PN: 20068877 - Workers' Compensation Claims Specialist (Cincinnati)

State of Ohio • Springdale, OH

4d • Onsite

About The Position

The Workers' Compensation Claims Specialist manages a caseload of workers' compensation claims and coordinates with internal and external stakeholders to establish return-to-work expectations. The role investigates claims, makes determinations within required timeframes, and gathers information relevant to claim management, including jurisdiction, coverage, causality, compensability, claim data accuracy, claimant work status, job duties and physical demands, salary continuation, and work history.

The specialist processes requests for multiple forms of compensation, handles subsequent requests through due-process notifications, investigations, BWC orders, and referrals to the Industrial Commission of Ohio, and responds to customer inquiries. The role follows the Ohio Revised Code and BWC policies and procedures and communicates with legal representatives, employers, claimants, and other parties. The position may require travel; the employee must be able to provide their own transportation and/or legally operate a state-owned vehicle.

Requirements

• Must submit an Ohio Civil Service Application through the online Ohio Hiring Management System; paper applications are not accepted.
• Must sign a background check authorization form and undergo a criminal background check before an employment offer.
• Must be able to provide own transportation and/or legally operate a state-owned vehicle if required to travel.

Responsibilities

• Manage a caseload of workers' compensation claims.
• Communicate, coordinate, and collaborate with internal and external stakeholders to set return-to-work expectations.
• Conduct initial and subsequent claims investigations and determinations within prescribed timeframes.
• Contact parties involved in the claim process and investigate pertinent information, including jurisdiction, coverage, causality, compensability, claim data accuracy, claimant work status, job description, salary continuation, job physical demands, and claimant work history.
• Process requests for Temporary Total compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, and Lump Sum Advancement.
• Address subsequent claim requests through due-process notifications, investigations, BWC orders, and referrals to the Industrial Commission of Ohio.
• Respond to customer inquiries.
• Follow the Ohio Revised Code and BWC policies and procedures.
• Communicate with legal representatives, employers, claimants, and other parties.

What This Job Offers

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