Cambridge - WC Claims Specialist - PN

Overview

Cambridge - WC Claims Specialist - PN:  (260001C3)

Workers' Compensation

Unposting Date:
Feb 28, 2026, 4:59:00 AM

United States of America-OHIO-Guernsey County-Cambridge

Compensation: $25.77 - $33.52

Full-time

Work Hours:

40

Union: OCSEA

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.

• 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 time frames:
  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).
• Processes 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
• 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. 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.

36 months of experience working in a private insurance organization as a 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 &…