Cambridge - Workers' Compensation Claims Assistant (PN: 20068805)

Ohio Department of Administrative Services•Cambridge, OH

16h•Onsite

About The Position

This position involves adjudicating claims, managing a caseload of Percentage of Permanent Partial applications, and determining if waiting periods have lapsed. The role requires processing C92/C92A applications, requesting necessary documentation, and generating Tentative Orders within the Claims Management System. The Ohio Bureau of Workers' Compensation (BWC) is described as a great place to work, offering opportunities for growth, a sense of family and support, and a positive work culture. Employees express pride in their work, dedication to service, and career longevity. The core hours of operation are Monday-Friday from 8:00 am to 5:00 pm, with flexibility in daily start/end times based on operational needs and supervisor approval. Most positions are on-site, but BWC offers flex-time work schedules.

Requirements

2 courses or 6 months experience in English composition or grammar
2 courses or 6 months experience in accounting, bookkeeping or general math
2 courses or 6 months experience in communication or public speaking or 6 months experience 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
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.
Position requires travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.

Nice To Haves

Equivalent of Minimum Class Qualifications For Employment noted above.
Proficiency demonstration may be required to determine minimum class qualifications for employment.

Responsibilities

Adjudicating system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications
Determine if waiting period has lapsed from date of injury in Medical Only claim or date of last compensation in lost time claims
Processes C92/C92A applications (e.g. mails applications received to employers &/or reps, reviews applications & Workers’ Compensation Claims Management System (Claims Management System) to ensure timely filing
Requests medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate
Generates Tentative Orders on Claims Management System for all state fund and SI claims by entering required data into computer form (e.g. percentage of permanent partial, additional conditions)