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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 50498105 |
Description Activated On: 7/28/2025 1:16:38 PM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. Working within the HR Service Center, the employee is a team member of the Work-Related Injury Services (WRIS). The incumbent performs a variety of administrative and fiscal duties and supports and manages certain aspects of the workers' compensation program. |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. General Uses SAP HR and Finance transactions, tracking and internal databases, and the workers’ compensation claims administrator’s system in the performance of all job duties to look-up information and run reports. Interprets and applies policies and procedures associated with the Commonwealth’s workers’ compensation programs and the Comptroller Office’s financial procedures for payments in the performance of all duties. Composes correspondence as necessary to communicate information to workers’ compensation coordinators/specialists. Answers incoming telephone calls and serves as a back-up for other administrative staff within the HR Service Center by assisting with the distribution of incoming and outgoing electronic and paper mail or answering other phone lines. Workers’ Compensation Program Reviews and approves all claim payment authorizations for workers’ compensation claimants, medical providers, attorneys, or other vendors performing services under the scope of the workers’ compensation program. When errors are discovered, recommends appropriate corrective action, and works with the appropriate party to ensure the correction is made or the error is resolved. Reviews, verifies, and approves workers' compensation defense attorney fees. Ensures that charges are in compliance with the commonwealth's contracts with the law firms. Communicates with the claims administrator's manager and/or the WRIS litigation supervisor/manager when errors are detected and when problems with specific firms occur. Approves prior authorization requests for advancement payments which are used to promptly pay claims, ensures that requests are justified and do not exceed the advancement account limits. Prepares General Invoices for large payments that cannot be authorized via advancement. Coordinates the deletion/void process each biweekly period through communications from/to staff in the Bureau of Commonwealth Payroll Operations and the third party administrator. Approves all deletion/voids and changes, and notifies all involved offices to ensure record are synchronized. Obtains copies of canceled workers’ compensation payment checks. Places stop payments on checks utilizing the procedures required by the Comptrollers Operations office. Maintains the electronic files and logs to identify payments made and track data requests sent to and returned from Comptroller Operations. Resolves problems, answers questions and addresses concerns about workers’ compensation claims and claims processing arising from inquiries from the claims administrator, the Comptroller Operations Office, agencies, and the Bureau of Commonwealth Payroll Operations by applying knowledge of the commonwealth’s workers’ compensation program’s policy and procedures. Maintains a relationship with staff in Treasury to obtain copies of checks when they are needed immediately and works with Treasury staff on complex problems. Reviews monthly reports to determine if stale dated payments need to be deposited back into the workers’ compensation account or reissued by working directly with the claims administrator. Prepares required documentation to be sent to the payees along with Treasury’s required documents. Researches returned checks with the third party administrator to verify the payee’s mailing address, and resends the check to the payee if still due. Receives and processes refunds, subrogation recoveries, supersedeas reimbursements, and restitution payments by verifying the amounts are voided in the claims administrator’s system, and forwards them to Comptroller Operations to deposit into the workers’ compensation account. Works with the Bureau of Commonwealth Payroll Operations and claims administrator to correct workers' compensation rate calculation errors. Computes overpayment or underpayment amounts when necessary and determines appropriate course of action. Reviews accuracy of and recommends approval, based on the provisions of the claims administration and safety contract, for services rendered using the rates in the contract. This involves comparing information found on the reports with data reviewed in the claims administrator’s system. Works with all parties to resolve any found errors. Performs other duties as assigned and required. |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. Supervisor provides supervision by establishing general job requirements and work standards. Employee is responsible for ordering priorities, determining specific work to be done, and maintaining work in current status. On new tasks or complex tasks, supervisor provides more specific guidance and reviews work. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. N/A 2. N/A 3. N/A 4. N/A 5. N/A 6. N/A |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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