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Appeals Referee
Commonwealth of Pennsylvania 3.9
Remote appeals officer job
Are you a fair-minded and fact-oriented professional with experience in the determination of unemployment compensation (UC) claims, the application of taxing or benefit-paying provisions of the UC Law, or the practice of labor law? The UC Board of Review is searching for qualified and dedicated candidates like you to join our Springfield Referee Office team in this Appeals Referee position. Apply now and advance your career by sharing your professional experience and judgement with a team that provides a consistent process for UC appeals cases while ensuring that the decisions made are consistent, fair, and just.
DESCRIPTION OF WORK
As an Appeals Referee, you will hear and decide first level appeals of UC service center determinations. This involves presiding over hearings and following rules of evidence, due process standards, and standard administrative practice to move the proceedings to conclusion; informing parties to appeals about policies, procedures, and rights; and ensuring each appellant's case is processed in a timely, consistent, and impartial manner. You will be expected to conduct hearings as scheduled, review case files to prepare for each hearing, and use digital recording equipment to record hearings and dictate decisions, as well as supervise clerical and legal assistant staff who assist with these duties. This includes training, advising, and overseeing the activities of these staff members; preparing performance reviews; and completing other supervisory duties.
Our team will rely on you to issue clear and concise decisions reflecting your evaluation of evidence and to interpret policy and procedure from UC Law and regulations, precedent decisions in case law, and other instructions. You may also be expected to serve as a hearing officer for second level appeals and travel to other hearing locations to provide assistance or attend trainings and conferences. Take your career to the next level and help ensure due process for UC appeals with us!
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
Full-time employment
Work hours are 8:00 AM to 4:00 PM, Monday - Friday. Work hours are negotiable with a 30-minute lunch break.
Telework: You may have the opportunity to work from home (telework) part-time, upon successful completion of the training period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Springfield, PA. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
Salary: In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
Graduation from an approved school of law and certification of admission to the bar of the Supreme Court of Pennsylvania and one year of experience in the practice of labor law; or
Four years of experience in the determination of unemployment compensation claims, including adjustments, overpayments, and appeals supplemented by 6 college level credits in English composition or other related English courses; or
Four years of professional experience which involves the application of taxing or benefit-paying provisions of the Unemployment Compensation Law in order to determine compliance, to improve Unemployment Compensation program operations, or to train others in the application of the law supplemented by 6 college level credits in English composition or other related English courses; or
An equivalent combination of experience and training which includes 6 college level credits in English composition or other related English courses.
Other Requirements:
You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
You must be able to perform essential job functions.
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date
.
Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
Your score is valid for this specific posting only.
You must provide complete and accurate information or:
your score may be lower than deserved.
you may be disqualified.
You may only apply/test once for this posting.
Your results will be provided via email.
$43k-61k yearly est. 3d ago
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Clerk To the Board of Zoning Appeals
Chesterfield County, Va 4.0
Remote appeals officer job
Minimum Qualifications Chesterfield County Planning Department is seeking a highly motivated individual to provide administrative support to the Planning Operations & Efficiency Team and Board of Zoning Appeals. We are seeking an experienced candidate to serve as a key member of our team.
Here's what you need:
High school diploma or GED; minimum three years of increasingly responsible experience in administrative support or a related field; or an equivalent combination of training and experience. Prior minute-taking experience is preferred. The successful candidate will possess excellent verbal and written communication skills with the ability to manage multiple projects simultaneously; have the ability to interact effectively with all levels in the organization; develop and maintain effective working relationships with internal and external customers; actively participate in teamwork to create a positive working environment, be a self-motivator with the ability to work independently; be proficient in the use of Microsoft Office programs (i.e. Word, Excel, Outlook); possess knowledge of standard office practices, procedures and equipment; proofread documents for spelling, punctuation, and grammar; be able to interpret and apply administrative and departmental policies. Experience in local government or planning & zoning environments is desired. Salary offered will be based on qualifications and experience.
Current valid driver's license and good driving record required. Based on the Virginia DMV point system, record must not reflect a total of six or more demerit points within the twenty-four months preceding the anticipated hire date, or one major violation of six demerit points within the preceding thirty-six months. Out of state driving records must be obtained by applicant and presented at time of interview. Records must reflect at least three years of history and be dated within thirty days of interview date.
Pre-employment drug testing, FBI criminal background check and education/degree verification required.
The Essential Functions:
NOTE: EVENING WORK HOURS ARE REQUIRED.
* Prepare legal notices, advertisements, and official records of all public meetings.
* Coordinate notification process for adjacent property owners and localities.
* Set up for and attend meetings of the Board of Zoning Appeals, prepare, finalize, and archive minutes.
* Organize, prepare, and disseminate items of business, documents, agendas, and supporting materials for Board of Zoning Appeals meetings.
* Prepare letters, perform data entry, record Selectron notices, proofread, and archive meeting documents.
* Review finished materials for completeness, accuracy, format, and compliance with department policies and procedures.
* Coordinate the Administrative Variance process.
* Assist and provide back up to the Clerk to the Planning Commission at monthly meeting proceedings and compose minutes of said meetings on a rotating basis, serving as backup.
* Perform accounts payable functions, inventory, and order office supplies in a backup capacity.
* Provide support to multiple teams, manage logistics for monthly meetings, and manage records retention per the policies of the Library of Virginia.
