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Cleveland - Workers' Compensation Claims Assistant (PN : 20068934)

Cleveland - Workers' Compensation Claims Assistant (PN : 20068934)

Ohio JobsCleveland, OH, US
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Workers' Compensation Claims Assistant

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. 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.

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.

What You'll Be Doing :

  • Under immediate supervision, utilizes claims adjudicating system to monitor claims work list & manage caseload of applications for self-insured claims.
  • Reviews incoming claims documents to determine required action.
  • Processes applications e.g., mails applications received to employers & / or reps, reviews applications & Workers' Compensation Claims Management System to ensure timely filing & that there are no outstanding issues to prevent application from being processed.
  • Responds appropriately to customer inquiries (e.g., general claims inquiries) in person, via phone, fax & / or e-mail (e.g., employers, IWs, legislators, providers) regarding SI claims processing.
  • Reviews IC hearing decisions & updates Claims Management System by typing in new information, documents in Claims Notes actions & issues as appropriate.
  • Performs other related duties as assigned (e.g., generates reports as requested by supervisor & / or service office manager [e.g., weekly reports, status reports, trend-line reports], provides work direction & moderate training for newly hired claims assistants as assigned, accepts payments for copies & / or updating payment transaction tracker).
  • 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 the State of Ohio Benefits, visit our Total Rewards website! 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.
  • 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.
  • 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. Position requires travel; therefore, persons occupying this position must be able to provide own transportation & / or legally operate a state-owned vehicle. This classification may require the use of proficiency demonstration to determine minimum qualifications.
  • EEO & ADA Statement : 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 the ADA mailbox at eeodept@bwc.state.oh.us.

    BWC OCSEA Selection Rights : This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position.

    Salary Information : Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and / or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.

    Educational Transcripts : For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.

    All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.

    Background Check : Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.

    Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

    The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana / non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

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    Worker Compensation • Cleveland, OH, US

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