Hr benefits claims specialist Job at Ramsey County, Saint Paul, MN

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  • Ramsey County
  • Saint Paul, MN

Job Description

Full job description

Basic Function

The current vacancy is in the Human Resources Benefit department.

To evaluate and maintain records, manuals, events or reports, and audit personnel and insurance-related transactions and documents in order to ensure accurate benefits, personnel, and/or payroll records for Ramsey County employees; respond to internal and external requests for workers’ compensation, leave of absence, benefit, or personnel information; to advise and instruct departmental staff of the proper methods for completing and processing transactions and other related documents; to perform other functions and related duties as assigned.

Flexible Workplace

This position is identified under the designation of ‘flex work eligible’, meaning that the employee can formally opt to be in-office full-time or work a flex schedule in which at least two-days per week are performed in office and other days can be performed in a remote-first environment. Regardless of selection, the position carries expectations regarding on-site responsibilities and will require schedule flexibility beyond the minimum expectations set forth in the county’s flexible workplace policy. To view Ramsey County’s Flexible Workplace policy, go to: Flexible Workplace policy .



If an internal candidate is selected, salary will be set in accordance with the personnel rules (i.e., promotion, transfer, or voluntary reduction).

Examples of Work Performed

Claims Specialist


  • Assist in the leave management of any work-related injury or illness claims reported to the county's workers' compensation program.
  • Conduct preliminary investigations of employee injury claims, identify possible areas of liability, and refer more involved questions to either a senior claims specialist or claims manager.
  • Interview injured workers, supervisors, and witnesses to gather necessary claim documentation, calculate workers' compensation benefits, prepare and submit all necessary state forms to meet mandatory time limits, and record claim information into an electronic claims system.
  • Correspond with and obtain information from attorneys, medical providers, employer contacts, rehabilitation consultants and the claimant regarding continued wage loss, prior history of injury/illness, medical treatment, and/or other pertinent issues to determine ongoing county liability and update the reserve status of the claim.
  • Compute appropriate wage benefits through regular communications with individual department payroll/benefits specialists and in consultation with applicable union contracts or personnel rules.
  • Coordinate the review of medical expenses with the medical bill review vendor and authorize medical payments as appropriate. Reconcile and process invoices for medical, indemnity, legal, and settlement expenses. Maintain records and reserves for these payments in an electronic claims system.
  • Maintain regular contact with the employee, the employee’s department and any necessary vocational rehabilitation services regarding medical developments and return-to-work coordination.
  • Coordinate continuation of employee benefits throughout the workers’ compensation leave of absence.
  • Ensure compliance with all federal, state and local laws, as well as employer policies and collective bargaining agreements, including FMLA, ADA, PWFA, MN ESST, MN PFML, and MN workers’ compensation statute.
  • Gather and analyze data to measure claims and leave of absence utilization.

(The work assigned to a position in this classification may not include all possible tasks in this description and does not limit the assignment of any additional tasks in this classification. Regular attendance according to the position's management approved work schedule is required.)


ESSENTIAL FUNCTIONS:
1, 2, 3, 4, 5, 6, 7, 8, 9



Minimum Qualifications

Education: High school graduation or equivalent.

Experience: Five years of clerical experience including one year of experience in the specialty areas of payroll, transactions, human resources, or Accounting, or one year of experience as a Personnel Transactions Assistant, or equivalent.

Substitution: A Bachelor's Degree in business administration, public administration, human resources or a field related to the area assigned may substitute for four years of the clerical experience.

Certifications/Licensure: None.

Exam/Screening Process Information

The examination process will consist of the following section with each section weighted as indicated:
Training and Experience Rating = 100%


The examination for the HR Benefits, Claims, Transactions Specialist 1 will consist of a training and experience rating, comprised of the questions in the attached supplemental questionnaire. Not all applicants who meet the minimum qualifications will pass the training and experience rating. The rating on this supplemental questionnaire will depend on your answers to the questions – do not mark “see resume” or “see work history” as a response. Please answer all your questions clearly and completely. Failure to respond could affect your score and final rank on this examination.



Eligible List : The names of all applicants who filed a properly completed application and passed the examination/screening process shall be placed on the eligible list for an employment opportunity as a HR Benefits, Claims, Transactions Specialist 1. This list will be certified to the appointing authority which may use this list to conduct interviews to fill a vacancy. Candidates will remain on the list for 3 months or until hired, whichever occurs first. A notice will be sent to applicants at the time the eligible list is posted, informing them that the list has been posted and their rank on the list.



Veteran's Preference : This is a classified position requiring an open, competitive selection process. Veteran's Preference points will be applied after a candidate passes the examination process. Applicants who are eligible for veteran's preference should update their veteran's DD214, and other supporting documents, and submit them as an attachment at the time of application.