Perform other work as required.
What's In It For You:
If you are passionate about making a difference in the community, join our team. We offer a competitive compensation and benefits package, including the Virginia Retirement System. We work hard to achieve our mission, but we also value work-life balance through paid time off, flexible work schedules, and remote work opportunities. We support professional development through a tuition reimbursement program, our award-winning Learning and Performance Center programs, and opportunities for advancement within. If you enjoy being challenged, we invite you to join our team.
We Would Love to Talk with You!
Click the "apply" link above to complete and submit an application by February 15, 2026.
Shift
Monday - Friday; 8:30 a.m. - 5:00 p.m. Evening work hours are required.
Work Location
Planning
$37k-46k yearly est. 3d ago
Hearing Officer (Review Examiner II)
State of Massachusetts
Remote appeals officer job
The Department of Transitional Assistance (DTA) is seeking qualified applicants for the position of Hearings Officer. The ideal candidate will conduct Administrative Disqualification Hearings in accordance with applicable laws and regulations and issue fair, impartial decisions within established regulatory time frames.
DTA attracts people passionate about public service, who love to work in a fast-paced environment and who are committed to diversity, equity, and inclusion.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
* Structure and clearly explain procedures that govern hearings.
* Control testimony (including evidentiary rulings) and identify and mark exhibits.
* Maintain substance and appearance of impartiality and demonstrate patience and courtesy toward all parties.
* Assure the record is fully developed, and all issues adequately addressed.
* Render a written decision based on relevant regulations and standards within the time frames required by law.
* Conduct statewide telephonic, videoconference, and in-person hearings as assigned.
* Make and store digital recordings of hearings following established procedures.
* Establish jurisdiction and identify relevant issues.
* Summarize evidence and identify, mark, document, and store all exhibits.
* Make appropriate findings of material facts, apply law to facts, and reach reasonable legal conclusions based on relevant regulations and standards.
* Sign and submit error-free, properly formatted decisions and issue clear, complete orders to the Department.
* Follow assigned procedures governing reschedules, continuances, reopenings, dismissals, and withdrawals.
* Confer with DTA management and other agency personnel to provide or exchange information and resolve problems.
* Render decisions within 30 days of the hearing date or 5 business days prior to the decision due date, whichever comes first.
Required Qualifications
* Ability to understand, explain, and apply the laws and rules governing assigned unit activities.
* Ability to read and interpret legal documents such as decisions, briefs, and opinions.
* Ability to analyze and determine the applicability of data, to draw appropriate conclusions, and make appropriate recommendations.
* Ability to gather information through questioning individuals and examining records.
* Ability to make decisions and act quickly in stressful situations.
* Ability to determine the proper format and procedure for assembling items of information.
* Ability to maintain accurate records and prepare general reports.
* Ability to communicate effectively in oral and written expression.
* Ability to prioritize work in order to complete all assigned tasks in a timely manner.
* Ability to work independently.
* Ability to exercise discretion in handling confidential information.
* Ability to exercise sound judgment.
* Ability to establish and maintain harmonious working relationships and deal tactfully and respectfully with others.
* Ability to travel throughout the state using their own mode of transportation on a daily basis.
* Ability to use all necessary functions of a laptop computer to compose decisions and store information in an orderly manner.
* Ability to work remotely while maintaining productivity, accuracy, and accountability.
Preferred Qualifications:
* Knowledge of the laws, rules, regulations, policies, procedures, etc. governing assigned unit activities.
* Knowledge of the state law governing administrative hearings.
* Knowledge of the legal procedures involved in conducting public and executive hearings.
* Knowledge of the laws and rules governing the presentation and admissibility of evidence.
* Knowledge of reference and related sources available for legal research.
* Knowledge of the types and uses of agency forms.
* Given the population served, bilingual or multilingual fluency.
Agency Mission:
The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one out of every six people in Massachusetts - including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment supports.
Learn more about our services and programs visit: ****************
NOTE: Selected candidates must complete a language proficiency examination which will test reading comprehension, conversational, and writing skills in English and the specified second language.
TO APPLY:
Please upload both the Resume and Cover Letter for this position. First consideration will be given to those applicants who apply within the first 14 days.
About The Department of Transitional Assistance:
The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long-term economic self-sufficiency. DTA serves one out of every seven people in Massachusetts - including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment support.
Learn more about our services and programs visit: ****************
Pre-Hire Process:
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit ****************************
Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the ADA Reasonable Accommodation Online Request Form.
For questions, please contact the Office of Human Resources at ************** and select option #4.
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements:
Applicants must have at least (A) four years of full-time, or equivalent part-time, professional experience, the major duties of which included the adjudication, examination and/or review of claims, benefits and/or taxes; the practice of law; labor relations work; claims investigation or adjustment work; credit management or credit investigation work; or (B) any equivalent combination of the required experience and the substitutions below.
Substitutions:
I. A Bachelor's or higher degree with a major in law may be substituted for a maximum of three years of the required experience.*
II. A Bachelor's or higher degree with a major other than in law may be substituted for a maximum of two years of the required experience.*
* Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.
