Victim Witness Claims Technician
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
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