This position will be assigned to the Air Force Service Center at Port San Antonio, TX. This is a regular full-time category position with guaranteed 40 hours per week. Employees appointed to a regular category position are eligible for benefits.

Duties

Assists with administration of the workers' compensation program for all nonappropriated fund personnel employed worldwide by the Air Force. Explains general compensability criteria, claim filing instructions, as well as Air Force policy and procedures to HRO payroll offices and injured employees alike. Assists with the decision-making and administrative support of the workers' compensation program. Screens all incoming claims from the field by verifying and reviewing for completeness and accuracy, ensures appropriateness of injury and medical documentation, inputs all pertinent data according to coding requirements and maintains the accuracy of the workers' compensation database, runs and designs reports, ensures backup, and reports all program/database malfunctions to branch management. Assists with the management, monitoring, directing, and oversight of work conducted by ancillary service vendor necessary to run the workers' compensation program. Processes and assists with responses to notification of assignments for the Early Intervention Case Management program. This includes, but is not limited to: verifying eligibility for program participants, documentation verification, screening and intake of initial claim information, exchange and coordination of verbal and written communication and correspondence between HRO, payroll, supervisors, medical providers, and examiners. Documents and maintains program records of all actions taken for proper reimbursement of ancillary service providers. Interprets, calculates, and processes requests for reimbursement of ancillary service providers according to established contracts, fee schedules, and branch policies and procedures. When needed, researches and resolves problem claims for submission to claims examiners. Assist branch manager with special projects and performs other duties as required. If interested in applying for this position you may preview the online application: https://apply.usastaffing.gov/ViewQuestionnaire/12678906

Requirements

• This position requires the incumbent to complete a background investigation with favorable results.
• This position requires that the incumbent be a U.S. Citizen or a Legal U.S. Resident for a minimum of 3 years.

Qualifications

Who May Apply: Open to everyone. Applicants will be categorized by preference(s) and/or priority consideration eligibilities. An applicant's eligibility will be determined based on eligibility claimed in the questionnaire and proof of eligibility MUST be provided with application by the closing date, 02/06/2025 Business Based Action, Military Spouse Preference, Outside Applicant Veteran, Spouse/Widow/Parent of Veteran, and Transition Hiring Preference In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if the position allows for qualifying based on education, your transcripts will be required as part of your application. Qualifying Experience: Experience with general modern office procedures in the insurance claims environment. Experience with personal computer operations. Experience with preparing and editing correspondence, spreadsheets, databases, reports, and briefings. Knowledge, Skills and Abilities (KSA's):Your qualifications will be evaluated on the basis of your level of knowledge, skills, abilities and/or competencies in the following areas: General knowledge of works' compensation insurance programs, concepts, claims adjudication procedures, and insurance/medical terminology. Good written and verbal communication skills. Ability to think independently, analyzes problems, apply sound judgement, apply practical applications, and provide alternative solutions on own initiative. Ability to work multiple projects simultaneously. Ability to work effectively and harmoniously with senior management, peers, and subordinates alike. Customer service oriented **NOTE: Those qualified applicants who meet both the minimum qualification requirement(s) and highly preferred criteria(s) will be considered best qualified for this position and will be referred to the selecting official(s) first for consideration. All other applicants will be referred as needed and requested by the selecting official(s). **Reminder to Applicants: Your experience has to be clearly identified in your resume in order to receive consideration. If your resume does not provide enough information regarding your work history for us to make a creditable qualification determination, your application package may be rendered disqualified, and you will no longer be considered for this position. (Format example: Employer name, position title, beginning and ending dates of employment, with summary of duties, etc.)

Education

Some federal jobs allow you to substitute your education for the required experience in order to qualify. This position does not allow for education substitution.

FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying.

Contacts

• Address AFSVC Plans and Force Management AFSVC/VX 2261 Hughes Ave, Suite #156 Lackland AFB, TX 78236-9852 US
• Name: AFSVC HQ NAF HR Office
• Email: [email protected]