Appellate Review Specialist (Compliance Specialist 3)
State of Oregon, Salem, OR, United States
Appellate Review Specialist (Compliance Specialist 3)
Our mission is to equitably protect and empower consumers and workers while maintaining a predictable yet innovative regulatory environment for the businesses we regulate. The Department of Consumer and Business Services (DCBS) is a progressive business regulatory state agency dedicated to the mission of protecting and serving Oregon's consumers and workers while supporting a positive business climate. The department administers state laws and rules governing workers' compensation, occupational safety and health, financial institutions, insurance companies and building codes. The department has consumer protection and education programs, offices, and ombuds to help consumers, injured workers, and businesses. This position is with the Workers' Compensation Division (WCD). WCD administers, regulates, and enforces the laws and administrative rules governing the Oregon workers' compensation system. This position is represented by the Service Employees International Union (SEIU). Recruitment Timeline: Recruitment closes: April 26, 2026 1st round interviews: week of May 4, 2026 2nd round interviews: week of May 18, 2026 Anticipated start date: June 1, 2026 What's in it for you: Rewarding work in a productive and creative environment Colleagues who are passionate about public service Work/life balance, 11 paid holidays a year, and a competitive benefits package Advancement and learning opportunities that will help grow your career with the State of Oregon Possible eligibility for the Public Service Loan Forgiveness Program This position is eligible to telework on a full-time basis once the incumbent has gained the proficiency to perform work independently. The incumbent may occasionally be asked to work from the office on an as-needed basis. Here's what you will do: As an Appellate Review Specialist, you will resolve disputes by issuing a legally binding Order on Reconsideration after the completion of a thorough analysis of the claim closure and disputed issues, including compliance with claim closure statute. In some cases, you will facilitate the dispute by mutual agreement of the parties through negotiation, mediation and/or education. For a complete listing of the duties and responsibilities of this position, please review the position description. Here's what you need to qualify: Minimum Qualifications: Five years' experience doing administrative research that included compiling and evaluating facts to recommend management action, or decide compliance or eligibility with program guidelines and regulations. Three of the five years must be above the technical support level. Note: College-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years. Requested Skills: Preference may be given to candidates whose work history demonstrates the skills and knowledge necessary for processing and/or management of Oregon Workers' Compensation claims. Demonstrated ability to manage a large caseload composed of medical documents and legal documents Demonstrated ability to know and meet strict timelines Demonstrated ability to work collaboratively with diverse groups Demonstrated skill in analysis and evaluation of medical and/or legal decisions, using professional and impartial judgment in decision making Demonstrated ability to interpret policy, rules, statutes and case law Preference may be given to those with a strong background in medical terminology and understanding of human anatomy/physiology Application information: A resume and cover letter are required for this job posting. Please attach them in the "Resume / Cover Letter" section of the application. Please ensure that you clearly demonstrate in your application materials that you meet the qualifications and requested skills listed above and that you follow all instructions carefully. Only complete applications received by the posted application deadline date will be considered. You may be asked to submit a skills assessment, a writing sample, or a video interview as part of the application screening process. Additional information: Per the Pay Equity Law passed in 2017, an employee pay assessment will be conducted to determine what pay step the successful candidate will be offered. The assessment will be based on the relevant experience, education, training, and certifications documented in the application materials. On average, candidates new to state service will most likely be offered compensation in the lower to mid-level of the salary range. The salary range listed is the non-PERS eligible rate. If you are already a participating PERS member or once you become PERS eligible after 6 months of employment, the salary range will increase by 6.95% and the required 6% employee retirement contribution will be deducted from your pay. This position is subject to a fingerprint background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an educational institution during the application process. This information may be required after the interview process, depending on the requirements of the position. Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. For further information, please see the following website: Veterans, Disabled Veterans & State Servicemembers. NOTE: If claiming preference please be sure to check your Workday account for pending tasks in the "My Tasks" section at the top of the Candidate Home page. We hire preferred workers! For more information, please visit our website: Preferred Worker Program. The Department of Consumer and Business Services (DCBS) does not offer VISA sponsorships. If your employment authorization and documentation is contingent on sponsorship now or in the future, you will not meet our agency employment eligibility standards. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. DCBS will use E-Verify to confirm that you are authorized to work in the United States. For more information you may contact us by e-mail at DCBS.Recruiting@dcbs.oregon.gov. DCBS is fully committed to attracting, retaining, developing, and promoting the most qualified candidates without regard to their race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, or veteran status. For more information, please visit our diversity, equity, inclusion and belonging webpage.