NOTE: Educational substitutions will only be permitted for a maximum of three years of the required experience.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
$72k-108k yearly est. 31d ago
Hearing Officer (Review Examiner II)
Commonwealth of Massachusetts 4.7
Remote appeals officer job
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements:
Applicants must have at least (A) four years of full-time, or equivalent part-time, professional experience, the major duties of which included the adjudication, examination and/or review of claims, benefits and/or taxes; the practice of law; labor relations work; claims investigation or adjustment work; credit management or credit investigation work; or (B) any equivalent combination of the required experience and the substitutions below.
Substitutions:
I. A Bachelor's or higher degree with a major in law may be substituted for a maximum of three years of the required experience.*
II. A Bachelor's or higher degree with a major other than in law may be substituted for a maximum of two years of the required experience.*
*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.
NOTE\: Educational substitutions will only be permitted for a maximum of three years of the required experience.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
The Department of Transitional Assistance (DTA) is seeking qualified applicants for the position of Hearings Officer. The ideal candidate will conduct Administrative Disqualification Hearings in accordance with applicable laws and regulations and issue fair, impartial decisions within established regulatory time frames.
DTA attracts people passionate about public service, who love to work in a fast-paced environment and who are committed to diversity, equity, and inclusion.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
ยท Structure and clearly explain procedures that govern hearings.
ยท Control testimony (including evidentiary rulings) and identify and mark exhibits.
ยท Maintain substance and appearance of impartiality and demonstrate patience and courtesy toward all parties.
ยท Assure the record is fully developed, and all issues adequately addressed.
ยท Render a written decision based on relevant regulations and standards within the time frames required by law.
ยท Conduct statewide telephonic, videoconference, and in-person hearings as assigned.
ยท Make and store digital recordings of hearings following established procedures.
ยท Establish jurisdiction and identify relevant issues.
ยท Summarize evidence and identify, mark, document, and store all exhibits.
ยท Make appropriate findings of material facts, apply law to facts, and reach reasonable legal conclusions based on relevant regulations and standards.
ยท Sign and submit error-free, properly formatted decisions and issue clear, complete orders to the Department.
ยท Follow assigned procedures governing reschedules, continuances, reopenings, dismissals, and withdrawals.
ยท Confer with DTA management and other agency personnel to provide or exchange information and resolve problems.
ยท Render decisions within 30 days of the hearing date or 5 business days prior to the decision due date, whichever comes first.
Required Qualifications
ยท Ability to understand, explain, and apply the laws and rules governing assigned unit activities.
ยท Ability to read and interpret legal documents such as decisions, briefs, and opinions.
ยท Ability to analyze and determine the applicability of data, to draw appropriate conclusions, and make appropriate recommendations.
ยท Ability to gather information through questioning individuals and examining records.
ยท Ability to make decisions and act quickly in stressful situations.
ยท Ability to determine the proper format and procedure for assembling items of information.
ยท Ability to maintain accurate records and prepare general reports.
ยท Ability to communicate effectively in oral and written expression.
ยท Ability to prioritize work in order to complete all assigned tasks in a timely manner.
ยท Ability to work independently.
ยท Ability to exercise discretion in handling confidential information.
ยท Ability to exercise sound judgment.
ยท Ability to establish and maintain harmonious working relationships and deal tactfully and respectfully with others.
ยท Ability to travel throughout the state using their own mode of transportation on a daily basis.
ยท Ability to use all necessary functions of a laptop computer to compose decisions and store information in an orderly manner.
ยท Ability to work remotely while maintaining productivity, accuracy, and accountability.
Preferred Qualifications:
ยท Knowledge of the laws, rules, regulations, policies, procedures, etc. governing assigned unit activities.
ยท Knowledge of the state law governing administrative hearings.
ยท Knowledge of the legal procedures involved in conducting public and executive hearings.
ยท Knowledge of the laws and rules governing the presentation and admissibility of evidence.
ยท Knowledge of reference and related sources available for legal research.
ยท Knowledge of the types and uses of agency forms.
ยท Given the population served, bilingual or multilingual fluency.
Agency Mission:
The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long term economic self-sufficiency. DTA serves one out of every six people in Massachusetts - including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment supports.
Learn more about our services and programs visit\: ****************
NOTE: Selected candidates must complete a language proficiency examination which will test reading comprehension, conversational, and writing skills in English and the specified second language.
TO APPLY:
Please upload both the Resume and Cover Letter for this position. First consideration will be given to those applicants who apply within the first 14 days.
About The Department of Transitional Assistance:
The Department of Transitional Assistance (DTA) is the state agency responsible for administering public assistance programs to low-income residents of the Commonwealth. DTA is committed to providing a high level of service to all those in need. The mission of the Department is to assist and empower low-income individuals and families to meet their basic needs, improve their quality of life, and achieve long-term economic self-sufficiency. DTA serves one out of every seven people in Massachusetts - including working families, children, elders, and people with disabilities. Our services include food and nutritional assistance, economic assistance, and employment support.
Learn more about our services and programs visit\: ****************
Pre-Hire Process:
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http\://*********************
Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the ADA Reasonable Accommodation Online Request Form.
For questions, please contact the Office of Human Resources at ************** and select option #4.
$85k-120k yearly est. Auto-Apply 30d ago
IBR Clinical Appeals Reviewer - Remote
Unitedhealth Group Inc. 4.6
Remote appeals officer job
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Itemized Bill Review (IBR) Clinical Appeals Reviewer will analyze and respond to client and/or hospital claim review appeal inquiries. Handles medical record review, analyzes data, and completes the response resolution for clients and the business unit. Must utilize expertise in auditing to review and provide response to appeals. We are seeking self-motivated, solution-oriented and skilled problem solver who provides clinical reviews with written documentation under tight deadlines.
