ASSISTANT DISABILITY INSURANCE SUPERVISOR

Official job specification

The text below is the official specification published by the New Jersey Civil Service Commission. The plain-language summary and analysis above are derived from it by NJ Civil Service Navigator. Source: the official specification page at NJ CSC.

Definition

Under the general supervision of the Disability Insurance Supervisor or other supervisory official in the Department of Labor and Workforce Development, supervises the day to day operations of a Section of the Disability Insurance Service, Division of Unemployment and Disability Insurance, Department of Labor. Supervises, plans, organizes, and coordinates the work programs of the section, gives instruction and direction to staff; Supervises staff and work activities; prepares and signs official performance evaluations for subordinate staff; does other related duties as required.

Examples of work

If assigned to the Approval and Termination Section, Bureau of Private Plan: Supervises the work of staff involved in reviewing approvals, modifications, terminations, transfers, and absorptions of Private Plan. Assists in conducting conferences between the section and employers, insurance representatives, welfare fund administrators and attorneys. Analyzing new insurance policies, riders, amendments, and employee notices submitted by insurers for acceptability under the Temporary Disability Benefits Law. Recommends acceptable provisions to the supervisor. Notifies the supervisor of provisions that are at variance with the law, as well as provisions containing omissions and errors. Reviews financial statements submitted by self-insured employers who are requesting exemption from posting security and recommends to the supervisor either his approval or disapproval of the statement. If assigned to the Assessment Section, Bureau of Private Plan: Supervises the work involved in the preparation, mailing and collection of assessments for all State and Private Plan employers and the refund of worker contributions to workers who worked for multiple employers. Has direct charge of the field unit and implements programs for field investigations and visitations to employers, insurers, self-insurers, union and welfare funds to educate and assist them regarding Private Plan laws, regulations and requirements and to alleviate problems in administering private plan claims. Supervises the issuing and receipt of regulatory reports from private plan insurers, self-insurers, union and welfare funds, and the compiling of statistical data therefrom. Acts as collateral security officer, makes determinations regarding amounts of security required, keeps records of all security on deposit with New Jersey National Bank, gives instructions to bank regarding deposits and withdrawals, makes semi-annual reappraisals of securities. If assigned to the Irregular and Disputed Claims Section, Bureau of Private Plan: Supervises the work involved in examining and reviewing all irregular and disputed claims covered under private plan. Supervises the review of all denied by private plan insurers and the actions undertaken to settle the disputes or irregularities concerning disability claims. Assists in conducting informal hearings to settle claim disputes. Assists in coordinating private plan claimant appeals with the private plan hearing officer. Assists in supervising the determination of the plan coverage of disability claims coded combination plan. If assigned to the Disability During Unemployment Section, Bureau of Private Plan: Supervises the work involved in processing, determining, and paying disability during unemployment claims under the provisions of the New Jersey Unemployment Compensation Law including Interstate, Combined Wage, Federal Employees, Ex-Servicemen's Programs and State Employees not covered by the State Plan. Assists in processing and maintaining claimant appeals to the Appeals Tribunal and gent appeals to the Board of Review. Supervises the Interim Fringe Program within the Local Office Over the Counter Payment System pertaining to disability claims. Assists in maintaining close liaison with all Local Offices of the Unemployment Insurance System, State Plan Bureau, Irregular and Disputed Claims Section and Collateral Unemployment Claims Offices to insure claim continuity, prompt payment of benefits and to prevent overpayment and duplication of benefits. If assigned to the Determination Section Bureau of State Plan: Supervises the operation of the Disability Insurance Service in examining claims for temporary disability benefits, determining eligibility and authorizing initial payment of benefits. If assigned to the Payments Section, Bureau of State Plan: Supervises the staff and is responsible for the authorization of disability benefit payments and the distribution of claims. If assigned to the Investigation Section, Bureau of State Plan: Supervises of investigations, continued claims for disability benefits, appeals from determinations and establishing liens against Workers' Compensation Awards; establishing overpayments and penalty assessments in fraudulent Claims. Assists the staff in implementing work programs to obtain a smooth continuous operation, helps plan and organize workflow, exercise control of quantity and quality of work, coordinates work with other sections to maximize output and minimize errors. Reviews procedures and recommends changes to improve operating efficiency. Recommends revisions in form letters and other material used in correspondence. Instructs personnel in adherence to revised or newly enacted statutes, regulations, executive orders, or procedures pertaining to the Temporary Disability Law. Supervises the work operations and/or functional programs and has responsibility for employee evaluations and for effectively recommending the hiring, firing, promoting, demoting and/or disciplining of employees. Assists in the solution of difficult claims. Conducts formal training sessions and supervises on-the-job training of personnel. Confers with claimants, employers or other interested parties or their legal representatives above insured plans and claims arising therefrom. Prepares official correspondence. Prepares and directs the preparation of reports containing findings, conclusions and recommendations. Supervises the establishment and maintenance of records and files. Supervises local terminal operations related to LOOPs, the Local Online Payment System. Will be required to learn how to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units.

License

Appointee will be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform the essential duties of the position.

Knowledge, skills and abilities

Knowledge of the administrative techniques and office procedures required to ensure effective operation of the section to which assigned. Knowledge of legal/medical terminology connected with Insurance Programs and other Supplemental Income Programs. Knowledge of how to organize and develop work programs and procedures and to give suitable assignments and instructions to individuals and groups and to provide subordinates with advice and assistance. Knowledge of the rules, regulations, standards, policies, and procedures concerning the payment of disability insurance benefits under the State Plan, approved Private Plan and Disability During Unemployment Program. Knowledge of the New Jersey Unemployment Compensation Law, the New Jersey Temporary Disability Benefits Law, Administrative Code, No Fault Insurance Law, and the appropriate titles of the Federal Security Act. Knowledge of the problems encountered in the administration of the Disability Insurance Service. Ability to comprehend and interpret legal documents, insurance policies, financial-statements-and legal actions of various types and apply to specific cases. Ability to effectively supervise and utilize the PAR Program to evaluate performance, recommend corrective action as necessary, and to develop improvement plans for personnel. Ability to analyze, interpret and apply to specific cases, the New Jersey Temporary Disability Benefits Law the related Unemployment Compensation Law, Administrative Code, and No Fault Insurance Law. Ability to take the lead in planning and implementing the work assignments of the section to which assigned. Ability to ensure maintenance of reasonable standards of quality and output and to ensure that desired objectives are accomplished. Ability to learn how to utilize various types of electronic and/or manual recording information systems used by the agency, office or related units. Ability to read, write, speak, understand, and communicate in English sufficiently to perform the duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication. Persons with mental or physical disabilities are eligible if they can perform the essential functions of the job after reasonable accommodation. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.

Note

The examples of work for this title are for illustrative purposes only. A particular position using this title may not perform all duties listed in this job specification. Conversely, all duties performed on the job may not be listed. Applicants must meet one of the following or a combination of both experience and education. Thirty (30) semester-hour credits are equal to one (1) year of relevant experience. Eight (8) years of professional experience in a public or private organization dealing with the review, analyses and evaluations of claims related to disability insurance programs, workers' compensation, unemployment compensation or similar insurance programs. OR Possession of a bachelor's degree from an accredited college or university; and four (4) years of the above-mentioned professional experience. OR Possession of a master's degree in Public or Business Administration or related field from an accredited college or university; and three (3) years of the above-mentioned professional experience. "Professional experience refers to work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the authority to act according to one's own judgement and make accurate and informed decisions.