Our mission is to equitably protect and empower consumers and workers while maintaining a predictable yet innovative regulatory environment for the businesses we regulate. The Department of Consumer and Business Services (DCBS) is a progressive business regulatory state agency dedicated to the mission of protecting and serving Oregon's consumers and workers while supporting a positive business climate. The department administers state laws and rules governing workers' compensation, occupational safety and health, financial institutions, insurance companies and building codes. The department has consumer protection and education programs, offices, and ombuds to help consumers, injured workers, and businesses. This position is with the Workers' Compensation Division (WCD). WCD administers, regulates, and enforces the laws and administrative rules governing the Oregon workers' compensation system. This position is represented by the Service Employees International Union (SEIU). Recruitment Timeline: Recruitment closes: April 26, 2026 1st round interviews: week of May 4, 2026 2nd round interviews: week of May 18, 2026 Anticipated start date: June 1, 2026 What's in it for you: Rewarding work in a productive and creative environment Colleagues who are passionate about public service Work/life balance, 11 paid holidays a year, and a competitive benefits package Advancement and learning opportunities that will help grow your career with the State of Oregon Possible eligibility for the Public Service Loan Forgiveness Program This position is eligible to telework on a full-time basis once the incumbent has gained the proficiency to perform work independently. The incumbent may occasionally be asked to work from the office on an as-needed basis. Here's what you will do: As an Appellate Review Specialist, you will resolve disputes by issuing a legally binding Order on Reconsideration after the completion of a thorough analysis of the claim closure and disputed issues, including compliance with claim closure statute. In some cases, you will facilitate the dispute by mutual agreement of the parties through negotiation, mediation and/or education. For a complete listing of the duties and responsibilities of this position, please review the position description. Here's what you need to qualify: Minimum Qualifications: Five years' experience doing administrative research that included compiling and evaluating facts to recommend management action, or decide compliance or eligibility with program guidelines and regulations. Three of the five years must be above the technical support level. Note: College-level course work may substitute for experience on the basis of 45-quarter units per year, up to a maximum of three years. Requested Skills: Preference may be given to candidates whose work history demonstrates the skills and knowledge necessary for processing and/or management of Oregon Workers' Compensation claims. Demonstrated ability to manage a large caseload composed of medical documents and legal documents Demonstrated ability to know and meet strict timelines Demonstrated ability to work collaboratively with diverse groups Demonstrated skill in analysis and evaluation of medical and/or legal decisions, using professional and impartial judgment in decision making Demonstrated ability to interpret policy, rules, statutes and case law Preference may be given to those with a strong background in medical terminology and understanding of human anatomy/physiology Application information: A resume and cover letter are required for this job posting. Please attach them in the "Resume / Cover Letter" section of the application. Please ensure that you clearly demonstrate in your application materials that you meet the qualifications and requested skills listed above and that you follow all instructions carefully. Only complete applications received by the posted application deadline date will be considered. You may be asked to submit a skills assessment, a writing sample, or a video interview as part of the application screening process. Additional information: Per the Pay Equity Law passed in 2017, an employee pay assessment will be conducted to determine what pay step the successful candidate will be offered. The assessment will be based on the relevant experience, education, training, and certifications documented in the application materials. On average, candidates new to state service will most likely be offered compensation in the lower to mid-level of the salary range. The salary range listed is the non-PERS eligible rate. If you are already a participating PERS member or once you become PERS eligible after 6 months of employment, the salary range will increase by 6.95% and the required 6% employee retirement contribution will be deducted from your pay. This position is subject to a fingerprint background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an educational institution during the application process. This information may be required after the interview process, depending on the requirements of the position. Eligible veterans and Oregon National Guard servicemembers (current and former) who meet the qualifications of the position will be awarded candidate preference. For further information, please see the following website: Veterans, Disabled Veterans & State Servicemembers. NOTE: If claiming preference please be sure to check your Workday account for pending tasks in the "My Tasks" section at the top of the Candidate Home page. We hire preferred workers! For more information, please visit our website: Preferred Worker Program. The Department of Consumer and Business Services (DCBS) does not offer VISA sponsorships. If your employment authorization and documentation is contingent on sponsorship now or in the future, you will not meet our agency employment eligibility standards. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. DCBS will use E-Verify to confirm that you are authorized to work in the United States. For more information you may contact us by e-mail at DCBS.Recruiting@dcbs.oregon.gov. DCBS is fully committed to attracting, retaining, developing, and promoting the most qualified candidates without regard to their race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, or veteran status. For more information, please visit our diversity, equity, inclusion and belonging webpage.