This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Analyze scope and resolution of IBR Appeals
* Respond to Level one, two or higher appeals
* Perform complex conceptual analyses
* Identifies risk factors, comorbidities', and adverse events, to determine if overpayment or claim adjustment is needed
* Reviews governmental regulations and payer protocols and / or medical policy to recommend appropriate actions
* Researches and prepares written appeals
* Exercises clinical and/or coding judgment and experience
* Collaborates with existing auditors, quality and leadership team to seek to understand, and review medical records pertaining to impacted claims
* Navigates through web-based portals and independently utilizes other online tools and resources including but not limited to word, adobe, excel
* Serve as a key resource on complex and / or critical issues and help develop innovative solutions
* Define and document / communicate business requirements
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Undergraduate nursing degree
* Unrestricted RN (registered nurse) license
* 2+ years of appeals experience (coding or auditing)
* Experience with CPT-4 coding, NCCI edit resolution and appropriate modifier use
* Advanced experience with regulations, compliance and composing professional appeal responses
* Advanced experience with ICD10 CM coding and ICD 10 PCS coding
* Willing or ability to work our normal business hours of 8:00am - 5:00pm
* Proven ability to keep all company sensitive documents secure (if applicable)
* Have a dedicated work area established that is separated from other living areas and provides information privacy
* Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
* Clinical claim review experience
* Managed care experience
* Investigation and/or auditing experience
* Advanced experience using Microsoft Excel with the ability to create/edit spreadsheets, use sort/filter function, and perform data entry
* Knowledge of health insurance business, industry terminology, and regulatory guidelines
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35.00 to $62.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$35k-51k yearly est. 8d ago
Medical Fee Review Hearing Officer
State of Pennsylvania 2.8
Remote appeals officer job
Embark on an exciting career while using your experience in legal work! The Department of Labor and Industry is seeking a hardworking and motivated Medical Fee Review Hearing Officer to join our team in Workers' Compensation Office of Adjudication. In this role, you will help us oversee the adjudication process and handle disputes about workers' compensation claims. If you are looking for a new and rewarding way to utilize your legal expertise, apply today!
DESCRIPTION OF WORK
In this position, you will be responsible for scheduling and conducting quasi-judicial hearings to adjudicate medical fee review appeals. Your work will involve reviewing appeals, scheduling and conducting de novo hearings, examining witnesses, receiving and analyzing testimony and exhibits, and ruling on evidence and administrative procedure. You will also issue written decisions and orders that are subject to appeal at Commonwealth Court. Some of your duties will include researching existing case law and regulations, issuing subpoenas requiring the appearance of witnesses or the production of documents, and taking sworn testimony after administering oaths. Additionally, you will track decisions appealed to the Commonwealth and Supreme Courts.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
* Full-time employment
* Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch. This may change based on operational needs.
* Telework: You may have the opportunity to work from home (telework) part-time after the successful completion of the required probationary period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
* Salary: In some cases, the starting salary may be non-negotiable.
* You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
* Three years of professional experience in investigative, adjudicative, or legal work analyzing and interpreting information to issue decisions, findings of fact, or determinations of eligibility, or to engage in litigation, and a bachelor's degree; or
* Graduation with a law degree from a school of law accredited by the American Bar Association; or
* An equivalent combination of experience and training.
* Applicants will be considered to have met the educational requirements once they are within three months of graduating with a qualifying degree.
Other Requirements:
* You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
* You must be able to perform essential job functions.
How to Apply:
* Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
* If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
* Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
* Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
* Pennsylvania law (51 Pa. C.S. ยง7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
* 711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
* Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
* Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
* Your score is valid for this specific posting only.
* You must provide complete and accurate information or:
* your score may be lower than deserved.
* you may be disqualified.
* You may only apply/test once for this posting.
* Your results will be provided via email.
Learn more about our Total Rewards by watching this short video!
See the total value of your benefits package by exploring our benefits calculator.
Health & Wellness
We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*
Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.
Work/Life Balance
We know there's more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*
Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.
Employee Perks
Sometimes, it is the little "extras" that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.
For more information on all of these Total Rewards benefits, please visit ********************* and click on the benefits box.
* Eligibility rules apply.
01
How many years of full-time professional experience in investigative, adjudicative, or legal work analyzing and interpreting information to issue decisions, findings of fact, or determinations of eligibility, or to engage in litigation do you possess?
* 3 years or more
* 2 but less than 3 years
* 1 but less than 2 years
* Less than 1 year
* None
02
If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.
03
Have you graduated with a law degree from a school of law accredited by the American Bar Association? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.
If you answer "Yes" to this question based on education acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting ************* and clicking the Evaluation Services Link.
You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.
* Yes
* No
04
If you are within three months of graduating with a degree in law from a school of law accredited by the American Bar Association, on what date do you expect to graduate? If this does not apply to you, please type N/A in the text box.
05
If you have not graduated with a law degree from a school of law accredited by the American Bar Association, how much graduate-level coursework in the field of law have you completed? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.
If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting ************* and clicking the Evaluation Services Link.
