Claims Representative

3 weeks ago

Saint Paul, United States Metropolitan Council Full time


WHO WE ARE

We will NOT review resumes or cover letters for this position, so please don‘t attach them. You may still attach DD-214 forms, however, if a veteran and applicable.

This position is eligible for a hybrid (both remote and onsite) telework arrangement. Candidate‘s permanent residence must be in Minnesota or Wisconsin.

We are the Metropolitan Council, the regional government for the seven-county Twin Cities metropolitan area. We plan 30 years ahead for the future of the metropolitan area and provide regional transportation, wastewater, and housing services. More information about us on our website.

We are committed to supporting a diverse workforce that reflects the communities we serve.

The Risk Management work unit is part of the Enterprise Risk Management group and provides support for all divisions of the Council. The primary functions of the work unit are to administer the Council‘s self-insured claims, partner with other units for loss prevention and loss reduction strategies, and financial responsibility for claim reserves.

How your work would contribute to our organization and the Twin Cities region:

The Workers‘ Compensation Claims Representative will administer Minnesota lost time and medical-only Workers‘ Compensation claims within the Metropolitan Council‘s self-insured programs and work with other departments on return-to-work and litigated claims.


This position is required on occasion to travel within the Twin Cities metropolitan area.


What you would do in this job

  • Coordinate and handle all aspects of the Minnesota Workers‘ Compensation claims for a self-insured, self-administered organization, including a thorough investigation and statements.
  • Work with legal counsel in managing litigated files.
  • Work with other departments to facilitate a return-to-work strategy for employees on Workers‘ Compensation leave.
  • Investigate and pursue subrogation, as appropriate.
  • Participate in bi-annual claims meetings with internal departments.
  • Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the Workers‘ Compensation claim. Negotiate any disputed bills for resolution.
  • Adjust claims with the ability to follow company/departmental policies and procedures.
  • Perform other related duties as assigned.

What education and experience are required for this job (minimum qualifications)

Any of the following combinations in completed education (degree field of study in Business, Liberal Arts or related field) and experience (in Workers‘ Compensation claims adjusting with an insurance company, third-party administrator, or self-insured employer):

  • High school diploma/GED with seven years of experience
  • Associate degree with five years of experience
  • Bachelor‘s degree with three years of experience

What additional skills and experience would be helpful in this job (desired qualifications):

  • Experience reviewing Workers‘ Compensation accident and injury reports
  • Experience determining disability ratings, vocational rehabilitation, job placement and return-to-work programs
  • Experience establishing and maintaining monetary case reserves
  • Experience calculating complex Indemnity and/or Permanent Total Disability (PTD) benefits
  • Experience working with Worker‘s Compensation Reinsurance (WCRA)
  • Experience pursuing subrogation
  • Experience negotiating settlements with claimants and attorneys in accordance with settlement authority
  • Experience preparing reports detailing claims, payments, and reserves
  • Experience working with diverse populations of internal and external customers
  • Experience working in MS Word, Excel, and Outlook
  • Experience using MN DOLI Campus (Work Comp Systems for State of Minnesota)


What knowledge, skills, and abilities you should have within the first six months on the job:

  • Thorough knowledge of Workers‘ Compensation laws, State of Minnesota statutes, procedures and case law regarding Workers‘ Compensation.
  • Skilled in working with Risk Management Information Systems.
  • Knowledge of Microsoft Word, Excel, and Outlook.
  • Knowledge of medical and legal terminology.
  • Skill in persuasion when dealing with others, both inside and outside the Council.
  • Ability to write clear, well-written reports.
  • Ability to communicate with employees, physicians, attorneys, and other stakeholders


What you can expect from us:
  • We offer the opportunity to make a difference and positively influence the Twin Cities metropolitan area.
  • We encourage our employees to develop their skills through on-site training and tuition reimbursement.
  • We provide a competitive salary, excellent benefits and a good work/life balance.
More about why you should join us
Additional information

Union/Grade: AFSCME/Grade G

FLSA Status: Exempt

Safety Sensitive: No


What your work environment would be:
You would perform your work in a standard office setting. Work may sometimes require travel between your primary work site and other sites.

What steps the recruitment process involves:
  1. We review your minimum qualifications.
  2. We rate your education and experience.
  3. We conduct a structured panel interview.
  4. We conduct a selection interview.

Once you have successfully completed the steps above, then:

If you are new to the Metropolitan Council, you must pass a drug test (safety-sensitive positions only) and a background check, which verifies education, employment, and criminal history. A driving record check and/or physical may be conducted if applicable to the job. If you have a criminal conviction, you do not automatically fail. The Metropolitan Council considers felony, gross misdemeanor, and misdemeanor convictions on a case-by-case basis, based on whether they are related to the job and whether the candidate has demonstrated adequate rehabilitation.

If you are already an employee of the Metropolitan Council, you must pass a drug test (if moving from a non-safety sensitive position to a safety-sensitive position) and criminal background check if the job you‘re applying to is safety-sensitive; is a supervisory or management job; is in the Finance, Information Services, Audit, or Human Resources departments; or has access to financial records, files/databases, cash, vouchers or transit fare cards. A driving record check and/or physical may be conducted if applicable to the position.

IMPORTANT: If you make a false statement or withhold information, you may be barred from job consideration.

The Metropolitan Council is an Equal Opportunity, Affirmative Action, and veteran-friendly employer. The Council is committed to a workforce that reflects the diversity of the region and strongly encourages persons of color, members of the LGBTQ community, individuals with disabilities, women, and veterans to apply.


If you have a disability that requires accommodation during the selection process, please email .



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