Job Description

Salary: $36,375.00 Annually

Location : St. Thomas/ St. John, VI

Job Type: Classified

Job Number: 201904149

Department: |Department of Labor- STT|

Opening Date: 03/25/2024

Description


Under supervision from the section head, an employee in this class investigates claims for loss or damage stemming from injuries obtained by workers; interviews or corresponds with claimants in order to determine the extent of damage and prepares reports of findings and submits such for the settlement of claims.


An employee in this position provides support to the program under guidance and supervision of the head of the unit. General supervision is received through conferences and review of work for compliance with departmental rules and regulations.



Duties and Responsibilities

DUTIES (NOT ALL INCLUSIVE)

• Provides information to the public, particularly employees and employers on the provision of the Worker's Compensation Chapter relative to insurance coverage, benefits and the requirements for the filing of claims.
• Receives and examines reports of injury. If damages are evident, invites prospective claimants in for interviews.
• Assists claimants in preparation of claims.
• Assists injured workers in obtaining medical and in obtaining medical reports for completion of their claims prior to settlement.
• Calculates and prepares payments due claimants on claims; prepares and submits orders and voucher for payment of claims for signature by the administrator.
• Forwards to the Government Insurance Fund, orders and vouchers for payment, and distributes checks when payments are made.
• Maintains files and statistical records for use in monthly and annual reports.
• Performs other related work as assigned.

Minimum Qualifications

An Associate of Arts from an accredited college or university and four (4) years of experience in a closely related field,

OR

Graduation from high school or its equivalent and six (6) years progressively responsible experience in a closely related field.

Position Factors


FACTOR 1 - KNOWLEDGE REQUIRED BY THE POSITION

• Knowledge of the pertinent laws, regulations, and agency practices; and extensive ability to deal with persons on a face-to-face basis.
• Ability to type accurately.
• Ability to calculate payments of claims accurately.
• Ability to interview claimants and employers relative to claims and filing.
• Ability to assist in analyzing reports and claims.
• Ability to follow practices and procedures of other agencies relative to vouchers and payments of claimants.
• Ability to deal with the public effectively.

FACTOR 2 - SUPERVISORY CONTROLS

Work is closely reviewed for accuracy, adequacy and adherence to instruction and establish procedures.
FACTOR 3 - GUIDELINES
Guidelines consist of agency manuals of instructions and operations, local and national guidelines and codes as they relate to Worker's Compensation.
FACTOR 4 - COMPLEXITY
The employee uses good judgment in verifying claims, and maintains accurate files to substantiate all actions taken on the claimant.
FACTOR 5 - SCOPE AND EFFECT
The purpose of this position is to investigate, and examine reports of employee's claims, and to determine if all claims meet the provision of the Worker's Compensation regulation; then determine what compensation must be administered to the client.
FACTOR 6 - PERSONAL CONTACTS
Contacts are made with the general public, other government agencies, contractors, employers and co-workers.
FACTOR 7 - PURPOSE OF CONTACTS
Contacts are made to obtain, verify, transmit or exchange factual information as they relate to clients.

FACTOR 8 - PHYSICAL DEMANDS

Work is mostly sedentary, but may require some walking and driving to activity site, and to agency to gather information to assist in the determination of compensation.

FACTOR 9 - WORK ENVIRONMENT

Work is performed primarily in an office setting.

The Government of the Virgin Islands aspires to provide the highest level of comprehensive benefits, services and programs to eligible employees, retirees, and their dependents which:

• Meet and anticipate their individual needs;
• Assure the GVI's competitiveness with other employers to attract and retain employees;
• Maximize cost effectiveness; and,
• Assure optimal health and productivity of employees.

To achieve this goal, from time to time, the carrier for the GVI's insurance may change. Please contact the Group Health Insurance Office of the Division of Personnel in St. Thomas and St. Croix at for more information regarding carriers.

Medical and Dental Coverage
Enrollment
The Virgin Islands government offers to full-time employees and their eligible dependents, a group health and dental insurance plan.


Full-time employees must enroll within thirty-one (31) days of hire unless they can provide proof of medical coverage from another source. An employee who does not enroll within 31 days of employment will be automatically enrolled in the health insurance plan with single coverage.


If an employee fails to enroll dependents within the initial eligibility period he/she must wait until a period of "open enrollment" is announced or have a qualifying event as determined by the health insurance carrier to enroll dependents or make changes to their coverage.


