Workers Compensation Claims Assistant Jobs Vacancy in State Ohio
State Ohio urgently required following position for Workers Compensation Claims Assistant. Please read this job advertisement carefully before apply. There are some qualifications, experience and skills requirement that the employers require. Does your career history fit these requirements? Ensure you understand the role you are applying for and that it is suited to your skills and qualifications.
Follow the online directions, complete all the necessary fields, and provide all relevant information so your application is submitted correctly. When you click the 'Apply this Job' button (open in new window) you will be taken to the online application form. Here you will be asked to provide personal and contact details, respond to employment-related questions, and show how you meet the key selection criteria.
Workers Compensation Claims Assistant Jobs Vacancy in State Ohio Jobs Details:
The Bureau of Workers' Compensation (BWC) is a dynamic organization that offers career opportunities across many different disciplines. Please click this link to read more, then come back to this job posting to submit your application!
About Our Agency
At BWC, our job is Prevention & Care. It's good for workers, employers and Ohio's economy. Everything we do each day ties back to these two simple purposes:
- Preventing injuries and occupational illnesses on the job - The best claim is one that never happens. That's why it's critical for us to focus on prevention through safety education, training and consultation;
- Caring for injured workers so they can return to work and life as quickly as possible - In spite of everyone's best efforts, injuries and illnesses can happen in any workplace at any time. That's why we must also focus on injured worker care to ensure the best outcomes and return-to-work success.
When Prevention & Care come together, we seal the deal for our customers - Ohio's employers and injured workers. That same partnership that brings together Prevention & Care is what we're all about. It reduces costs and lowers premiums for employers, allows businesses to succeed throughout the state and, most importantly, keeps Ohio's workers healthy and safe on the job.
We also fulfill a promise made in Ohio more than 100 years ago when workers' comp began. The partnership between business and labor created a system that provides a financial safety net for employers and workers - as well as peace of mind.
Under immediate supervision, serves as primary point of contact for claims service specialists & medical claims specialists in the service office along with phone and fax or e-mail written inquiries:
Answers verbal &/or written inquiries from Bureau personnel regarding injured worker & employer status (e.g., individuals incorporated as corporations, corporations & partnerships, dissolution of corporate entities) & Ohio law regarding out of state employers; initiates contact with employers to gather & verify profile information; ensures all routine employer & injured worker coverage questions are explained; ensures all documents are complete, accurate & in compliance with BWC policies & procedures; researches to identify employer & verify coverage through the BWC computer system & the Internet; researches information on computer system & contacts other BWC departments when appropriate; contacts appropriate individuals to obtain missing information & then updates PS to allow for timely claim determinations by Claims Specialists; responds to inquiries from employers, injured workers, providers, Management Care Organizations (MCOs) & legislators; handle phone & written inquiries from employers & their representatives on accounts receivable & coverage issues: assists with identifying policy information when no policy information is received on the First Report of Injury (FROI); reviews employer application & payroll report documents to identify the necessity of payroll adjustment & reinstatement of coverage & completes referrals to risk policy services; interfaces with BWC personnel (e.g., Claims, Rehab, Special Investigations Unit, & Employer Compliance Department & Risk Processing) regarding coverage related issues such as elective coverage (C116) & out of state claims forms (C110 & C112); completes reviews & processes employer-related documentation for accuracy & completeness (e.g., new business applications for basic coverage, request for reinstatement of lapsed coverage, payroll reports & other routine forms, making corrections as necessary); assigns risk classifications on claims with no employer for the purpose of calculating appropriate security deposits; processes employer-related requests on a timely basis & provides employer & their representatives with assistance in the accurate completion of routine forms; obtains employer information from PowerSuite (PS), UDS & imaged documents (e.g., dates of coverage, experience rate, & billing & coverage status) & updates with corrected coverage status & manual codes; activates accounts in a timely manner; identifies policies for audit & refers to the Employer Compliance Department; assists employers by taking payments and updating policies with missing or incorrect information.
Under direction, performs family support functions including:
Serves as the primary contact for BWC/Central Office on family support orders received from the local county Child Support Enforcement Agencies/ Reviews incoming family support orders to ensure deductions are made in a timely manner; processes all family support orders received from all 88 counties and out-of-state Child Support Enforcement Agencies (reviews new family orders/Court Orders & PS Claims System to ensure no outstanding issues prevent processing of the family support orders, enter information on PS, updates family support orders on PS to allow for implementation by Claims Specialists); answers verbal and/or written inquiries from BWC personnel, injured workers, Child Support Enforcement Agencies, attorneys, Ohio Child Support Payment Central regarding family support orders (e.g. deductions amounts and length of deductions, receipt of orders; lump sum arrears); ensures all routine questions concerning family support orders (termination, modified, new & lump sum) are explained to the injured workers; assists claims specialists with obtaining appropriate child support documentation needed to process family support deductions; enters injured workers' information on the Ohio Jobs & Family Services (ODJFS) cross-match system & reports matches to claims specialists in Central Office which indicate that injured worker may have applied for or received benefits from ODJFS; obtains information from PS & enters data (e.g. injured worker & employer's names) into Insurance Service Office Index System (ISO); provides results of ISO research to claims specialists in Central Office; assists with indexing claim documents in the PS imaging fax & scanned document queues assigning the appropriate claim number, claim document type & description & forwarding to the claim specialist work list.
Perform other related duties as required: types of correspondence & gathers required documentation for preparation of weekly & monthly status reports for supervisor; completes special projects related to policy maintenance and data integrity (e.g. lapsed employer coverage & FSEA projects)>
2 courses or 6 mos. exp. in English composition or grammar; AND 2 courses or 6 mos. exp. in accounting, bookkeeping or general math; AND 2 courses or 6 mos. exp. in communication or public speaking.
6 mos. exp. in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public; successful completion of one typing course or demonstrate ability to type 35 words per minute.
Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
- Or equivalent of Minimum Class Qualifications For Employment noted above.
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*; ODJFS cross match system*; TPAs*; MCOs*; ISO*; Document Renaming Policy*.
Skill in: operation of PC to efficiently log & enter data; PS*; use of general office equipment (e.g. telephone, 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.
William Green Building
30 E. Spring Street
Columbus, OH 43215
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.
Required 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.
Unless required by legislation or union contract, candidates will start at lowest rate of the salary range associated with this position.
Position may require travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.
Educational Transcript Requirement:
BWC requires an official transcript for any applicant claiming to meet the minimum qualifications based on educational achievement. A transcript is only considered "official" if it is verifiable through the educational institution that awarded it (e.g., contains institution watermark, ink stamp, embossed stamp, registrar contact information). If provided from an on-line transcript clearinghouse the transcript must contain clearinghouse contact information so that it can be verified. Printouts of course information available to the student through the institution's website are NOT considered an official transcript. In order for education to be taken into consideration during the application screening process, BWC employees must have an official transcript on file with the Personnel & Benefits department by the deadline date on the job posting. Applicants not currently employed by BWC must attach a copy of the transcript(s) to their application, however, an official transcript will be required if invited to interview for the job opening.
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