About the Department

In this role, you will perform comprehensive case management functions for assigned employer accounts, ensuring the timely and accurate handling of Workers’ Compensation claims. Responsibilities include determining the compensability of claims based on statute and policy, reviewing documentation, analyzing facts, and making sound, well-supported decisions.

The position also monitors claims activity for potential fraud, abuse, or other improprieties, helping safeguard the integrity of the Workers’ Compensation program. This role requires strong critical thinking skills, attention to detail, and the ability to communicate clearly and professionally with employers, injured workers, medical providers, and other stakeholders.

If you are committed to public service and take pride in ensuring fair, consistent, and accountable claims administration, we encourage you to apply.

Working for the State of Wyoming offers more than a paycheck. Our total compensation package includes:

• Comprehensive health, dental, and vision insurance
• Paid vacation, sick leave, FMLA and holidays
• Retirement - Pension and 457B plans that help you build a secure future
• Flexible schedules and work-life balance options
• Meaningful work that makes a difference for Wyoming communities and MUCH MORE!  

Click here for detailed information, or you can watch this short video to learn about our benefit package!

Want to see the full value of your compensation beyond salary?

Explore our Total Compensation Calculator: https://compensationcalculator.wyo.gov

Human Resource Contact: [email protected]


ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function that may be performed at the job level.

• Use case management skills to guide customers through the Workers' Compensation benefits program.
• Review injury reports.
• Investigate the circumstances of the injury.
• Make eligibility determinations on the claim for benefits by reviewing applications and medical reports.
• Process claims for indemnity benefits.
• Communicate clearly the rights, responsibilities, and benefits of the Workers' Compensation program.
• Assist injured workers with filing requirements and understanding the complex claims processes.
• Refer appropriate cases for hearing and may provide testimony in the hearings.
• Respond directly to employers or vendors in regard to questions on procedures or the status of cases or claims.
• Coordinate return to work and work restrictions with healthcare providers and employers.
• Analyze medical documentation to determine the compensability of claims.
• Initiate and monitor program requirements and process benefits.
• Mediate disputes involving injured workers, employers, healthcare providers, and the division.
• Coordinate with healthcare providers to effectively manage the compensable injury and establish appropriate diagnoses and treatment plans for the injury.

Position Duties

PREFERENCES:


Preference may be given to those with Claims Management and/or Claims Service experience.
Preference may be given to those with Customer Service experience.
Preference may be given to those with a Bachelor's degree in Management and/or Social Services.


KNOWLEDGE:  

 

• Knowledge of Workers' Compensation Law and Rules & Regulations.
• Ability to assist clients in working through complex processes.
• Ability to work independently.
• Ability to analyze situations and provide resolutions within the statutes.
• Knowledge of medical terminology
• Knowledge of case management
• Knowledge of customer service

MINIMUM QUALIFICATIONS:    

Minimum Qualifications

NOTES:

 

• FLSA: Non-Exempt
• Former State of Wyoming employees who are rehired less than 31 days after their final day in their old agency must repay all leave payouts.
• The Wyoming Department of Workforce Services (DWS) uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities.
• For the Veteran's preference consideration, supporting documentation must accompany your application.
• Offers of employment will be contingent upon the successful completion of a background check.

Other Qualifications

Click here to view the State of Wyoming Classification and Pay Structure.

Click here to view the State of Wyoming Total Compensation Calculator.

URL: http://agency.governmentjobs.com/wyoming/default.cfm

The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.

Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
 

Benefits

Working for the State of Wyoming means more than a job — it’s a stable, rewarding career that lets you make a difference while enjoying a great quality of life.

Employees enjoy:

• Comprehensive health coverage – medical, dental, and vision plans for you and your family
• Voluntary Benefits – including life insurance for you and family members, ambulance, pet insurance, short/long-term disability, flex spending and health savings accounts
• Multiple retirement options – including the Wyoming Retirement System and a 457B account, helping you plan for long-term financial security
• Generous paid leave and flexible schedules – vacation, sick leave, paid FMLA and 11 paid holidays each year
• Public Service Loan Forgiveness eligibility – for those with qualifying student loans
• Training and professional development – to support your career growth and advancement
• Employee Assistance Program – Includes paid short-term counseling, legal, financial and work-life benefits and select employee discounts
• Wellness Program – Earn paid time off and incentives by focusing on your personal health

Know your full value.
Your paycheck is only part of the picture. The State of Wyoming offers a Total Compensation Calculator that shows the full value of your salary plus benefits, so you can clearly see what your complete compensation package looks like.

Explore your total compensation: https://compensationcalculator.wyo.gov/

WORKING FOR THE GREATEST STATE IN THE NATION - Wyoming offers a lifestyle you can’t find anywhere else — wide-open spaces, clean air, friendly communities, year-round recreation, and no state income tax.

