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 direction of an administrative official in the Department of Labor and Workforce Development, plans and supervises operations of a major section of the Division; Supervises, plans, organizes, and coordinates the work programs of the section, gives instruction and direction to Unit Supervisors; Supervises staff and work activities; prepares and signs official performance evaluations for subordinate staff; does other related duties as required.

Examples of work

Directs the activities and staff responsible for multiple components of the Division of Temporary Disability Insurance involved in providing disability claims processing services or, monitoring and underwriting disability plans and claims activities for workers and employers covered by the provisions of the New Jersey Unemployment Compensation and Temporary Disability Benefits Laws. Oversees the prompt and proper determination and issuance of benefit entitlements. Oversees the management and operations of the Divisions automated information services. Oversees the maintenance of a safe and healthy work site environment and takes corrective action when required. Reviews and evaluates workload and production statistics to plan for personnel allocation, priority assignments and goals accomplishments. Establishes an effective fraud prevention and detection system; implements initiatives designed to identify fraudulent claimants. Receives and reviews customer comments on services; develops initiatives to ensure that prompt, efficient and courteous service is provided to customers. Analyzes reports tracking claims certifications by high volume medical practitioners in the state to minimize fraudulent claims; provides recommendations and directs the corrective action needed. Prepares and presents educational outreach programs concerning the functions and services of the Division of Temporary Disability Insurance. Provides advice and information to other departmental units, government agencies, employers and constituent groups. Evaluates and determines training and career development needs; recommends needed training programs that utilize resources available through supervisors, technicians, departmental training services, and other sources. Analyzes economic trends to project workload intake and inventory and estimates future personnel, space, and equipment requirements; plans and develops operating programs to meet community and constituency needs in accordance with Law and policy changes; modifies and adapts plans in terms of actual allocations; formulates emergency plans for unexpected conditions. Provides recommendations regarding the acquisition and implementation of advanced technological hardware and software. Coordinates the activities of various Division programs Keeps current with disability laws and issues. Monitors and approves vouchers for reimbursement of staff travel expenses and for payment to physicians for impartial examinations. Directs the work activities of the Division's field investigative staff, and Division staff physicians. Maintains liaison with the New Jersey Board of Medical Examiners detailing the improper or fraudulent claim certifying activity of licensed medical practitioners. Directs efforts in cooperative fraud investigations of physicians, claimants, and employers. Plans and conducts meetings and conferences with supervisory staff to communicate and disseminate information about policy changes, training plans, technological advances, and other issues of importance. Supervises the work operations and or functional programs and has responsibility for evaluations and for effectively recommending the hiring, firing, promoting and/or disciplining of employees. Oversees the proper dissemination of claim information. Provides guidance, instruction and training to supervisors and staff. Compiles all supporting documentation and provides testimony at departmental hearings. Provides direction to staff regarding the Division's position at appellate hearings. Prepares detailed technical correspondence in response to referrals or constituent inquiries. Monitors benefit payments and provides approval for release of checks. Oversees adjustments when audits reveal discrepancies between amounts authorized and paid. Oversees the review of confidential employer financial data as part of the monitoring of underwriting activities. Directs and controls Division's efforts in recovering incorrect and fraudulent payments. Supervises the establishment and maintenance records and files. 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 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. Knowledge of medical terms, medical evaluations and testing procedures associated with temporary disability insurance claimants. Knowledge of supervisory principles and techniques. Knowledge of the benefits claims process. Ability to read and interpret disability insurance programs laws, rules and regulations and apply them to specific situations. Ability to prepare presentations and speak before groups regarding disability insurance. Ability to analyze the effect of economic trends on industries and the corresponding relationship to social insurance programs. Ability to direct the activities and staff of a disability insurance division. Ability to establish an effective fraud prevention and detection system. Ability to provide advisement and information to staff and others. Ability to provide recommendations for the acquisition of needed software and other equipment. Ability to prepare correspondence. Ability to monitor benefits determinations and payments. Ability to keep current with employment conditions in the State and region. Ability to establish and maintain cooperative working relationships with others involved in the work of the division. Ability to identify staff training needs and develop or obtain training services. Ability to assess and request adequate space and equipment needs. Ability to supervise the maintenance of files and claims records. Ability to learn how to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units. Ability to read, write, speak, understand, and communicate in English sufficiently to perform 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 essential functions of the job after reasonable accommodation is made to their known limitations. 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. Nine (9) years of professional experience in the administration of a program providing health, medical or disability benefits, three (3) years of which shall have been in a supervisory capacity. OR Possession of a bachelor's degree from an accredited college or university; and five (5) years of the above-mentioned professional experience, three (3) years of which shall have been in a supervisory capacity. OR Possession of a master's degree in Public or Business Administration or related field from an accredited college or university; and four (4) years of the above-mentioned professional experience, three (3) years of which shall have been in a supervisory capacity. "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.