Workers' Claims Assistant; PN

Workers' Compensation Claims Assistant Job Details

Organization:
Workers' Compensation

Location:

William Green Building, 30 West Spring Street, Columbus, Ohio , United States of America

Compensation: $23.65 per hour

Schedule:

Full-time, 8:00 AM to 5:00 PM (Union: OCSEA)

Claims Examination

• Basic Documentation
• Customer Service
• Insurance
• Attention to Detail
• Time Management
• Verbal Communication
• Written Communication

• Adjudicate system to monitor claims work list and manage caseload of Percentage of Permanent Partial applications
• Determine whether the waiting period has lapsed from the date of injury in Medical Only claims or from the last compensation date in lost time claims
• Process C92/C92A applications (e.g., mail applications received to employers and/or representatives, review applications, and verify timely filing in the Workers’ Compensation Claims Management System)
• Request medical documentation and wage information from MCOs, SI employers, IWs, and employers as appropriate
• Generate tentative orders in the Claims Management System for all state fund and SI claims, entering required data such as percentage of permanent partial and additional conditions

• Minimum of 2 courses or 6 months of experience in English composition or grammar, and 2 courses or 6 months of experience in accounting, bookkeeping, or general math
• 2 courses or 6 months of experience in communication or public speaking, or 6 months in a role involving public inquiries or complaints, or contact with injured workers, employers, legislators, providers, or their representatives
• Successful completion of one typing course or ability to type at least 35 words per minute
• Claims Examination skill
• Knowledge of BWC & IC policies and standard operating procedures, ORC rules and regulations, applicable state and federal regulations governing processed documents, public relations, BWC claims documents and forms, SI, IC, CCT, and BWC terminology
• Proficiency in operating a PC to log and enter data, using claims adjudicating systems, and general office equipment (telephone, copier/fax)
• Ability to solve practical problems, gather and classify information, and handle routine inquiries and contacts with injured workers, employers, and legislators
• Travel required; must be able to provide own transportation or legally operate a state-owned vehicle

• Medical coverage
• Free dental, vision, and basic life insurance premiums after eligibility
• 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, etc.)
• Public retirement systems (OPERS, STRS, SERS, HPRS) and optional deferred compensation (Ohio Deferred Compensation)

The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order. The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws.

To request a reasonable accommodation due to disability, please contact ADA Coordinator Kathleen Bourke at  or by email .us.

The State of Ohio is a drug‑free workplace which prohibits the use of marijuana (recreational marijuana/non‑medical cannabis). This position may be subject to additional restrictions pursuant to the State of Ohio Drug‑Free Workplace Policy (HR‑39).