Supervisory Workers' Compensation Claims Examiner Job in Anywhere in the U.S. (remote job)

Vacancy No. DE-25-PHIL-OWCP-12664863-KH Department Office of Workers' Compensation Programs
Salary $105,383.00 to $171,268.00 Grade 13 to 13
Perm/Temp Permanent FT/PT Full-time
Open Date 1/14/2025 Close Date 1/24/2025
Job Link Apply Online Who may apply Public
Locations:
Anywhere in the U.S. (remote job)


Summary

This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP). The work carried out by this standardized position is applicable throughout any of the OWCP Adjudicatory and/or District Offices assigned to one of three Divisions.

This position is outside the bargaining unit.

This job is open to

Clarification from the agency

Open to all U.S. Citizens and ICTAP/CTAP eligibles in the local commuting area. Also advertised as job MS-25-PHIL-OWCP-12664864-KH for status applicants, CTAP/ICTAP, Military Spouse, Current Federal Employees, Land Management, OPM Interchange, Reinstatement and VEOA eligibles. To be considered for each vacancy, apply to BOTH jobs.

Duties

Duties include but are not limited to:

  • Plans, leads, and directs claims adjudication activities and performance of a Unit and is held accountable to Agency management for all aspects in the process for that Unit. Each Unit is responsible for receiving, reviewing, examining, developing, preparing, adjudicating, and/or maintaining claims under their divisions' specific Act, which are frequently highly complex and controversial in nature. Manages the timeliness, quantity, and quality of work and service performed within the Unit - ensuring efficient and economical work operations within the Adjudicatory and/or District Office in order to provide prompt, professional service to the public. Applies extensive knowledge, expertise, and experience in their specialized field of workers' compensation as well as knowledge and expertise in human resources policies and procedures sufficient to manage staff employed within the assigned Unit.
  • Supervises and monitors the work of claims examiners responsible for researching, examining, and studying evidence in claim files as well as identifying and analyzing complex questions of fact or law. As a Unit supervisor, the incumbent is responsible for the interpretation and implementation of OWCP policies and procedures in regards to claims processing. Provides seasoned policy guidance, assistance, and direction to subordinate staff in order to resolve novel or precedent-setting issues, controversial interpretations of the law, and peculiar medical phenomena.
  • Continuously monitors workload reports to ensure the Unit's performance meets their division and OWCP operational performance goals. Manages pending caseloads to ensure cases are processed timely. Reviews all categories of cases that subordinates process as a performance and quality control mechanism. Through sampling of case related data, the incumbent ensures the integrity of entries in automated systems such as status codes, name entries, address entries, medical condition codes, etc. Considerable initiative, originality, and ingenuity are required to be able to adapt or develop procedures and techniques suited to changing operating conditions and workloads.
  • Participates as a member of the Adjudicatory and/or District Office management team in planning workload requirements, advising on short- and long-range strategic planning efforts, policy matters, and in administering claims work in the Adjudicatory and/or District Office to ensure the effective accomplishment of critical Program goals. Utilizes and adapts to new technology, resolves problems, and manages government resources within the assigned Unit.
  • Serves as an advisor by providing sound counsel and authoritative recommendations to management on matters regarding claims authorizations, adjudications, and/or recommended decisions on a broad scope of highly complex and delicate cases. Assists in developing essential Adjudicatory and/or District Office policies and procedures on a wide variety of topics for efficient and economical work operations throughout the Office/Unit.

Requirements

Conditions of Employment

  • Must be a U.S. Citizen.
  • Must be at least 16 years old.
  • Requires a probationary period if the requirement has not been met.
  • Candidate required to obtain the necessary security/investigation level.
  • Requires a supervisory probationary period if the requirement has not been met.

Qualifications

In describing your experience, please be clear and specific. Position titles alone cannot be used to determine if you are qualified. Please list dates in MM/DD/YYYY format. This is imperative in determining if you have at least one year of creditable specialized experience. Dates will not be assumed.

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.

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.

Specialized experience must be reflected in your resume and include the majority of the following:

  • Experience reading, interpreting, and applying government regulations.
  • Experience processing complex medical or compensation claims.
  • Experience reviewing and analyzing performance reports; determining priorities; and meeting organizational goals.
  • Experience dealing with internal and/or external government customers.
  • Experience developing, mentoring, or leading staff.

Education

This job does not have an education qualification requirement.

Additional information

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

Click here for Career Ladder Promotion Information

You may not be aware, but in the regulations for agency ethics programs, there are requirements for supervisors. Section 2638.103 of Title 5 of the CFR states: Every supervisor in the executive branch has a heightened personal responsibility for advancing government ethics. It is imperative that supervisors serve as models of ethical behavior for subordinates. Supervisors have a responsibility to help ensure that subordinates are aware of their ethical obligations under the Standards of Conduct and that subordinates know how to contact agency ethics officials. Supervisors are also responsible for working with agency ethics officials to help resolve conflicts of interest and enforce government ethics laws and regulations, including those requiring certain employees to file financial disclosure reports. In addition, supervisors are responsible, when requested, for assisting agency ethics officials in evaluating potential conflicts of interest and identifying positions subject to financial disclosure requirements.

The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high-quality employment opportunities, and assure work-related benefits and rights for all workers. As such, the Department is committed to fostering a workplace and workforce that promote equal employment opportunity, reflects the diversity of the people we seek to serve, and models a culture of respect, equity, inclusion, and accessibility where every employee feels heard, supported, and empowered.

Refer to these links for more information: GENERAL INFORMATION, REASONABLE ACCOMMODATION, ADDITIONAL DOCUMENTATION, FORMER FEDERAL EMPLOYEES

As a condition of employment, all personnel must undergo a background investigation for access to DOL facilities, systems, information and/or classified materials before they can enter on duty: BACKGROUND INVESTIGATION

Based on agency needs, additional positions may be filled using this vacancy.

