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Workers' Compensation Claims Assistant - PN

Company:
ohio.gov
Location:
Franklin County, OH
Posted:
April 28, 2025
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Description:

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.

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.

If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!

What You’ll Be Doing:

· Research to identify employer and verify coverage through the BWC computer system and Internet. Enters data into Workers’ Compensation Claims Management System (Claims Management System) to assign claim numbers.

· Assures all information on initial claims applications is complete and accurate when entering information into Claims Management System

· Contacts appropriate individuals to obtain missing information.

· Reviews incoming claims documents (e.g. motions, appeals, self-insured applications, C9s, C92/C92As) to determine required action; requests medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate; responds to customer inquiries (e.g. general claims inquiries) in person, via phone, fax &/or e-mail, written.

2 courses or 6 mos. exp. in English composition or grammar; 2 courses or 6 mos. exp. in accounting, bookkeeping or general math; 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; 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

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.

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