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Claims Examiner – Crime Victim and Survivor Services Division
Oregon Department of Human Services. Review and evaluate CVC applications and supporting documentation to determine eligibility under Oregon statutes and administrative rules .
Posted 9/17/2026full-timeSalem • Oregon • United StatesJuniorMid-Level💰 $4,519 - $6,904 per monthWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evaluating eligibility for benefits and interpreting Oregon statutes and administrative rules, while effectively communicating with diverse stakeholders and managing sensitive information. Proficient in trauma-informed practices and crisis response, ensuring clarity and professionalism in high-stress situations.
Highest-signal resume keywords
Eligibility DeterminationOregon Revised Statutes InterpretationTrauma-Informed PracticesCrisis ResponseBilingual Spanish
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Eligibility EvaluationDocumentation AnalysisPolicy DraftingClaims ManagementMedical Documentation Evaluation
Soft Skills
Effective CommunicationProfessionalismCultural HumilityBoundary Maintenance
Certifications & Qualifications
Oregon Driver's License
Industry Keywords
Victim AdvocacySocial ServicesHealthcareTrauma-Impacted IndividualsDomestic ViolenceSexual ViolenceEquityAnti-Racism Principles
About the role
Key responsibilities & impact- Review and evaluate CVC applications and supporting documentation to determine eligibility under Oregon statutes and administrative rules
- Interpret and apply Oregon Revised Statutes Chapter 147, Oregon Administrative Rules, and the Oregon Criminal Code
- Manage approximately 2,000 active claims annually throughout their life cycle
- Communicate with applicants, medical providers, law enforcement, advocates, and community partners by phone and email
- Compose administrative orders, requests for information, and inquiry responses
- Evaluate reconsideration requests and respond to applicants
- Assist with preparation and defense of claims appealed to the Workers’ Compensation Board, including testifying when necessary
- Authorize payments of up to $47,000 per claim for eligible crime-related expenses
- Evaluate medical documentation, treatment costs, chart notes, and treatment plans
- Explain application decisions, services, program processes, funding limits, and compensation requests
- Provide documentation and testify at restitution hearings virtually or in person
- Rotate as Examiner of the Day and provide coverage for other examiners and claims specialists
- Provide administrative support and training to staff, claims examiners, and service providers
- Perform other duties as assigned
Requirements
What you’ll need- Two years of full-time experience determining eligibility for benefits and/or verifying, validating, analyzing, and/or evaluating information such as police reports, medical and psychological assessments, treatment plans, diagnosis and outcomes, income and tax records, and/or insurance plans
- Oregon driver's license, which must be maintained
- Experience navigating criminal justice, victim advocacy, social services, healthcare or public programs supporting trauma-impacted individuals and coordinating across multiple partners
- Training and applied experience in trauma-informed practices, crisis response, domestic/sexual violence work, cultural humility, equity, and anti-racism principles
- Experience communicating with individuals experiencing trauma or crisis while maintaining clarity, professionalism, and appropriate boundaries
- Experience evaluating complex or conflicting documentation to make eligibility or case determinations
- Experience interpreting and applying statutes, administrative rules, policies, or other technical criteria
- Experience drafting or editing policy, administrative rule language, legal summaries, or similar technical materials
- Experience working with sensitive or traumatic information while sustaining consistent, high-quality work
- Bilingual Spanish is a bonus
Benefits
Comp & perks- 11 paid holidays a year
- Vacation leave
- Sick leave
- Personal business leave
- Competitive benefits package
- Medical benefits
- Dental benefits
- Vision benefits
- Pension programs
- Retirement programs
- Peer and management support
- Service Employees International Union (SEIU) representation
- Permanent, full-time employment