Claims Adjuster I (Temporary)
North Dakota State Government - Bismarck, ND

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Requires a high school diploma or GED and four years of work experience that provided knowledge of medical and insurance claims and/or terminology. College-level course work in a business or healthcare field will substitute for the experience requirement on a year-for-year basis.

Application Procedures:
Submit a completed ND State Employment Application (sfn10950) , cover letter, resume, references, to:

Workforce Safety and Insurance

Attn: Jill Mugaas, Human Resources

1600 E Century Ave Suite 1

Bismarck, ND 58506

Application materials may also be submitted by fax to (701) 328-3770 or emailed to wsijobs@nd.gov . Applicants may also find the application on the agency website www.workforcesafety.com Application materials must be received at the agency by the closing date. Application forms are available from your agency or any ND Job Service office. For any questions regarding the application process, please contact Jill Mugaas at 701-328-3849.

Applicants who are residents of North Dakota and eligible to claim veteran's preference must include a copy of DD Form 214. Claims for disabled veteran's preference must also include a current statement of disabled status from the U.S. Department of Veterans Affairs.

ND Relay Number: 1-800-366-6888

Summary of Work:
Work involves adjudicating claims of injured workers.

ESSENTIAL FUNCTIONS:
Review report of injury; interpret and review medical records; make claim determination and issue notice of decision.
Determine liability of medical bills.
Coordinate with other agencies and departments to ensure claims are adjudicated according to North Dakota Century Code and administrative rules.
Approve or deny medical products and services using claims procedure guidelines.
Review medical case information and calculate average weekly determination.
Authorize medical and disability payments.
Coordinate with medical case management ensuring appropriateness of care received by injured workers.
Coordinate and monitor treatment and vocational and rehabilitative services with the injured worker and employer to return the injured worker back to work.
Respond to inquiries from injured workers, employers, and medical providers to communicate status or resolve issues.

As an employer, the State of North Dakota prohibits smoking in all places of state employment.