 Click here for detailed information or you can watch this short video to learn about our benefit package!.

Supplemental Questions

01

(AA) Which of the following best describes your highest completed level of education within the next three (3) months? (Transcripts may be required.)

• High School Diploma/GED/or Equivalent
• Some college Coursework, No Degree Received
• Associate's Degree
• Associate's Degree and additional coursework
• Bachelor's Degree
• Bachelor's Degree and additional coursework
• Master's Degree
• Master's Degree and additional coursework
• Doctorate Degree
• Doctorate Degree and additional coursework
• None of the Above

02

(AA) Which of the following Quarter/Semester credit hours best describes your completed college education within the next three (3 months)? (Transcripts may be required.)

• 45+ Quarter hours/30+ Semester hours
• 90+ Quarter hours/60+ Semester hours
• 136+ Quarter hours/91+ Semester hours
• 180+ Quarter hours/120+ Semester hours
• 225+ Quarter hours/150+Semester hours
• N/A

03

(BEWC07) How many years of relevant work experience or transferable skills do you have related to the job description?

• No relevant experience, but willing to learn.
• Less than one year of relevant experience.
• One (1) to less than two (2) years of relevant experience.
• Two (2) to less than three (3) years of relevant experience
• Three (3) or more years of relevant experience.

04

(AA) Describe your relevant experience in the box below.

05

Do you have a Bachelor's Degree or higher in Management or Social Services?

• Yes
• No

06

Which of the following best describes your customer service experience?

• No relevant experience.
• Less than one (1) year of relevant experience.
• One (1) to less than two (2) years of relevant experience.
• Two (2) to less than three (3) years of relevant experience.
• Three (3) or more years of relevant experience.

07

Describe your customer service experience.

08

Which of the following best describes your relevant Claims Management and/or Claims Service experience.

• No relevant experience.
• Less than one year of relevant experience.
• One (1) to less than two (2) years of relevant experience.
• Two (2) to less than three (3) years of relevant experience.
• Three (3) or more years of relevant experience

09

Describe your experience with Claims Management and/or Claims Service.

10

(DWS) Former State of Wyoming employees rehired within 31 days of their previous employment with the State will be required to repay any Sick and Annual leave payouts.

• I am a former State of Wyoming employee and I have read and understand the above statement.
• I am not a former State of Wyoming employee.

11

(DWS) Please be advised that any offers of employment will be contingent upon the successful completion of a background check. I have read and understand the above statement.

• Yes
• No

12

(A) Where did you hear about this opportunity?

• Goverment jobs
  www.governmentjobs.com/careers/wyoming
• Indeed
• LinkedIn
• Zip Recruiter
• Wyoming Workforce Center
• Other job sites (Wyoming at Work, Monster, etc.)
• Social Media (Facebook, Twitter, etc.)
• Newspaper/Newsletter Advertisement
• Career Fair
• Human Resources Division
• Friend or Acquaintance (Not State Employee)
• Current State Employee
• Other

13

(A1) If you selected "Current State Employee" please provide the employee's first and last name, and include the department they work for if known. Please limit this response to only one employee. This employee may be eligible for a Referral bonus

14

(A1) If you selected Other, please tell us where you heard about this opportunity.

15

(AA) VETERANS' PREFERENCE DISCLOSURE: PER WYOMING STATUTE, current employees of the State of Wyoming are not eligible for veterans' preference. If you are not a current employee of the State of Wyoming, to be eligible to receive veterans' preference you MUST have been a resident of the State of Wyoming for a period of one (1) year or more at any time prior to submitting this application.

I have read and understand the veterans' preference disclosure.

• Yes
• No
• I am not a veteran

16

(AA) VETERANS' PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veteran's military service, and wish to claim veterans' preference, please attach the appropriate documentation substantiating your claim. Indicate below your appropriate veterans' preference status. By requesting veterans' preference, you are certifying that you meet the statutory requirements as described in the above disclosure.

• Current State Employee
• Veteran - DD214 Attached
• Disabled Veteran (10% or more) - DD214 and Veteran's Disability Determination Attached
• Surviving Spouse of a Deceased Veteran - DD214 and proof of Survivor Benefit Attached
• None of the above

17

(AA) Please be advised that an incomplete application WILL NOT be considered for employment. An attached resume' is not required and is not an acceptable substitution for a completed application. Some State of Wyoming agencies use E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities at https://www.uscis.gov/e-verify.

I have read and understand the above statement.

• Yes
• No

Required Question

Agency Information

Employer

State of Wyoming

Address

Human Resource Contact Information located in the

General Description Section






Statewide, Wyoming, 82002

Phone

307-777-7188

Website

http://agency.governmentjobs.com/wyoming/default.cfm