Effective Date of Coverage
If enrollment forms are received on or before the 6th of the month, coverage will be effective on the first day of the first month following the receipt of enrollment forms. If enrollment forms received on the 7th of the month or later, coverage will be effective on the first day of the second month following the receipt of the enrollment forms.
Example:
Date Forms Received May 1st May 8th January 6th February 7th
Coverage Effective Date June 1st July 1st February 1st April 1st


Dependent Coverage
Dependents of eligible employees may participate in the Group Health and Dental Insurance Program according to the terms and conditions imposed by the Health Insurance Board of Trustees and/or the carrier. Eligible dependents are the employee's:

1. Legal spouse;
2. Natural children;
3. Adopted children; and
4. Step children.

When a new dependent is acquired, you must enroll them within thirty-one (31) days after acquiring such dependent. When enrolling a dependent at any time, the following may be required:

1. Birth certificate;
2. Marriage certificate;
3. Adoption papers; and/or
4. Legal papers of appointment.

Various other documents may be required to determine the eligibility of the dependents.

Cost of Coverage
The GVI contributes toward the cost of Health Insurance for each employee enrolled under the Group Health Insurance Program. The GVI reserves the right to change the amount of the employee contribution when necessary for financial or other reasons.


Waiver or Discontinuation of Benefits
An employee may opt to decline coverage, or discontinue coverage under the Group Health and Dental Insurance Plan at any time. An employee who waives coverage upon employment, or who drops out of the program must provide proof of medical coverage and will be subject to the eligibility requirements imposed by the carrier in order to re-enroll in the program. This provision also applies to dependents that are dropped from the plan.


Coverage discontinues on the last day of the month following a qualifying event or on the date of an employee's separation.


After separation, an employee or dependent may be eligible to convert their group policy to an individual policy within 30 days, depending on the insurance carrier. If an employee would like to convert their policy to an individual policy a notice of conversion must be sent to the insurance carrier. Consolidated Omnibus Budget Reconciliation (COBRA) coverage is not available in the Virgin Islands after loss of coverage.


Dental Insurance
As a condition of participation, all employees must enroll in medical coverage to qualify for Dental Insurance.


Leave without Pay
The GVI will maintain group health insurance plan coverage for employees on leave without pay. This coverage will remain at the level and under the conditions for which coverage would have been provided if the employee had continued employment continuously for the duration of the leave. However, employees on leave must arrange to pay into the Group Health Insurance Fund the employee's share of their health insurance premium to maintain coverage.

Retirement Benefits
Retired employees and their dependents are eligible to continue to participate in the Group Health and Dental Insurance Program. Retirees must provide updated contact information to the Group Health Insurance Division to maintain coverage.

Life Insurance
The government provides a complementary basic non-contributory $10,000 basic life insurance benefit. In order for the benefit to be effective, an enrollment form must be forwarded to the Group Insurance Office at the Division. The enrollment form must be signed, dated and must indicate a designated beneficiary.


Employees may also select additional life insurance in either 1x, 2x, 3x or 4x base salary or $10,000, $15,000, $25,000, $50,000, $75,000, $100,000 or $150,000 amounts as supplemental contributory coverage. The employee pays the cost of this additional insurance, and may be required to submit evidence of insurability when increasing coverage after initial enrollment. Insurance enrollment forms and booklets explaining in detail the plan of benefits, as well as claim forms and a schedule of costs may be obtained from the Group Health Insurance Office.


Upon retirement life insurance benefits may be reduced.


Upon death the designated beneficiary will be eligible to receive the life insurance proceeds of the insurance participant, the Division must be notified of the death in order to initiate the claim process. Life insurance benefits are payable by the contracted insurance company and a subject to the limitations established by the insurance company.

Supplemental Insurance
The GVI has several supplemental insurance plans that provide for coverage over and above the regular medical, dental and life insurance coverage.


These plans are voluntary and are not contributed to by the GVI. A list of the current supplemental insurance plans is available through the Group Health Insurance Office. An employee who does not wish to enroll in medical coverage is eligible to enroll in supplemental insurance.

Moving and Relocation Allowance
It is the policy of the GVI to provide a reasonable relocation allowance inclusive of airfare, to eligible employees, based on their employment contract, to help defray the costs associated with relocation from outside the Virgin Islands to accept employment with the GVI. This allowance is made in lieu of any and all claims for reimbursement of relocation and moving expenses.


This policy applies to new employees recruited from off-island and who are approved by the Department Head to receive the benefit of a relocation allowance for moving and relocation expenses.

Employee Assistance Program (EAP)
The GVI will provide confidential and voluntary assistance through its Employee Assistance Program (EAP) to all employees and their family members who may be faced with dynamic challenges of financial concerns, legal issues, alcohol or drug problems, marital problems, illness of a family member, emotional worries, child care problems, etc. For the welfare of employees as well as effective business operations, the GVI encourages its employees to take advantage of this valuable benefit of employment with GVI.


