Columbus - WC Claims Specialist PN - 20069252

Columbus - WC Claims Specialist PN

Organization : Workers' Compensation

Agency Contact Name and Information : Matthew Palte- HCM Sr. Analyst : Matthew.P.2@bwc.ohio.gov

Work Location : William Green Building, 30 West Spring Street, Columbus 43215-2256

Primary Location : United States of America-OHIO-Franklin County-Columbus

Compensation : $25.77 - $33.52

Schedule : Full-time

Work Hours : 40

Classified Indicator : Classified

Union : OCSEA

Primary Job Skill : Claims Examination

Technical Skills : Claims Examination

Professional Skills : Analyzation, Ethics and Values, 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.

Job Description

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.

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 :

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

Qualifications

36 mos. exp. working in private insurance organization as 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 & behavioral science, education or related field; successful completion of one typing course or demonstrate ability to type 35 words per minute. -Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 (i.e., providing assistance to claims field operations team or medical claims team by ensuring all documents are complete, accurate & in compliance with bureau of workers' compensation procedures, determining allowances using code manual ICD / CPT & taking appropriate action on self- insured claims or referring documents for further action by claims team member, reconstructing lost claim files or assigning claim numbers & updating claim information, & managing caseload of self-insured medical & disability claims to ensure compliance with Ohio Workers' Compensation Law). -Or 24 mos. exp. as BWC Customer Service Representative, 64451, (i.e., providing information / assistance to & / or answering complaints, questions & / or telephone inquiries & / or written correspondence from customers pertaining to claims status or procedures, reviewing & analyzing claims, referring customers to available community services, & conducting telephone interviews with citizens reporting fraud allegations) & / or as BWC Employer Service Representative, 63521, (i.e., providing information & assistance & / or responding to complaints, questions & inquiries from customers regarding workers' compensation coverage, established binder / applications maintenance, demographics, supplemental & legal entities, manual classifications, debits / credits & payroll reports & / or various BWC programs & research & explain employer refunds, attorney general balances, payments made to policies & / or divided credits). -Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers' Compensation). -Or any combination of at least 36 mos. exp. working in private insurance organization as claims representative or equivalent position & / or as Workers' Compensation Claims Assistant, 16720 & / or as Workers' Customer Service Representative, 64451 & / or as Workers' Compensation Employer Service Representative, 63521. -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.

Job Skills : Claims Examination

Major Worker Characteristics :

Knowledge of : workers' compensation laws, policies & procedures