The Department of Labor may use certain incentives and hiring flexibilities, currently offered by the Federal government to attract highly qualified candidates. Click here for Additional Information.

The Fair Chance Act (FCA) prohibits Federal agencies from requesting an applicant's criminal history information before the agency makes a conditional offer of employment. If you believe a DOL employee has violated your rights under the FCA, you may file a complaint of the alleged violation following our agency's complaint process Guidelines for Reporting Violations of the Fair Chance Act.

Note: The FCA does not apply to some positions specified under the Act, such as law enforcement or national security positions.

All Department of Labor employees are subject to the provisions of the Drug-Free Workplace Program under Executive Order 12564 and Public Law 100-71.

Benefits

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. Opens in a new windowLearn 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.

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 qualification 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:

  • Attention to Detail
  • Leadership
  • Problem Solving
  • Technical Competence
  • Written Communication


Click here for Evaluation details.

You may preview questions for this vacancy here: https://apply.usastaffing.gov/ViewQuestionnaire/12664863

The information you provide may be verified by a review of your paid, unpaid, volunteer, and other lived experience, as it demonstrates the competencies or skills required for the position to be filled. Your evaluation may include an interview, reference checks, or other assessment conducted by HR specialists, subject matter experts, or panel members and may include other assessment tools (ex. interview, structured interview, written test, work sample, etc.). The examining Office of Human Resources (OHR) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your vacancy question responses. If not, the OHR may amend your responses to more accurately reflect the level of competency indicated by the content of your resume.

INFORMATION FOR ICTAP/CTAP ELIGIBLE(S) 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 eligible(s) who are placed into Category Category B or higher will be considered well-qualified. Be sure to review the eligibility questions to reflect that you are applying as an ICTAP or CTAP eligible and submit supporting documentation.

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

Required Documents

The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date.

  • Resumes: Required and applicants must provide a resume either by creating one in USAJOBS or uploading one from your profile. To receive full consideration for relevant and specialized experience, please list the month, year, and number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions and confirm that your resume supports your question responses.
  • Veterans Documents (if applicable): To be considered as a 5-point (TP) preference eligible, you must submit a copy of your DD214, Certificate of Release or Discharge from Active Duty. Your DD 214 must show the type of discharge and dates of active duty. To claim 10-point (CP/CPS, XP) preference, you must submit a copy of your DD214 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. In addition, a Standard Form (SF-15) should be included, but is not required. (For active-duty service members expecting honorable or general discharge or release within 120 days, click Active Duty). For more information, go to Feds Hire Vets - Veterans Preference.
  • 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.

Do not upload password-protected documents.

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.

How to Apply

Persons who are deaf, hard of hearing, blind, or have speech disabilities, please dial 711 to access telecommunications relay services.

To apply for this position, you must complete the initial online application, including submission of the required documentation specified in the Required Documents section.

Your application and ALL required supplemental documents MUST be received by 11:59 pm Eastern Time on the vacancy closing date to receive consideration.

Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered. Click here for information on Reasonable Accommodations.

Important - Save your information before the 30-minute system timeout! For help, go to the USAJOBS Help Center.

STEP 1 - Create USAJOBS Account on www.usajobs.gov, including Resume and Saved Documents. Your resume must provide sufficient information to substantiate your responses to the self-assessment vacancy questions. If not, HR may amend your responses to more accurately reflect the competency indicated by resume content. For each employment period, include start/end month & year and note full-time or part-time (if part-time, include # of hours worked per week) otherwise, your application may be considered incomplete.

STEP 2 - Complete the 1st part of the application process (USAJOBS). Once you have identified a job on USAJOBS that you wish to apply for, click on the job title and then click the Apply button. For questions about the vacancy, contact the Agency Contact at the bottom of the announcement. Proceed through the steps noted at the top of the USAJOBS page. You will be able to select a resume and documents from your USAJOBS Account that you can submit as a package as part of your DOL application. In the final step, once you have certified your application, click the Continue to agency site button.

STEP 3 - Complete the 2nd part of the application process (DOL). On the Department of Labor (DOL) page, create a DOL Account if you have not already and click Apply to this vacancy. Continue through the progress steps at the top of the DOL page. The 2nd progress step is where you answer the vacancy-specific questions. The 3rd progress step Documents is where you submit the required documents (only if applicable to you) specified in the Required Documents section of this vacancy.

STEP 4 - On the Review and Submit step, verify each section of your application is complete and correct. In order to submit your application, you must have a check mark next to each section listed. If there is an X, return to the appropriate section and follow the prompts. When it is ready for submission, certify your application and click the Submit Application button.

STEP 5 - Edit Application as needed by 11:59 pm Eastern Time of Closing Date by returning to USAJOBS, clicking the vacancy, thenUpdate Application.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

For more detailed information on applying for positions with DOL click here to view the U.S. Department of Labor, How to Apply website.

Agency contact information

Kevin Heldeffer
Address
Office of Workers Compensation Programs
200 Constitution Avenue NW
Washington, DC 20210
US
Learn more about this agency

Next steps

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 interviews. You will be notified of the outcome. A selection is expected to be made within 30 calendar days of the issuance date of the certificate.

For instructions on how to check the status of your application, go to USAJOBS Help Guide.

USAJOBS will no longer send status alert email notifications. You can check your application status in the TAS by logging into USAJOBS and in the Applicant Dashboard, click the hiring agency Talent Acquisition System (TAS). If the TAS does not provide application tracking information, contact the agency's point of contact on the job announcement.

To verify that your application is complete, log into your USAJOBS account, select the Application Status link, and then select the more information link for this position. The Application page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.