Claims Examiner

Title: Claims Examiner

State Role Title: Administrative and Office Specialist III / 19013

Hiring Range: $18.37 per hour

Pay Band: 3

Agency: Virginia Employment Commission

Location: VEC CENTRAL OFFICE

Agency Website: https://www.vec.virginia.gov/

Recruitment Type: General Public - G

**This is a non-exempt, hourly position without benefits, eligible to work up to 1,500 hours annually (May 1 – April 30). ** 

Job Duties

Reviews, examines, and processes unemployment (UI), Trade (TRA/RTAA), and Special Program claims.

Reviews and reconciles reports that document employer account charges and reimbursements. Obtains information required to ensure timely and appropriate processing of claims.

Works with claimants, employers, and/or other parties to obtain information and/or documentation to verify eligibility status and/or resolve problems or issues regarding UI benefit claimant payments and/or employer charges.

Conducts research, reviews claim requests, and initiates corrective action to resolve claim problems.

Provides administrative and programmatic support, maintains confidential claim files, prepares reports, and responds to inquiries in a timely and professional manner.

Provides mentoring and training to staff and performs system testing, as assigned.

*FTI Access Required.

Minimum Qualifications

Basic knowledge of claims processing; basic accounting and cash management principles; and office operations.

Strong customer service, claims examination and processing, data entry, and communication (oral and written) skills.

Ability to perform detailed work related to the tracking and resolution of claims and employer charges; collect and analyze information to make determinations; prepare and reconcile reports; record and enter information into a database; interpret and apply program requirements; work independently and as a member of a team; respond to inquiries and provide technical assistance; and prioritize work load and meet deadlines.

Additional Considerations

Working knowledge of the UI benefits eligibility and claims process.

Experience working with VEC programs and processing claims and charges; entering and reviewing data in a mainframe and PC based system environment (such as VUIS or related systems); reviewing claims; and working with UI benefit and/or Trade programs.

Proficient in Microsoft software (e.g., Excel and Word), OneDrive, and similar software programs.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Diversity and inclusivity are at the heart of what we do in Virginia, and the VEC is committed to upholding these values in our employment opportunities across the Commonwealth to people from all backgrounds, including all races, ethnicities, genders, and abilities.

The Virginia Employment Commission Is an Equal Opportunity Employer/Program, and a Virginia Values Veterans (V3) certified employer. AmeriCorps, Peace Corps, and other national service alumni are encouraged to apply.

The selected candidate must successfully pass a comprehensive background check including an FBI fingerprint background investigation.

Applications for this position must be submitted electronically through this website. Mailed, emailed, faxed, or hand delivered applications and résumés will not be accepted.

Applications are not accepted after the recruitment closing date.

Please carefully review the details of this recruitment including the location of the position and the posted salary before applying. VEC does not provide relocation assistance, and no salary will be offered outside of the posted salary range / flat rate.

Consideration for an interview is based solely on the information within the application (and/or resume). You must ensure your application/resume includes the scope of your experience, knowledge, skills, and abilities as it relates to the position you are applying for. Information not stated will not be assumed.

This website will provide a confirmation of receipt when the application is submitted for consideration.

For the status of your application and this position, please refer to your Jobs.Virginia.Gov account. We do not provide application status updates via email or telephone.

Auxiliary Aids and Services are available upon request to individuals with disabilities.
Applicants needing accommodations should contact the Human Resource office for additional information.

The VEC does not provide sponsorship; therefore, applicants must be a citizen or national of the U.S., a Lawful Permanent Resident, or an alien authorized to work in the US.

NOTICE: VEC will record information from each new employee’s Form I-9 (Employment Eligibility Verification) into the Federal E-Verify system to confirm identity and work authorization.

Contact Information

Name: Human Resources / Recruitment

Phone: For the most up-to-date status of your application, please refer to your Jobs.Virginia.Gov account. We do not provide application status updates via phone.

Email: Careers@vec.virginia.gov for recruitment related questions. Emailed applications, resumes, or cover letters will not be accepted. For the most up-to-date status of your application, please refer to your Jobs.Virginia.Gov account.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.