Cincinnati- (3) C92 Workers' Compensation Claims Assistant (20068859, 2006 at Ohio Department of Administrative Services

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Full Time

Start Date

Immediate

Expiry Date

01 Jan, 26

Salary

0.0

Posted On

03 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Examination, Public Relations, Data Entry, Communication, Problem Solving, Office Equipment Operation, Claims Adjudication, Medical Documentation, Wage Information, Customer Service, Organizational Skills, Attention to Detail, Time Management, Team Collaboration, Flexibility, Adaptability

Industry

Government Administration

Description

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. If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application! 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. REPOST: Candidates who applied previously are required to submit a new application to be considered. What You’ll Be Doing: Adjudicating system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications Determine if waiting period has lapsed from date of injury in Medical Only claim or date of last compensation in lost time claims Processes C92/C92A applications (e.g. mails applications received to employers &/or reps, reviews applications & Workers’ Compensation Claims Management System (Claims Management System) to ensure timely filing Requests medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate Generates Tentative Orders on Claims Management System for all state fund and SI claims by entering required data into computer form (e.g. percentage of permanent partial, additional conditions To Qualify, You Must Clearly Demonstrate: 2 courses or 6 months experience in English composition or grammar AND 2 courses or 6 months experience in accounting, bookkeeping or general math AND 2 courses or 6 months experience in communication or public speaking or 6 months experience in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public AND successful completion of one typing course or demonstrate ability to type 35 words per minute. -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: BWC & IC policies & standard operating procedures*; ORC rules & regulations*; applicable state & federal regulations governing documents processed, reviewed &/or prepared*; public relations; BWC claims documents & forms*; SI*; IC*; CCT*; BWC claims-related terminology*. Skill in: operation of PC to efficiently log & enter data; claims adjudicating systems; use of general office equipment (e.g. telephone, copier/fax machine). Ability to: solve practical, everyday problems, gather, collage & classify information about practical, everyday problems, gather, collate & classify information about data people or things; handle routine inquiries from & contacts with injured workers, employers, legislators. (*) developed after employment. THIS CLASSIFICATION MAY REQUIRE THE USE OF PROFICIENCY DEMONSTRATION TO DETERMINE MINIMUM QUALIFICATIONS.

Responsibilities

The role involves adjudicating claims, managing a caseload of Percentage of Permanent Partial applications, and processing C92/C92A applications. Additionally, the assistant will request medical documentation and generate Tentative Orders on the Claims Management System.