Workers Compensation Claims Examiner III

MENTAL AND PHYSICAL REQUIREMENTS

1. MENTAL EFFORTa. Reasoning development::X Follow one- or two-step instructions; routine repetitive out detail but uninvolved written or verbal instructions; deal with a few concrete written verbal or diagrammatic instructions; several concrete variables.X Solve practical problems; variety of variables with limited standardization; interpret or scientific thinking to solve problems; several abstract and concrete range of intellectual and practical problems; comprehend most obscure concepts.

b. Mathematical development:

Simple additional and subtraction; copying figures counting and recording.X Add subtract multiply and divide whole calculations involving fractions decimals and percentages. Arithmetic algebraic and geometric mathematical and statistical techniques such as calculus factor analysis and probability complex mathematical and statistical techniques such as calculus factor analysis and probability determination; requires theoretical application.

c. Language development:X Ability to understand and follow verbal or demonstrated instructions; write identifyinginformation; request supplies verbally or in to file post and mail materials; copy data from one record to another; interview to obtain basic information such as age occupation and number of children; guide people and provide basic to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job to compose original correspondence follow technical manuals and have increased contact with to report write or edit articles for publication; prepare deeds contracts or leases prepare and deliver lectures; interview counsel or advise people; evaluate technical data.

2. PHYSICAL EFFORTa. Physical activity required to perform the job:Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are work:a. Exerting up to 20 pounds of force occasionallyb. Exerting up to 10 pounds frequentlyc. Exerting a negligible amount of force constantly to move objects(If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time the job is rated for Light Work).X Medium work:a. Exerting up to 50 pounds of force occasionallyb. Exerting up to 20 pounds of force frequentlyc. Exerting up to 10 pounds of force constantly to move objectsHeavy work:a. Exerting up to 100 pounds of force occasionallyb. Exerting up to 50 pounds of force frequentlyc. Exerting up to 20 pounds of force constantly to move objects

Very heavy work:a. Exerting in excess of 100 pounds of force occasionallyb. Exerting in excess of 50 pounds of force constantly to move objectsc. Exerting in excess of 20 pounds of force constantly to move objects

b. Visual requirements necessary to perform the job:Far vision: clarity of vision at 20 feet or moreX Near vision: clarity of vision at 20 inches or lessX Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feetDepth perception: the ability to judge distance and space relationships so as to see objects where and as they actually areColor vision: ability to identify and distinguish colorsField of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point

2. PHYSICAL EFFORT (cont.)

FREQUENCY

c. Physical activity necessary to perform the job and frequency (e.g. continuallyfrequently or occasionally):Climbing: Ascending or descending ladders stairs scaffolding ramps poles andthe like using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary : Maintaining body equilibrium to prevent falling when walking standingor crouching on narrow slippery or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.X Stooping: Bending body downward and forward by bending spine at the factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.X Kneeling: Bending legs at knee to come to a rest on knee or knees.X Crouching: Bending the body downward and forward by bending legs and : Moving about on hands and knees or hands and feet.X Reaching: Extending hand(s) and arm(s) in any direction.X Standing: Particularly for sustained periods of time.X Walking: Moving about on foot to accomplish tasks particularly for long distances.

OccasionallyOccasionallyOccasionallyOccasionallyOccasionallyOccasionally

X Pushing: Using upper extremities top press against something with steady force inorder to thrust forward downward or outward.X Pulling: Using upper extremities to extent force in order to drag haul or tugobjects in a sustained : Using feet to push pedals. X Lifting: Raising objects from a lower to a higher position or moving objectshorizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.X Fingering: Picking pinching typing or otherwise working with fingers rather thanwith the whole hand or arm as in handling.X Grasping: Applying pressure to an object with the fingers and palm.

OccasionallyOccasionallyOccasionallyFrequentlyOccasionally

2. PHYSICAL EFFORT (cont.)

FREQUENCY

X Talking: Expressing or exchanging ideas by means of the spoken word. Thoseactivities in which workers must convey detailed or important spoken instructions to other workers accurately loudly or quickly.X Hearing: Perceiving the nature of sounds with or without correction. Ability toreceive detailed information through verbal communication and to make fine discriminations in sound such as when making find adjustments on machined : Perceiving attributes of objects such as size shape temperature ortexture by touching with skin particularly that of fingertips.X Repetitive Substantial movements (motions) of the wrists handsMotion: and/or fingers.

FrequentlyFrequentlyFrequently

3. WORKING CONDITIONSDisagreeable job conditions to which the employee may be exposed and the frequency (e.g. continually frequently or occasionally) of this exposure.

WORKING CONDITIONENVIRONMENTALFACTOR

NATURE/REASONOF EXPOSURE

FREQUENCY

Dirt/Dust

Noise

Temperature extremes

Dampness

Vibrations

Equipment movement hazard

Chemicals/solvents

Electrical shock

Significant work pace/pressure

Odors/Fumes

Other (specify)