Claims Examiner 2 - PN 20065973, PN 20065926 - Cleveland

State of Ohio • Cleveland, OH

2d • Onsite

About The Position

The Industrial Commission is seeking an experienced claims examiner with a customer focused background who can handle assigned claims following agency guidelines and procedures, someone who can adapt to change and remain professional while working with OIC customers. The selected individual must have strong customer service skills, must pay attention to details and produce accurate work product and have the ability to multi-task, prioritize and manage time effectively. 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.

Requirements

• Formal education in arithmetic that includes addition, subtraction, multiplication, division, fractions, decimals & percentages & in reading, writing & speaking common English vocabulary; 3 mos. trg. or 3 mos. exp. in office practices & procedures.
• 6 mos. exp. as Claims Examiner 1, 16791.
• Equivalent of Minimum Class Qualifications for Employment noted above.
• Claims Examination
• Clerical
• Computer Literacy
• Customer Service
• Data Entry
• Attention to Detail
• Decision Making
• Problem Solving
• Teamwork

Nice To Haves

• Medical Professional Skills

Responsibilities

• Under general supervision prepares 1st and 2nd level claim issues for hearings and hearing officer review using personal computer applications (CAS, ECM, Case Manager, Share Point, ICON, BWC applications) for data retrieval, verification, resolution, tracking & organization.
• Reviews issues according to established Workers' Compensation laws and Industrial Commission rules, policies and procedures.
• Utilizes time management skills to meet deadlines / legislative time frames.
• Uploads and verifies accuracy of documents uploaded by internal / external customers to ensure an accurate hearing folder.
• Answers inquiries from internal and external customers regarding the claims process / claims status.
• Backs up the customer service counter as assigned.

Benefits

• 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 )

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed