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Victim Witness Claims Technician

Salary: N/A

DEFINITION: Under general supervision, assists victims of violent crime in seeking reimbursement for their crime-related losses by investigating and verifying claims, making eligibility determinations, and recommending victims' claims for consent or denial by the Victims of Crime Compensation Program, may make oral presentations regarding program services and requirements to public service providers; and performs other related duties as required.

EXAMPLES OF DUTIES:

1. Reviews law enforcement reports and Victim of Crime Compensation Program applications to ensure that applicants and claims for reimbursement adhere to State statutes, regulations, and eligibility requirements; verifies nature and extent of injuries; calculates total and net losses to victims; obtains documents necessary to support claims for wage, mental health, medical, relocation expenses, and funeral losses, using a networked personal computer to access the State's automated claim filing system.
2. Prepares computerized verification reports to the Victims of Crime Compensation Program which include a synopsis of the crime, a description of injuries, the criminal case status, loss calculations, and reimbursements received; maintains an ongoing, in-house system to track and control the claims process; maintains computer communication with the Victims of Crime Compensation Program staff to clarify claim status and Victims Of Crime Compensation Program changes; records claims filed and related bills in manual daily logs; and compiles mandatory monthly statistics.
3. Identifies and verifies all sources of reimbursement available to victims, including State Disability insurance, auto, life, and health insurance, unemployment insurance, court-ordered restitution; civil suits, workers' compensation benefits and public assistance; and monitors such recovery sources, in order to ensure that recoveries do not exceed claimant's out-of-pocket expenses; and purges completed files.
4. Recommends claim awards and denials based upon State Government Codes and Regulations; prepares notification letters to providers and claimants; prepares supplemental narratives to clarify denied claims scheduled for State Administrative hearings; and refers claims falling outside guidelines to Victims of Crime Compensation Program for determination of eligibility.
5. Participate in intra-departmental review of eligibility determinations made by Claims Technicians assigned to other locations within the county, to verify compliance with Victim Compensation Board Statutes and Regulations.
6. May make oral presentations to police, mental health professionals, and other public service providers regarding services, requirements, and limitations of Victim/Witness Claims program.

EMPLOYMENT STANDARDS:

1. Two years of experience performing claims processing or financial eligibility determination; or,
2. a combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge and abilities.

Knowledge of: modern office procedures; basic math; English usage and grammar; and the operation of standard office equipment, including personal computers.

Ability to: read, understand, explain, and apply program procedures and regulations; accurately gather, record, review, and evaluate data for determining benefits; perform basic arithmetical calculations; learn and use basic medical terminology; write narrative summaries; work and communicate well with a wide variety of people; maintain confidentiality of sensitive information; demonstrate compassion and empathy for victims of crime while maintaining objectivity and professionalism; organize work and maintain systematic, detailed, and accurate records; work efficiently within established time constraints; operate a personal computer; make oral presentations; and learn program specific computer software.
 



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