You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.
* 30 credits or more
* Less than 30 credits
* None
06
You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental questions. Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.
All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.
Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.
If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.
If you have general questions regarding the application and hiring process, please refer to our FAQ page.
* Yes
07
WORK BEHAVIOR 1 - REVIEW AND ANALYZE INFORMATION
Independently reviews and analyzes information such as testimony and evidence, jurisdictional issues, and timeliness of filings related to medical bill coding or trauma guidelines.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience reviewing and analyzing testimony and evidence, jurisdictional issues, or timeliness of filings related to medical bill coding or trauma guidelines.
* B. I have experience reviewing and analyzing testimony and evidence, jurisdictional issues, or timeliness of filings in areas other than medical bill coding or trauma guidelines.
* C. I have experience reviewing and analyzing technical legal or medical information.
* D. I have NO experience related to this work behavior.
08
In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The type(s) of data/documents you reviewed, analyzed, etc.
* Your level of responsibility
09
WORK BEHAVIOR 2 - SCHEDULE CONFERENCES AND HEARINGS
Coordinates and schedules pre-hearing conferences and quasi-judicial hearings including granting continuances, rescheduling hearings, verifying withdrawals, and issuing subpoenas. Resolves issues and other pre-hearing and post-hearing matters.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience coordinating and scheduling pre-hearing conferences and hearings. My duties included granting continuances, rescheduling hearings, verifying withdrawals, and issuing subpoenas. I was responsible for resolving issues and other pre-hearing and post-hearing matters.
* B. I have experience assisting with coordinating or scheduling the following: pre-hearing conferences, hearings, continuance requests, rescheduling of hearings, and/or issuing subpoenas. I was NOT responsible for resolving issues or other pre-hearing and post-hearing matters.
* C. I have experience scheduling employees, patient appointments, or events.
* D. I have NO experience related to this work behavior.
10
In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The actual duties you performed related to coordinating and/or scheduling hearings, conferences, etc.
* Your level of responsibility
11
WORK BEHAVIOR 3 - INTERPRET AND APPLY STATUTES, REGULATIONS, AND CASE LAW
Researches, interprets, and applies statutes, regulations, and case law relevant to the medical cost containment provisions of the Pennsylvania Workers' Compensation Act to ensure that legal mandates are consistently applied.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience researching, interpreting, and applying statutes, regulations, OR case law relevant to the medical cost containment provisions of the Pennsylvania Worker's Compensation Act AND applying the legal principles ensuring legal mandates were consistently applied.
* B. I have experience researching, interpreting, and applying statutes, regulations, OR case law pertaining to legal areas outside of the medical cost containment provisions of the Pennsylvania Worker's Compensation Act AND applying the legal principles ensuring legal mandates were consistently applied.
* C. I have successfully completed college-level education related to this work behavior such as administrative law, evidence law, constitutional law, etc.
* D. I have NO experience or education related to this work behavior.
12
In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The actual duties you performed related to researching, interpreting, and applying statues, regulations, and case law
* The type(s) of information researched, interpreted, and applied
* Your level of responsibility
13
If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.
* College/University
* Course Title
* Credits/Clock Hours
14
WORK BEHAVIOR 4 - WRITE DECISIONS AND ORDERS
Prepares timely written decisions and orders reflecting the evaluation of evidence. This includes making findings of fact legally sufficient to support ultimate decisions; explaining all legal issues present in the cases; stating the statutes or regulations under which the cases are decided; providing reasoning for decisions which represent the application of law to the set of facts; and providing a conclusion which resolves the issues and states the legal effect in the cases. Ensures compliance with due process for all involved parties.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience individually preparing timely written decisions and orders reflecting the evaluation of evidence. This included making findings of fact legally sufficient to support ultimate decisions; explaining all legal issues present in the cases; stating the statutes or regulations under which the cases are decided; providing reasoning for decisions which represent the application of law to the set of facts; and providing a conclusion which resolves the issues and states the legal effect in the cases. I was responsible for ensuring compliance with due process for all involved parties.
* B. I have experience assisting with preparing timely written decisions and orders reflecting the evaluation of evidence. This included making findings of fact legally sufficient to support ultimate decisions; explaining all legal issues present in the cases; stating the statutes or regulations under which the cases are decided; providing reasoning for decisions which represent the application of law to the set of facts; and providing a conclusion which resolves the issues and states the legal effect in the cases.
* C. I have successfully completed college-level coursework related to this work behavior such as report writing or technical writing
* D. I have work experience or completed college-level coursework that involved conducting a formal study and reporting the findings.
* E. I have NO experience or education related to this work behavior.
15
In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The type(s) of decisions and/or orders you prepared
* The actual duties you performed related to writing decisions and/or orders
* Details regarding formal study and report of findings
* Your level of responsibility
16
If you have selected the level of performance pertaining to college coursework, please provide your responses to the items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.
* College/University
* Course Title
* Credits/Clock Hours
17
WORK BEHAVIOR 5 - CONDUCT HEARINGS
Conducts pre-hearing conferences and quasi-judicial hearings. This includes administering oaths, examining witnesses, receiving and evaluating testimony/exhibits/briefs/arguments/transcripts, ruling on motions and evidence, and clarifying cited regulations to ensure application of appropriate laws, jurisdiction, and timeliness of appeal.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience conducting due process hearings. My duties included administering oaths, examining witnesses, receiving and evaluating testimony/exhibits/briefs/arguments/transcripts, ruling on motions and evidence, and clarifying cited regulations to ensure application of appropriate laws, jurisdiction, and timeliness of appeal.
