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Claims Investigator

3 months ago

Fort Wayne, United States State of Indiana Full time

**Work for Indiana**:
Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

**About the Indiana Department of Workforce Development (DWD)**:
We strengthen Indiana by understanding workforce needs, aligning resources, and providing access to services that empower Hoosiers to thrive in a changing economy.

**Salary Statement**:
The salary for this position traditionally starts at $42,900.00 but may be commensurate with education or work experience.

**A Day in the Life**:
The essential functions of this role are as follows:

- Coordinate with claimants, employers, and agency staff to make basic eligibility determinations.
- Explain laws, procedures and various unemployment programs to claimants and employers including benefit rights and eligibility requirements.
- Investigate eligibility issues, which includes in-depth interviews of claimants and employers to determine employment history and/or separation information.
- Make and compiles final written determinations of entitlement to, or denial of benefits and forward to Central Office for monetary determinations.
- Receive, investigate, and reply to all correspondence from all claimants and employers involving claims in local office.
- Investigate stolen, lost, destroyed, or forged benefits warrants.
- Assist both claimant and employers in filing appeal forms for protested claims.
- Determine exhibits to be offered during appeals hears and defend determinations.
- Receive, investigate, and correct system error list related to wage reporting, claim computation, and payment of benefits.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

**What You'll Need for Success**:
You must meet the following requirement to be considered for employment:

- Must have a High School Diploma or High School Equivalent (HSE) or three (3) years of comparable experience.
- Successfully completed the Claims Investigator Trainee Program.
- The ability to quickly acquire general knowledge of, state and federal statutes and administrative rules, case law and procedures regarding unemployment insurance.
- Recognize and detect potential instances of claimant and employer fraud.
- A broad knowledge of the UI system, laws, and policies necessary to discover.
- Knowledge of how to conduct interviews that display good communication skills under unfavorable and adverse conditions.
- Recognize eligibility issues and applies proper state and federal statutes, administrative rules, case law, policies and written guidelines to make an eligibility determination.
- The ability to work well under pressure and able to always maintain a professional disposition.
- The ability to make quick and efficient decisions.
- The ability to be organized and have attention to detail.
- The ability to navigate multiple computer systems efficiently and effectively and stay abreast of regular changes and updates.
- The ability to effectively prioritize and manage time.

**Supervisory Responsibilities/Direct Reports**:

- This role may be utilized in a supervisory capacity based on agency needs.**Benefits of Employment with the State of Indiana**:
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

- Three (3) medical plan options (including RX coverage) as well as vision and dental plans
- Wellness Rewards Program: Complete wellness activities to earn gift card rewards
- Health savings account, which includes bi-weekly state contribution
- Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities
- Deferred compensation 457B account (similar to 401k plan) with employer match
- Two (2) fully-funded pension plan options
- A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:

- 150 hours of paid new parent leave
- Up to 15 hours of paid community service leave
- Combined 180 hours of paid vacation, personal, and sick leave time off
- 12 paid holidays, 14 on election years
- Education Reimbursement Program
- Group life insurance
- Referral Bonus program
- Employee assistance program that allows for covered behavioral health visits
- Qualified employer for the Public Service Loan Forgiveness Program
- Free Parking for most positions
- Free LinkedIn Learning access

**Equal Employment Opportunity**:
The State of Indiana is an Equal Opportunity Employer and is co