The Fire Department, City of New York (FDNY), seeks two full-time Workers Compensation Benefits Examiner in the Bureau of Health Services. Reporting directly to the FDNY Claims Supervisor the successful candidate will:
- Examine and process WTC claims for payment in accordance to NYS Workers' Compensation Board rules and NIOSH rules
- Calculate payment adjustments in accordance with established guidelines and fee schedules
-Ensure compliance of quality assurance measures when processing claims
-Investigate inquiries and mitigate resolution of outstanding cases
-Process actions utilizing computerized processing software
-Serve as liaison to outside agencies/providers in conveying information and providing feedback on worker's compensation issues
-Other tasks as assigned by the supervisor, that may include creating spreadsheets to track incoming and outgoing requests and filing

1. An associate degree or completion of 60 semester credits from an accredited college or university, including or supplemented by 6 semester credits in mathematics, statistics, accounting, and/or actuarial science; or

2. A four-year high school diploma or its educational equivalent and one year of satisfactory full-time experience implementing the provisions of a workers’ compensation or retirement or medical benefits plan, involving the use of mathematical, statistical, actuarial, or accounting computations; or

3. A combination of education and/or experience equivalent to “1" or “2" above. Satisfactory completion of 30 semester credits from an accredited college, including 3 semester credits in mathematics, statistics, accounting and/or actuarial science may be substituted for 6 months of the full-time experience as described in “2" above. However, all candidates must possess at least a four-year high school diploma or its educational equivalent.

SPECIAL NOTE:
A. Upon completion of one year of satisfactory continuous service in Assignment Level Ia, employees shall be assigned to Assignment Level Ib.
B. To be eligible for placement in Assignment Level Ib or II, individuals must have, in addition to meeting the minimum requirements, either:
1. One additional year of satisfactory full-time experience implementing the provisions of a workers' compensation or retirement or medical benefits plan involving the use of mathematical, statistical, actuarial, or accounting computations; or
2. A baccalaureate degree from an accredited college including or supplemented by 6 semester credits in mathematics, statistics, accounting and/or actuarial science.

SPECIAL NOTE:
C. To be eligible for placement in Assignment Level III, individuals must have, in addition to meeting the minimum requirements, either:
1. Two additional years of full-time experience as described in "Note B. 1" above; or
2. A baccalaureate degree from an accredited college including or supplemented by 6 semester credits in mathematics, statistics, accounting and/or actuarial science and one additional year of satisfactory full-time experience as described in "Note B. 1" above.

Familiarity with systems used for invoice processing

This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.