* B. I have experience as a legal or non-legal representative of parties in due process hearings conducting direct examination and cross examination of witnesses; presenting testimony and evidence; or making requests, motions, and closing statements.
* C. I have NO experience related to this work behavior.
18
In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The actual duties you performed related to conducting conferences and/or hearings
* Your level of responsibility
Required Question
Employer Commonwealth of Pennsylvania
Address 613 North Street
Harrisburg, Pennsylvania, 17120
Website ****************************
$66k-96k yearly est. 3d ago
Medical Fee Review Hearing Officer
Commonwealth of Pennsylvania 3.9
Remote appeals officer job
Embark on an exciting career while using your experience in legal work! The Department of Labor and Industry is seeking a hardworking and motivated Medical Fee Review Hearing Officer to join our team in Workers' Compensation Office of Adjudication. In this role, you will help us oversee the adjudication process and handle disputes about workers' compensation claims. If you are looking for a new and rewarding way to utilize your legal expertise, apply today!
DESCRIPTION OF WORK
In this position, you will be responsible for scheduling and conducting quasi-judicial hearings to adjudicate medical fee review appeals. Your work will involve reviewing appeals, scheduling and conducting de novo hearings, examining witnesses, receiving and analyzing testimony and exhibits, and ruling on evidence and administrative procedure. You will also issue written decisions and orders that are subject to appeal at Commonwealth Court. Some of your duties will include researching existing case law and regulations, issuing subpoenas requiring the appearance of witnesses or the production of documents, and taking sworn testimony after administering oaths. Additionally, you will track decisions appealed to the Commonwealth and Supreme Courts.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
Full-time employment
Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch. This may change based on operational needs.
Telework: You may have the opportunity to work from home (telework) part-time after the successful completion of the required probationary period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
Salary: In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
Three years of professional experience in investigative, adjudicative, or legal work analyzing and interpreting information to issue decisions, findings of fact, or determinations of eligibility, or to engage in litigation, and a bachelor's degree; or
Graduation with a law degree from a school of law accredited by the American Bar Association; or
An equivalent combination of experience and training.
Applicants will be considered to have met the educational requirements once they are within three months of graduating with a qualifying degree.
Other Requirements:
You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
You must be able to perform essential job functions.
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date
.
Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
Your score is valid for this specific posting only.
You must provide complete and accurate information or:
your score may be lower than deserved.
you may be disqualified.
You may only apply/test once for this posting.
Your results will be provided via email.
$48k-64k yearly est. 6d ago
Appeals Referee
State of Pennsylvania 2.8
Remote appeals officer job
Are you a fair-minded and fact-oriented professional with experience in the determination of unemployment compensation (UC) claims, the application of taxing or benefit-paying provisions of the UC Law, or the practice of labor law? The UC Board of Review is searching for qualified and dedicated candidates like you to join our Springfield Referee Office team in this Appeals Referee position. Apply now and advance your career by sharing your professional experience and judgement with a team that provides a consistent process for UC appeals cases while ensuring that the decisions made are consistent, fair, and just.
DESCRIPTION OF WORK
As an Appeals Referee, you will hear and decide first level appeals of UC service center determinations. This involves presiding over hearings and following rules of evidence, due process standards, and standard administrative practice to move the proceedings to conclusion; informing parties to appeals about policies, procedures, and rights; and ensuring each appellant's case is processed in a timely, consistent, and impartial manner. You will be expected to conduct hearings as scheduled, review case files to prepare for each hearing, and use digital recording equipment to record hearings and dictate decisions, as well as supervise clerical and legal assistant staff who assist with these duties. This includes training, advising, and overseeing the activities of these staff members; preparing performance reviews; and completing other supervisory duties.
Our team will rely on you to issue clear and concise decisions reflecting your evaluation of evidence and to interpret policy and procedure from UC Law and regulations, precedent decisions in case law, and other instructions. You may also be expected to serve as a hearing officer for second level appeals and travel to other hearing locations to provide assistance or attend trainings and conferences. Take your career to the next level and help ensure due process for UC appeals with us!
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
* Full-time employment
* Work hours are 8:00 AM to 4:00 PM, Monday - Friday. Work hours are negotiable with a 30-minute lunch break.
* Telework: You may have the opportunity to work from home (telework) part-time, upon successful completion of the training period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Springfield, PA. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
* Salary: In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
* Graduation from an approved school of law and certification of admission to the bar of the Supreme Court of Pennsylvania and one year of experience in the practice of labor law; or
* Four years of experience in the determination of unemployment compensation claims, including adjustments, overpayments, and appeals supplemented by 6 college level credits in English composition or other related English courses; or
* Four years of professional experience which involves the application of taxing or benefit-paying provisions of the Unemployment Compensation Law in order to determine compliance, to improve Unemployment Compensation program operations, or to train others in the application of the law supplemented by 6 college level credits in English composition or other related English courses; or
* An equivalent combination of experience and training which includes 6 college level credits in English composition or other related English courses.
Other Requirements:
* You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
* You must be able to perform essential job functions.
