SAFE Examiner

Title: SAFE Examiner

State Role Title:Salary Non-Specified

Hiring Range: Minimum starting salary $47003 commensurate with experience

Pay Band: UG

Agency: VA Workers Compensation Comm

Location:RICHMOND HEADQUARTERS

Agency Website: Type: General Public - G

Does public service appeal to your sense of pride and professional fulfillment Do you enjoy making a meaningful difference in the lives of others Does working in a collaborative environment with health care associates interest you Are you a detail-oriented individual who doesnt mind work of a repetitive nature but also affords the opportunity to cross train in other departments and perform research Do you excel at working independently in a mostly telework environment where your colleagues and leaders cheer you on Are you interested in becoming part of an agency that is evolving constantly enhancing efficiency and improving relationships with stakeholders If you answered yes to these questions this position may be the perfect fit for you.

Job Duties

The Criminal Injuries Compensation Fund is seeking a detail-oriented and customer focused SAFE Claims Examiner to join our team. Virginia Workers Compensation Commission administers the Virginia Compensating Victims of Crime Act through the Criminal Injuries Compensation Fund also known as the Virginia Victims Fund (VVF). The Criminal Injuries Compensation Fund helps victims of violent crime with out-of-pocket expenses including medical bills prescriptions funeral expenses and many other expenses. While money can never erase the scars and painful memories of a crime our programs may ease some of the financial burdens faced by victims and their families.

The SAFE Examiner provides support to the Sexual Assault Forensic Exam Payment Program byprocessing claims submitted by forensic nurses reviewing and verifying claim information for eligibility making claim award determinations and processing award amounts for completed claims. Additionally the selected candidate will be responsible for communicating with nurses billing providers and other stakeholders by phone and email maintaining ongoing claims and ensuring billing information is accurate. The SAFE Examiner is also responsible for reviewing and preparing financial reports based on awards for completeness and accuracy preparing supporting documentation and providing training and consultation to allied professionals.

VWC Compensation Structure

Virginia Workers Compensation Commission is an independent agency which allows us to have a more competitive and unique pay structure. This position is a pay grade 5 based on a 14 grade pay structure. Our positions are not classified under DHRMs pay bands.

Telework Structure

Our agency is currently using a hybrid model for teleworking. Our positions at this time are not 100% teleworking. This position is largely telework; however all candidates would be expected to report to our Headquarters/Regional Office as requested. Telework scheduling is at the discretion of the Manager based on the business needs of the department. Upon hire candidates should expect to have all training and orientation conducted at the Headquarters Office.

Minimum Qualifications

• Significant experience providing high-volume case management in a fast-paced environment
• Comprehensive experience with claims examination to include billing and payment determination
• Experience gathering information and creating and presenting reports
• Excellent oral and written communication skills to include the ability to interact with a diverse group of professionals and clients
• Exceptional analytical and logical reasoning and administrative research skills and abilities
• Strong work ethic attention to detail and exceptional customer service skills
• Strong public speaking and presentation skills
• Demonstrated ability to work within deadlines in a high volume fast-paced environment
• Demonstrated ability and skill in organizing coordinating and prioritizing work assignments
• Demonstrated ability to work both independently and as part of a team
• Ability to travel overnight on occasion

Additional Considerations

• Experience working with the Criminal Injuries Compensation Fund preferred
• Working knowledge of medical terminology and insurance practices preferred
• Working knowledge of the Code of Virginia sections relating to the Criminal Injuries Compensation Fund or Sexual Assault Forensic Exam Payment Program preferred

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.

Contact Information

Name: Amy Habel

Phone:

Email:

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.