Claims Examiner Supervisor - PN 20065810 - Cambridge at Ohio Department of Administrative Services

Cambridge, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jun, 26

Salary

0.0

Posted On

16 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Examination, Management, Customer Service, Training, Communications, Attention To Detail, Developing Others, Critical Thinking, Problem Solving, Time Management

Industry

Government Administration

Description

What You'll Do: Under general direction of the Administrative Officer 2 (AO2) or Program Administrator 2 or 3 (PA2/PA3): Supervises & directs (assigns & monitors) all work activities for the district / regional office staff, customer service, word processing, claims examining (all 1st & 2nd level hearing issues), & docketing Supervises lower level supervisors (customer service & program administrator 1) Interprets & applies existing workers' compensation laws, IC / BWC rules, policies & procedures & instructs personnel accordingly Follows up verbal instruction with written direction to ensure understanding & compliance Assists staff with the resolution of complex work activities Makes recommendations to AO2, PA2, PA3 or Regional Manager regarding policy & procedure changes to assure the efficient processing of claims Reviews & analyzes all queues in Case Manager, Applications (Action items, Action uploads, Power BI, VSSR, etc.) & Outlook email (ODI / ODIPT, File Drop, etc.) to ensure inventories are current Works with other claims examiner supervisors to resolve claim, word processing, docketing & report issues (open pcn reports, CAS tracking issues, etc.,) Updates information on CAS, ECM & Case Manager as needed. Prepares or routes claims for exparte orders Maintains the risk & representative master files Serves as liaison with central office departments (administration, fiscal, information technology, operations support, security services, customer service (interpreters), medical services, human resources, management planning, & claims support) & the BWC Oversees & resolves all building operational issues: security, maintenance issues, etc., & reports concerns as needed Backs up other district office supervisors or regional program administrators as needed See the attached position description for more details regarding this position. 3 yrs. trg. or 3 yrs. exp. in workers' compensation claims processing operation, 6 mos. of which had to have been as supervisor or lead worker. -Or in District Offices, 3 yrs exp. as Claims Examiner 2, 16792 or 30 mos. as Claims Examiner 3, 16793. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Claims Examination Technical Skills: Claims Examination, Management, Customer Service, Training, Communications Professional Skills: Attention to Detail, Developing Others, Critical Thinking, Problem Solving, Time Management

Responsibilities

This role involves supervising and directing all work activities for district/regional office staff, including customer service, claims examining, and docketing, while also supervising lower-level supervisors. The supervisor must interpret and apply workers' compensation laws, policies, and procedures, and assist staff with complex work resolutions.