Application
Employees and their family members can refer themselves to the EAP. The program may be reached 24 hours a day on weekdays and weekends.


EAP counselors are available to meet with employees or family members to assess a problem and develop a plan for resolution. The counselors may suggest a referral to an outside resource, such as a therapist, Departmental resource, physician, treatment facility or other professional that would be appropriate to assist in resolving the problem or situation. Where an employee may be in need of information, a referral or suggestion may be made over the telephone. There is no charge for employees or their families to use the services of the EAP.


Participation in the EAP Program does not jeopardize job security or promotional opportunities. However, it does not excuse the employee from following GVI policies and procedures or meeting required standards for satisfactory job performance except where specific accommodations are required by law.


Time Away from Work
Employees who want to visit the EAP during regular work hours must use sick, vacation or personal time after their first meeting. If illness is involved, compensatory, sick, and/or annual leave may be used for treatment or rehabilitation on the same basis that it is granted for other health problems.


Mandatory EAP meetings will be completed using administrative leave.


The EAP counselors will make every effort to coordinate referral for ongoing treatment with the employee's health insurance coverage as well as his/her ability to pay.


Mandatory EAP
When an employee's job performance or attendance is unsatisfactory or there appears to be signs of other problems during the work day, the supervisor should counsel the employee in consultation with the human resources officer or designee. If the employee appears to be unable or unwilling to correct the situation, the employee may be referred to the EAP to assist in the resolution of the problem. Depending on the situation, the employee may accept or refuse participation in the EAP. However, there may be situations where continued employment with the GVI may be contingent upon the employee calling the EAP for assistance.


REMINDER: All contact between an employee and the EAP is held strictly confidential. In cases where an employee's continued employment is contingent upon calling the EAP, the EAP counselor will only verify whether or not the employee has contacted the EAP, if ongoing treatment is necessary, and that the employee is following through on the treatment.

Government Employees Retirement System (GERS)
Eligibility
All full-time employees on regular appointments are eligible to participate in the Government Employees Retirement System.


Enrollment
The appropriate enrollment application forms should be completed at the time of orientation and will remain on file in the Departmental Human Resources Office. Contribution will begin on the next available payroll period following enrollment in the retirement program.


Contribution Rates
Contribution rates to GERS are established and amended according to the Virgin Islands Code.


Vesting
Members become vested in the retirement system after ten (10) years of credited service.


Plan Type
The Virgin Islands Government Employees Retirement System is a defined benefit retirement program to which both the GVI and the employee contribute. The benefit at time of retirement is based upon the employee's age, years of service and salary history.


Retirement Age
Employees with forty (40) years of service may retire at any age at full annuity. A member who is fifty (50) years old with ten (10) years credited service may retire at a reduced annuity. Members who have thirty (30) years of service may retire at any age.


Final Average Salary
The Final Average Salary is the average of highest annual salary up to a maximum of $65,000 during any consecutive five (5) year period in the last ten (10) years. Total maximum benefit may not exceed 100% of maximum salary which may not exceed $65,000.


Retirement Benefits
Vested participants should contact GERS for detailed retirement benefit information at least one year but no later than six months prior to the retirement date.


Military Service Credit
Qualified members may receive military service credit toward retirement. Vested participants should contact GERS for details.

01


Do you have an Associate of Arts Degree from an accredited college or university?

• Yes
• No

02


Do you have four (4) years of experience in a closely related field?

• Yes
• No

03


Do you have a high school diploma or its equivalent ?

• yes
• no

04


Do you have six (6) years progressively responsible experience in a closely related field?

• Yes
• No

05



Please Note:
The answers you provide to the supplemental questions will be used to determine eligibility for this position. Please note that in order to qualify for a position, you must satisfy the criteria outlined in the minimum qualifications section of the vacancy announcement and submit supporting documentation.

Required documents (may vary based on minimum requirements):
High School Diploma, High School Transcript, College Degree, College Transcripts, Evaluation of International Credentials (Only education from an accredited school will be accepted), DD214, Certifications, Specialized Licenses, Proof of Citizenship (Birth Certificate, U.S. Passport, or Naturalization Certificate), Valid ID, or Resume.

Attaching a resume does not supersede any of these requirements. Your responses pertaining to specific work experience must be clearly shown in the area for work history on your application. An incomplete application, missing documents, or false responses to questions may disqualify you from further consideration for employment.

Do you Accept?

• Yes
• No

Required Question

Job Tags

Full time, Contract work, For contractors, Work experience placement, Local area, Relocation, Relocation package, Weekend work, Weekday work,

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