy Questions (DOORS)
Click the Apply Online button, which is available when you search for a job on www.usajobs.gov, click on the title and proceed.

STEP 3 - Submit Supplemental Documents
Submit the required documents (only if applicable to you) specified in the "Required Documents" section of this vacancy by the close date.  For details: click How to Submit Supplemental Documentation Document.  Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission.

STEP 4 - Review Application and click Finish  Click here to submit an updated resume after initial application.

STEP 5 - Edit Application as needed by 11:59 pm ET of Close Date


REQUIRED DOCUMENTS:

The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. Follow the instructions: click How To Submit Supplemental Documentation Document.  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.

- 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 to be honorably discharged or released 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.

AGENCY CONTACT INFO:

Catherine Foote
Phone: 202-693-7607
Fax: 000-000-0000
TDD: 202-693-1461
Email: foote.catherine.g@dol.gov
Agency Information:
Labor, Ofc of Workers' Compensation Programs
200 Constitution Ave., NW
N5516
Washington, DC
20210
US
Fax: 000-000-0000

WHAT TO EXPECT NEXT:

Once your complete application is received, we will conduct an evaluation of your qualifications and refer candidates for selection consideration.  Candidates will be referred to the hiring manager for further consideration and possible interview.  You will be notified of the outcome.  A selection is expected to be made within 30 calendar days from the issuance date of the certificate.

To check the status of your application: Click here.  To sign up for Application Status Updates via email: Click Here.

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Job Announcement Number:

DE-13-HRC-OW-254

Control Number:

348263900