How to Apply:
* Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
* If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
* Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
* Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
* Pennsylvania law (51 Pa. C.S. ยง7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
* 711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
* Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
* Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
* Your score is valid for this specific posting only.
* You must provide complete and accurate information or:
* your score may be lower than deserved.
* you may be disqualified.
* You may only apply/test once for this posting.
* Your results will be provided via email.
Learn more about our Total Rewards by watching this short video!
See the total value of your benefits package by exploring our benefits calculator.
Health & Wellness
We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*
Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.
Work/Life Balance
We know there's more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*
Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.
Employee Perks
Sometimes, it is the little "extras" that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.
For more information on all of these Total Rewards benefits, please visit ********************* and click on the benefits box.
* Eligibility rules apply.
01
Have you graduated from an approved school of law and have certification of admission to the bar of the Supreme Court of Pennsylvania? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.
If you answer "Yes" to this question based on education acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting ************* and clicking the Evaluation Services Link.
You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.
* Yes
* No
02
Do you possess one or more years of full-time experience in the practice of labor laws?
* Yes
* No
03
If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.
04
How many years of full-time experience do you possess in the determination of unemployment compensation claims, including adjustments, overpayments, and appeals?
* 4 years or more
* 3 but less than 4 years
* 2 but less than 3 years
* 1 but less than 2 years
* Less than 1 year
* None
05
If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.
06
How many years of full-time experience do you possess which involves the application of taxing or benefit-paying provisions of the Unemployment Compensation Law in order to determine compliance, to improve Unemployment Compensation program operations, or to train others in the application of the law?
* 4 years or more
* 3 but less than 4 years
* 2 but less than 3 years
* 1 but less than 2 years
* Less than 1 year
* None
07
If you are claiming experience in the above question, please list the employer(s) where you gained this experience in the text box below. The employer(s) and a description of the experience must also be included in the appropriate sections of your application if you would like the experience to be considered in the eligibility decision. If you claimed you do not have experience, type N/A in the text box below.
08
Have you completed 6 college level credits in English composition or other related English courses? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.
If you answer "Yes" to this question based on education acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting ************* and clicking the Evaluation Services Link.
You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.
* Yes
* No
09
How much graduate coursework have you completed in Public Administration, Personnel Management, Labor Relations, Industrial Management, Business Administration, Economics, or Law? If you are claiming credits/degree, you must upload a copy of your college transcript(s) for this education to be considered in the eligibility decision. Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a transcript(s) to the application after it has been submitted.
If your education was acquired outside of the United States, you must upload a copy of your foreign credential evaluation report. We can only accept foreign credential evaluations from organizations that are members of the National Association of Credential Services (NACES). A list of current NACES members can be found by visiting ************* and clicking the Evaluation Services Link.
You must attach your documentation prior to the submission of your application by using the "Attachments" tab on the left. You will not be able to add a document to the application after it has been submitted.
* 30 credits or more
* Less than 30 credits
* None
10
You must complete the supplemental questions below. These supplemental questions are the exam and will be scored. They are designed to give you the opportunity to relate your experience and training background to the major activities (Work Behaviors) performed in this position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or disqualification. You must complete the application and answer the supplemental questions. Resumes, cover letters, and similar documents will not be reviewed for the purposes of determining your eligibility for the position or to determine your score.
All information you provide on your application and supplemental questions is subject to verification. Any misrepresentation, falsification or omission of material facts is subject to penalty. If requested, you must provide documentation, including names, addresses, and telephone numbers of individuals who can verify the validity of the information you provide in the application and supplemental questions.
Read each question carefully. Determine and select which "Level of Performance" most closely represents your highest level of experience/training. List the employer(s)/training source(s) from your Work or Education sections of the application where you gained this experience/training. The "Level of Performance" you choose must be clearly supported within the description of the experience and training information entered in your application or your score may be lowered. In order to receive credit for experience, you must have worked in a job for at least six months in which the experience claimed was a major function.
If you have read and understand these instructions, please click on the "Yes" button and proceed to the exam questions.
If you have general questions regarding the application and hiring process, please refer to our FAQ page.
* Yes
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WORK BEHAVIOR 1 - PRESIDES AS THE HEARING OFFICER
Presides as the hearing officer for pre-hearing conferences and quasi-judicial administrative hearings by resolving issues required for the scheduling of hearings; assuring compliance with due process for all involved parties; providing an opening statement and administering oaths; directing the examination and cross examination of witnesses; receiving and evaluating testimony and evidence; ruling on objections, requests and motions; receiving closing statements and/or briefs; and determining when to close the record.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience presiding as the hearing officer for pre-hearing conferences and quasi-judicial administrative hearings by resolving issues required for the scheduling of hearings; assuring compliance with due process for all involved parties; providing an opening statement and administering oaths; directing the examination and cross examination of witnesses; receiving and evaluating testimony and evidence; ruling on objections, requests and motions; receiving closing statements and/or briefs; and determining when to close the record.
* B. I have experience as a legal or non-legal representative of parties to quasi-judicial administrative hearings conducting direct examination and cross examination of witnesses; introducing testimony and evidence; making requests, motions, and closing statements and preparing briefs.
* C. I have experience issuing determinations or adjudications in the field of unemployment compensation with a state agency.
* D. I have experience as an attorney in the area of labor law.
