Workers' Compensation Claims Assistant

Schedule: Full-time

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 flextime 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 You’ll Be Doing:

Provides assistance to the Workers’ Compensation Medical Claims Specialists and supervisors in the Medical Billing and Adjustments unit;

Reviews and cross-references data on bills, adjustments, Medicare correspondence, and other documents with data in BWC’s claims management system and other ancillary systems;

Scans, indexes and track bills, adjustments, Medicare documents, and correspondences into claim file; other tracking databases

Reviews incoming claims and billing documents to obtain missing information and determine required action;

Performs specialized clerical tasks and handling of all departmental incoming, outgoing, and misdirected mail, and other documents.

To Qualify, You Must Clearly Demonstrate:

Required Experience and/or Education:

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 or 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 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.

Job Skills: Claims Examination, Insurance

MAJOR WORKER CHARACTERISTICS: Knowledge of addition, subtraction, multiplication, division, fractions, decimals & percentages; ICD/CPT codes, BWC/IC policies & procedures & ORC rules & regulations*; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations. Skill in operation of pc to efficiently log & enter data. Ability to solve practical, everyday problems; gather, collate & classify information about data, people or things; handle routine inquiries from & contacts with injured workers, employers, legislators, providers or their representatives & public; complete routine forms & prepare standard reports. Developed after employment.