Criminal Background Checks : All employment offers are conditioned upon the applicant passing a criminal background check. Convictions are not an automatic bar to employment. Each case is considered on its individual merits and the type of work sought. However, making false statements or withholding information will cause you to be barred from employment, or removed from employment.



E-Verify Participation : Ramsey County participates in the federal E-Verify program. This means that Ramsey County will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. If the Government cannot confirm that you are authorized to work, Ramsey County is required to give you written instructions and an opportunity to contact DHS and/or the SSA before taking adverse action against you, including terminating your employment. Employers may not use E-Verify to pre-screen job applicants and may not limit or influence the choice of documents you present for use on the Form I-9.



Equal Opportunity Employer : Ramsey County provides equal access to employment, programs, and services without regard to race, color, creed, religion, age, sex (except when sex is a Bona Fide Occupational Qualification), disability, familial or marital status, sexual orientation or gender identity, public assistance status, place of residence, political affiliation, or national origin. Ramsey County is deeply committed to advancing racial equity and promoting diversity and inclusion within all areas of our workforce.


. You will need to print this posting and answer the supplemental questions associated with this exam and submit them with your completed paper application.


For further information regarding this posting, please contact Crystal Diaz at

[email protected]


Ramsey County provides a wide range of employee benefits to support health, well-being, and work/life balance. Benefits eligibility can vary depending on union status/contract language. A summary of benefits is provided below. Detailed information is available for review at

  • Medical, dental and vision insurance
    • The County contributes a bargained percentage to the medical and dental monthly premium
    • Employees choose from four enrollment tiers: Single, Employee + legally married spouse, Employee + Child(ren), Family
    • Blue Cross Blue Shield Medical insurance – three plan options including a High Deductible Plan with a Health Saving Account offered. Earn up to $20/month in electronic gift cards for each enrolled employee or spouse for wellness activity
    • MetLife Dental Insurance – two plan options offered
    • VSP Vision Insurance – Advantage Plan offered
  • Pre-tax Benefit Program
    • Pre-tax medical, dental, vision monthly premium deduction option
    • Dependent and Health Care Flexible Spending Accounts
    • County monthly contribution to a Health Savings Account for employees who elect the High Deductible medical plan
  • Paid time off
    • Vacation hours, accrued based on years of service, ranging from 12 to 25 days per year (pro-rated for part-time employees)
    • 11 scheduled holidays and one floating holiday
    • Up to three weeks of 100% paid parental leave, plus additional use of sick time as noted below
    • Sick hours accrued at a rate of three weeks per year, which can be used for medical and dental care; injury or illness for you, your spouse or children; the birth or adoption of a child (up to 80 hours) or the death of a family member (up to 40 hours)
    • Wellness incentive allows conversion of unused sick time to vacation or pay
  • Retirement benefits
    • Pension - The county contributes at least 7.5% of your salary to your pension, depending on bargaining unit. Unlike other retirement investments, pension payments are a lifetime benefit once you start collecting payments
    • New employees become vested after five years. For the Police and Fire union, employees are vested after 10 years
    • Deferred compensation - 457(b) account with employer match
    • Health Care Savings Plan - all benefits-eligible employees contribute 1% of gross regular salary to a Health Care Savings Plan account for eligible health care expenses after retirement. Interest accrues tax free. County provides a scheduled contribution after five years of participation
  • Transit and parking
    • Fully funded Metropass.
    • Transportation/parking expenses reimbursement account
  • Employee well-being
    • Employee assistance program, including telephone counseling, financial counseling, rideshare benefits, etc.
    • Wellness programming
    • Flexible work policy with hybrid work options for eligible positions
  • Life Insurance and Disability leave
    • County provided Basic Life coverage - 1x annual salary, minimum $10,000 up to a maximum of $50,000. Optional supplemental coverage available
    • Long-term Disability – County provided coverage replaces 40% of the employee’s lost income after six months of disability, subject to a $5,000 monthly maximum. Option to purchase an additional 20% income replacement up to $7,500 monthly maximum
    • Short-term Disability – option to purchase 60% income replacement coverage with 30, 60 or 90-day waiting period
  • Career development
    • Tuition reimbursement, up to $4,000 per year
    • Online professional development opportunities through the Learning & Development Center
    • County employment qualifies as a public service organization for the Public Service Loan Forgiveness Program
    • Employee resource groups – help employees build connections through common bonds with colleagues
For information about Ramsey County's 2024 benefits, visit:

Job Tags

Hourly pay, Holiday work, Full time, Contract work, Temporary work, Part time, Local area, Remote job, Flexible hours, 2 days per week,

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