Cambridge WC Claims Specialist; PN

Job Description - Cambridge WC Claims Specialist (PN: ) (260007BW)

Cambridge WC Claims Specialist (PN: ) (260007BW)

Workers' Compensation

Agency Contact Name and Information:
Mia Truss-Davis - HCM Sr. Analyst:
Mia.

T.1o.gov

Oct 8, 2026, 3:59:00 AM

United States of America-OHIO-Guernsey County-Cambridge

Compensation: $26.54 - $34.53

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.

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 online forums and learn about how different perspectives can improve leadership skills.

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

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

One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.

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.

• 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.

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…