Line-of-Duty Administrator

Job Description

To serve as a professional staff employee of the Indiana State Police whose primary responsibility is to administer, coordinate, and monitor the Line-of-Duty (LOD) claim system for sworn members of the Indiana State Police Pension Trust.

Job Duties

• Oversee the LOD claim process from initial report through final resolution.
• Ensure compliance with Department policies, state regulations, and benefit program requirements.
• Serve as a liaison between the Human Resources Division and employees, retirees, Command staff, District LOD coordinators, medical providers, third-party administrators, and Department Legal counsel.
• Provide education and guidance to personnel regarding injury reporting procedures and benefit eligibility.
• Track claim activity, identify trends, and recommend process improvements.

• Receive and review reported injuries and illnesses for completeness, timeliness, and eligibility.
• Serve as primary contact for sworn members of the Indiana State Police Pension Trust reporting injuries.
• Manage the injury reporting process, including the explanation of required forms, timelines, and next steps.
• Review and process New and Continued LOD claims, including treatment approvals and denials.
• Work with District LOD coordinators and supervisors to obtain any missing documentation and statements.
• Communicate with medical providers regarding claim status and billing.
• Assist in monitoring medical treatment, return-to-duty status, and work restrictions.
• Ensure proper billing for LOD program to prevent improper use of health insurance coverage.
• Assist Districts/Divisions with billing discrepancies for LOD claims
• Prepare monthly expense reports for LOD medical claim processing for external vendor.
• Maintain confidential documentation in compliance with HIPAA and Department policy.
• Analyze payments and determine needs for subrogation.
• Generate reports on claim costs, trends, and outcomes for Division Command.
• Assist with LOD reporting in PeopleSoft
• Assist with employee training and onboarding education related to injury reporting procedures.
• Collaborate with the Department’s OSHA Coordinator for OSHA documentation and reporting requirements.
• Prepare LOD reports for quarterly Pension Advisory Board (PAB) meetings
• Prepare and submit claim packets for Administrative and PAB review.
• Assist in disability and related benefit processes as assigned.
• Perform other duties as assigned.

Job Qualifications

• High school diploma or GED required.
• Bachelor’s degree in business, healthcare administration, public administration, or related field required. 5 years work experience may be considered in lieu of degree requirement.
• Experience in insurance claims, case management, benefits administration, or workers’ compensation preferred.
• Knowledge of medical terminology and claim documentation practices.
• Ability to interpret policies, procedures, and regulations and apply them to specific situations.
• Strong organizational and record-management skills.
• High level proficiency with Microsoft Office and database tracking systems.
• Effective verbal and written communication skills.
• Ability to exercise judgment and maintain confidentiality.
• Ability to manage multiple cases and deadlines in a fast-paced environment.

Must be able to successfully pass a background investigation. Applicants are asked to submit a complete work history. All applicants are required to submit copies of their high school transcript or GED certificate, any college transcripts, technical certificates, and a military DD214 (if applicable). Please attach these documents to your online application. If you are unable to attach these documents as requested, please email the documents to ISPCivilianJobs@isp.in.gov and indicate your name and the position for which you have applied when forwarding all attachments.