Office Associate II - Claims Unit position at Maine.| United States Of America

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Maine Office Associate II - Claims Unit

Experience: General

Pattern: full-time

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Associate

Augusta, Maine....United States Of America

If you are a current State of Maine employee, you must complete your application through the internal application process (Find Jobs Report). Please apply using your PRISM account. If you are on Seasonal Leave and do not have access to PRISM, contact your local Human Resources representative for application information. Workers’ Compensation Board Claims Management Unit Opening Date: January 23, 2026 Closing Date: February 27, 2026 Grade / Admin Unit: Job Class Code: 6542 Salary: $17.30 - $24.91/ Hourly Position Number: 02900 0395 Location: Augusta Central Office Telework: Telework options – Yes (partial/hybrid), with management approval OVERVIEW: This unit is responsible for managing the life cycle of approximately 85,000 filings for Workers’ Compensation claims filed in Maine. The unit receives and processes approximately 60,000 paper payment forms annually. Filings are transmitted electronically to initiate a lost time claim or notify the Board of a controversy requiring intervention of the agency and/or its dispute resolution process. This position creates the physical files, maintains the files throughout the life of the claim and determines when the physical files have met the statute of limitations and can be purged. The unit is responsible for maintaining the file room at the Board’s central administrative office and managing the flow of paper claims files to and from the Board’s five (5) regional offices. This position also works with the daily filings of petitions sent to the Augusta Central office. Due to the large volume of the unit this work must be distributed across 7 staff to ensure timely and accurate processing of injured employees' claims. JOB DESCRIPTION This position is part of the Board’s Claims Management Unit and will have an assigned caseload of insurers, third party administrators and self-insureds. The position works with forms filed, verifies accuracy of information, data and calculations documenting payment of lost-time and medical benefits, contesting claims for benefits, initiating litigation and recording settlement of individual cases. The position also answers questions about Workers’ Compensation benefits. REPRESENTATIVE TASKS (A position may not be assigned all the duties listed, nor do the listed examples include all the duties that may be assigned). Review and process a variety of forms filed with the Board regarding payment of benefits to injured workers checking for completeness and accuracy, identifying errors, applying the correct rules and statutory requirements depending on the date of injury, calculating &/or verifying rates as needed. Provide technical assistance to claims managers, adjusters, claims representatives, attorneys and WCB staff for completion and filing of Board forms. Resolve problems placed into queues such as; incorrect date of birth, Social Security number, misspelled name or change of address. Maintain batch files for paperwork filed prior to forms being entered. Sort and match daily paperwork with the correct file. Handle telephone and email inquiries; assist receptionist as needed. Identify insurance coverage issues and errors and refer to Board’s Coverage Unit for resolution. Enter petitions into the Board’s case management system and purge original claim files that have exceeded the statute of limitations. Respond to requests for files from regional offices, log files in/out and maintain files housed in the file room. KNOWLEGES, SKILLS AND ABILITIES REQUIRED: (These are required to successfully perform the work assigned). Knowledge of Microsoft Word and Excel. Ability to work independently. Ability to receive, screen and give information while maintaining confidentiality. Ability to communicate effectively orally and in writing with a wide variety of people; adjusters, attorneys, employers, injured workers and IT technical staff. Ability to obtain and evaluate pertinent information. Ability to accurately interpret applicable laws, administrative and Law Court decisions and apply them correctly to different dates of injury. Ability to identify, retrieve, analyze and evaluate data from the Board’s case management system. Ability to establish and maintain effective working relationships. Ability to analyze complex issues, reach logical conclusions and make sound recommendations and decisions. Ability to perform mathematical calculations and formulas and to use Excel spreadsheets to accurately verify calculations submitted to the Board. Ability to communicate with a wide range of professionals and the public, identify applicable rules and laws, and explain their application to specific instances. MINIMUM QUALIFICATIONS Training, education, or experience in office and administrative support work that demonstrates 1) competency in applying a solid knowledge of modern office practices to perform complex, varied office support tasks, and 2) the ability to use independent decision-making on the appropriate processes to follow, information to process, and actions to take in accordance with standard procedures. All positions in this classification assume the qualifications of: Office Assistant I , Office Assistant II , and Office Associate I . APPLICATION INSTRUCTIONS: Please submit a cover letter along with a current resume. In order for us to properly determine if you meet the minimum qualifications for any posting, you must be sure your resume includes the month and year for any relevant experience listed. Your resume should include the duties and responsibilities associated with each position. Any experience that was not full-time employment should be identified as such. CONTACT INFORMATION: For more information or questions specific to the position, please contact Name and email address/phone number (default will be: recruiting.ggsc@maine.gov ) The selected candidate will be required to pass the required background checks (fingerprinting may be required) as a condition of employment. This position is not eligible for visa sponsorship or STEM OPT extensions. Benefits of working for the State of Maine: No matter where you work across Maine state government, you find employees who embody our state motto—"Dirigo" or "I lead"—as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including: Work-Life Balance – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($11,857.68-$13,950.24 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State. Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements . Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value). Retirement Plan – The State of Maine contributes 14.11% of pay to the Maine Public Employees Retirement System (MainePERS), on behalf of the employee. Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense. Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses. Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office . Living Resources Program – Navigate challenging work and life situations with our employee assistance program. Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including fathers and adoptive parents—receive forty-two (42) consecutive calendar days of fully paid parental leave . Additional, unpaid leave may also be available, under the Family and Medical Leave Act . Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions. State employees are eligible for an extensive and highly competitive benefits package , covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness . Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time. There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request. Thinking about applying? Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your experience and passion set you apart. If you require a paper application, please download and print one HERE . If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.

Office Associate II - Claims Unit job opportunity at Maine.

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