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Cincinnati- (2) Claims Specialist - PN : 20068836, 20068877

Cincinnati- (2) Claims Specialist - PN : 20068836, 20068877

Ohio JobsCincinnati, OH, US
22 hours ago
Job type
  • Full-time
  • Part-time
  • Permanent
Job description

Cincinnati- (2) Claims Specialist

Organization : Workers' Compensation

Agency Contact Name and Information : Ohio Bureau of Workers' Compensation Human Resources, a84551@bwc.ohio.gov

Work Location : Cincinnati Claims Office, 135 Merchant Street, Springdale, 45246

Primary Location : United States of America-OHIO-Hamilton County-Springdale

Compensation : $25.77 - $33.52

Schedule : Full-time, 40 hours

Classified Indicator : Classified

Union : OCSEA

Primary Job Skill : Claims Examination

Technical Skills : Claims Examination, Customer Service

Professional Skills : Attention to Detail, Critical Thinking, Teamwork, Time Management, Written Communication

A Little About Us : With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries.

Our Culture : BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills.

Our Vision : To transform BWC into an agile organization driven by customer success.

Our Mission : To deliver consistently excellent experiences for each BWC customer every day.

Our Core Values : One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.

Job Description : BWC's core hours of operation are Monday-Friday from 8 : 00am to 5 : 00pm, however, daily start / end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7 : 00am or as late as 8 : 30am. Flex-time schedules are based on operational need and require supervisor approval.

What our employees have to say : BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include :

  • BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
  • I have worked at several state agencies and BWC is the best place to work.
  • Best place to work in the state and with a sense of family and support.
  • I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.
  • I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.

What You'll Be Doing :

  • Manages a caseload of Workers' Compensation claims : Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.
  • Performs initial / subsequent claims investigation & determination within prescribed timeframes : Contacts parties involved in claim process; completes investigation during initial claim development to determine information pertinent to management of claim (e.g., jurisdiction, coverage, causality, compensability, claim data accuracy, current work status of claimant, job description, salary continuation, physical demands of job, & work history of claimant).
  • Process various types of compensation ranging from Temporary Total (TT) Compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, to Lump Sum Advancement requests; addresses subsequent requests by parties to claim via due process notification, investigation, BWC orders & referrals to the Industrial Commission (IC) of Ohio.
  • Evaluates information & issues orders, makes claim allowance decisions in regard to Workers' Compensation law & / or policy develops, implements, customer care plan on all eligible claims through collaboration with MCOs (e.g. Return to Work), processes various types of compensation.
  • Responds to customer inquiries
  • Follows Ohio Revised Code and BWC policies and procedures
  • Communicates with legal representatives, employers, claimants, etc.
  • Why Work for the State of Ohio : At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees

  • . For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes :
  • Medical Coverage
  • Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
  • Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
  • Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
  • Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
  • To Qualify, You Must Clearly Demonstrate : Required Experience and / or Education

  • 36 mos. exp. working in private insurance organization as claims representative or equivalent position; successful completion of one typing course or demonstrate ability to type 35 words per minute.
  • Or Completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; successful completion of one typing course or demonstrate ability to type 35 words per minute.
  • Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 (i.e., providing assistance to claims field operations team or medical claims team by ensuring all documents are complete, accurate & in compliance with bureau of workers' compensation procedures, determining allowances using code manual ICD / CPT & taking appropriate action on self- insured claims or referring documents for further action by claims team member, reconstructing lost claim files or assigning claim numbers & updating claim information, & managing caseload of self-insured medical & disability claims to ensure compliance with Ohio Workers' Compensation Law).
  • Or 24 mos. exp. as BWC Customer Service Representative, 64451, (i.e., providing information / assistance to & / or answering complaints, questions & / or telephone inquiries & / or written correspondence from customers pertaining to claims status or procedures, reviewing & analyzing claims, referring customers to available community services, & conducting telephone interviews with citizens reporting fraud allegations) & / or as BWC Employer Service Representative, 63521, (i.e., providing information & assistance & / or responding to complaints, questions & inquiries from customers regarding workers' compensation coverage, established binder / applications maintenance, demographics, supplemental & legal entities, manual classifications, debits / credits & payroll reports & / or various BWC programs & research & explain employer refunds, attorney general balances, payments made to policies & / or divided credits).
  • Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers' Compensation).
  • Or any combination of at least 36 mos. exp. working in private insurance organization as claims representative or equivalent position & / or as Workers' Compensation Claims Assistant, 16720 & / or as Workers' Customer Service Representative, 64451 & / or as Workers' Compensation Employer Service Representative, 63521.
  • Or equivalent of Minimum Class Qualifications For Employment noted above. Note : Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
  • Job Skills : Claims Examination

    Major Worker Characteristics : Knowledge of workers' compensation laws, policies & procedures

  • ; eligibility
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