Claims - Workers Comp Technician I - II

Cincinnati Financial•Fairfield, OH

13h•$40,000 - $50,000

About The Position

The Cincinnati Insurance Companies is seeking a Workers’ Compensation Technician I - II to handle medical only workers’ compensation claims. This role involves verifying coverage, reviewing class codes, establishing reserves, submitting state filings, reviewing medical bills and records, approving/denying medical bills, utilizing managed care programs, authorizing/rejecting prescriptions, facilitating employer physician panels, and processing unmatched medical bills. The position requires collaboration with other WC claim handling associates.

Requirements

Understanding of workers’ compensation claims handling basics preferred
Knowledge of Microsoft Outlook, Word, Excel and Adobe
Strong decision-making skills and acute attention to detail
Excellent verbal and written communication skills
Excellent customer service skills
High school diploma or equivalent

Responsibilities

Verify coverage and review class codes to ensure proper setup and coding of medical only claims
Initial and regular contact with agents, employers, employees and providers until medical only claims are concluded
Establish initial loss and expense reserves for medical only claims
Accurate and timely submission of all state filings as required
Review of medical bills and records to confirm causal relationship to allowed/ accepted injuries
Approval/ denial of medical bills as required
Utilize managed care programs as appropriate
Review and authorize/ reject prescriptions when prior-authorization is required
Facilitate the use of employer physician panels as appropriate
Process and handle unmatched medical bills when received
Work collaboratively with WC claim handling associates