* E. I have NO experience related to this work behavior.
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In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience.
* The type(s) of pre-hearing conferences or quasi-judicial administrative hearings you presided over.
* The actual duties you performed.
* Your level of responsibility.
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WORK BEHAVIOR 2 - PREPARES DECISIONS AND ORDERS
Prepares written decisions and orders reflecting the evaluation of evidence which includes making findings of fact legally sufficient to support ultimate decisions; explaining all legal issues present in the cases; stating the statutes or regulations under which the cases are decided; providing reasoning for decisions which represent the application of law to the set of facts; and providing a conclusion which resolves the issues and states the legal effect in the cases.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience preparing written decisions and orders reflecting the evaluation of evidence which includes making findings of fact legally sufficient to support ultimate decisions; explaining all legal issues present in the cases; stating the statutes or regulations under which the cases are decided; providing reasoning for decisions which represent the application of law to the set of facts; and providing a conclusion which resolves the issues and states the legal effect in the cases.
* B. I have experience as a legal or non-legal representative of parties presenting facts and law, preparing written briefs, legal memorandums or in-depth motions or requests for judges or hearing officers' consideration.
* C. I have experience as an attorney in the area of labor law.
* D. I have NO experience related to this work behavior.
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In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The type(s) of correspondence you prepared
* The actual duties you performed
* Your level of responsibility
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WORK BEHAVIOR 3 - PROVIDES DIRECTION RELATED TO ASSIGNED CASES
Provides direction regarding the scheduling of pre-hearing conferences and quasi-judicial hearings; and responses to pre-hearing and post-hearing requests such as requests for rescheduling hearings and continuances, subpoenas, withdrawal of appeal, change of venue, participation by telephone and other pre-hearing and post-hearing requests and matters. Ensures hearing records and files meet acceptable standards and confidentiality is maintained, and manages assigned caseload within the regulatory and/or statutory timeframes.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience providing direction regarding the scheduling of pre-hearing conferences and quasi-judicial hearings; and responses to pre-hearing and post-hearing requests such as requests for rescheduling hearings and continuances, subpoenas, withdrawal of appeal, change of venue, participation by telephone and other pre-hearing and post-hearing requests and matters, and ensuring hearing records and files meet acceptable standards and confidentiality is maintained, and manages assigned caseload within the regulatory and/or statutory timeframes.
* B. I have experience providing direction to others regarding how they manage their work in a professional or legal environment and ensuring documentation and confidentiality is maintained and deadlines are met.
* C. I have NO experience related to this work behavior.
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In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The topic(s) you provided assistance on
* The type(s) of assistance you provided
* The actual duties you performed
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WORK BEHAVIOR 4 - ANALYZING UNEMPLOYMENT COMPENSATION CLAIMS OR APPEALS
Analyzes unemployment compensation claims or appeals to include eligibility, adjustments, overpayments, benefit paying provisions, and relief from charges.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience independently analyzing unemployment compensation claims or appeals including eligibility, adjustments, overpayments, benefit paying provisions, and relief from charges for a state agency, law firm or other organization. I have determined documents to establish facts, prepared arguments and applied unemployment compensation laws to facts.
* B. I have experience as a part of a group or team analyzing unemployment compensation claims or appeals including eligibility, adjustments, overpayments, benefit paying provisions, and relief from charges for a state agency, law firm or other organization. I have determined documents to establish facts, prepared arguments and applied unemployment compensation laws to facts.
* C. I have experience reviewing unemployment compensation claims or appeals documents submitted by someone else but I have NOT conducted any analysis of the claims or appeals.
* D. I have NO experience related to this work behavior.
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In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The actual duties you performed related to analyzing unemployment compensation claims or appeals
* Your level of responsibility
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WORK BEHAVIOR 5 - SUPERVISION Performs the full range of supervisory duties, such as employee discipline, hiring decisions, leave approval, completing employee performance reviews, conducting interviews, directing and reviewing the work of subordinates, assigning training, etc.
Levels of Performance
Select the "Level of Performance" which best describes your claim.
* A. I have experience performing the full range of supervisory duties, such as employee discipline, hiring decisions, leave approval, completing employee performance reviews, conducting interviews, directing and reviewing the work of subordinates, assigning training, etc.
* B. I have experience as a lead worker. I have provided on the job training to newly hired staff, reviewed their work, served as a team or group leader, etc.; but I was not responsible for employee discipline or hiring decisions.
* C. I have successfully completed education/training related to supervisory development courses, labor relations, human resource management, etc.; but I have had little opportunity to perform this level of work outside the academic environment.
* D. I have NO experience or training related to this work behavior.
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In the text box below, please describe your experience as it relates to the level of performance you claimed in this work behavior. Please be sure your response addresses the items listed below which relate to your claim. If you indicated you have no work experience related to this work behavior, type N/A in the box below.
* The name(s) of the employer(s) where you gained this experience
* The actual duties you performed related to supervision
* Your level of responsibility
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If you have selected the level of performance pertaining to college coursework, please provide your responses to the three items listed below. If you indicated you have no education/training related to this work behavior, type N/A in the text box below.
* College/University
* Course Title
* Credits/Clock Hours
Required Question
Employer Commonwealth of Pennsylvania
Address 613 North Street
Harrisburg, Pennsylvania, 17120
Website http://*********************