Cleveland - Workers%27 Compensation Claims Supervisor- PN: 20069673

State of Ohio • Cleveland, OH

9h • Onsite

About The Position

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes: 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 ) Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position. What You'll Be Doing: Under general direction, you will supervise one claims service team consisting of multiple claims specialists & multiple medical/rehab staff (e.g. Industrial Rehab Nurse, Rehab Case Management Specialist) in managing lost time compensation claims. Supervise and Lead Team-Oversee one claims service team consisting of multiple claims specialists, ensuring effective management of lost-time compensation claims. Develop and Implement Guidelines-Create and enforce new claims handling procedures to maintain compliance with state, federal, and BWC laws, rules, and regulations. Monitor Quality and Productivity-Review case assignments, monitor accuracy and timeliness, and utilize management reports to track pending cases and performance metrics. Identify and Resolve Issues-Address problem areas such as incorrect award calculations and insufficient documentation; recommend corrective actions. Ensure Documentation and Compliance-Verify that all necessary documentation is obtained for hearings and identify claims requiring vocational intervention based on injury severity and claimant history. Staff Development and Performance Management-Review and approve performance evaluations, recommend training or disciplinary actions, and participate in staff selection, training, and promotion processes. Effective Communication and Relationship Building- Ability to clearly convey expectations, provide constructive feedback, and build positive relationships with team members, injured workers, employers, and medical providers to foster collaboration and trust. A Little About Us\: With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture\: BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills. Our Vision\: To transform BWC into an agile organization driven by customer success. Our Mission: To deliver consistently excellent experiences for each BWC customer every day. Our Core Values\: One Agency, Personal Connection, Innovative Leadership, Relentless Excellence. 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! Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Requirements

• 36 mos. exp. managing medical-only &/or lost-time claims, serving as primary decision maker to include making initial determination of claim, having overall responsibility & accountability of claim & management of claim to desired outcome.
• 36 mos. trg. or 36 mos. exp. in providing rehabilitation &/or medical management expertise in managing claims (e.g., develop return to work plans AND provide medical opinion; recommend, monitor &/or review medical treatment & determinations; provide job development training or career counseling enabling injured workers to return to work force).
• 24 mos. trg. or 24 mos. exp. in private insurance organization as claims representative, nurse or rehabilitation specialist AND 12 mos. trg. or 12 mos. exp. providing work direction to claims processing staff.
• completion of undergraduate core program in business administration, public administration, human resources, finance, economics, nursing, social work, human service field (e.g., rehabilitation counseling) or related field AND 12 mos. exp. in providing rehabilitation &/or medical expertise in managing workers' compensation claim (e.g., develop return to work plans; provide medical opinion; recommend, monitor & review medical treatment & determinations; provide job development training or career counseling enabling injured workers to return to work force), or 12 mos. exp. managing workers' compensation lost-time claims &/or medical-only claims serving as primary decision maker to include making initial determination of claim, having overall claim responsibility & accountability of claim & management of claim to desired outcome, or 12 mos. exp. supervising lower-level claims staff in managing medical only claims, or 12 mos. exp. in supervisory level position within Ohio Bureau Of Workers' Compensation which involved telephoned, in-person &/or written contact with providers, claimants, employers, public officials, attorneys &/or general public to provide information & answer inquiries concerning various operations, services &/or policies & procedures of agency.
• 36 mos. exp. in supervisory-level position within Ohio Bureau Of Workers' Compensation, 24 mos. of which involved telephoned, in-person &/or written contact with providers, claimants, employers, public officials, attorneys &/or general public to provide information & answer inquiries concerning various operations, services &/or policies & procedures of agency.
• equivalent of Minimum Class Qualifications For Employment noted above.
• Knowledge of management, labor relations, employee training & development, supervision (direct), interviewing, public relations, service office practices & procedures, agency policies & procedures, state laws related to BWC claims & eligibility criteria & processing of workers comp claims.
• Ability to deal with problems involving few variables within familiar context; define problems, collect data, establish facts & draw valid conclusions; calculate fractions, decimals & percentages; use proper research methods in gathering data & make impartial decisions; check data against records for accuracy; operate VDT & PC; read & understand medical reference manuals; prepare meaningful, concise & accurate reports; gather collate & classify information about data, people or things; proofread technical materials & make corrections; handle sensitive inquiries from & contacts with officials & general public; comprehend computer generated reports, oral & written business communications.
• Position may require travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.

Responsibilities

• Supervise and Lead Team-Oversee one claims service team consisting of multiple claims specialists, ensuring effective management of lost-time compensation claims.
• Develop and Implement Guidelines-Create and enforce new claims handling procedures to maintain compliance with state, federal, and BWC laws, rules, and regulations.
• Monitor Quality and Productivity-Review case assignments, monitor accuracy and timeliness, and utilize management reports to track pending cases and performance metrics.
• Identify and Resolve Issues-Address problem areas such as incorrect award calculations and insufficient documentation; recommend corrective actions.
• Ensure Documentation and Compliance-Verify that all necessary documentation is obtained for hearings and identify claims requiring vocational intervention based on injury severity and claimant history.
• Staff Development and Performance Management-Review and approve performance evaluations, recommend training or disciplinary actions, and participate in staff selection, training, and promotion processes.
• Effective Communication and Relationship Building- Ability to clearly convey expectations, provide constructive feedback, and build positive relationships with team members, injured workers, employers, and medical providers to foster collaboration and trust.

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