Cincinnati – Workers’ Compensation Claims Assistant (PN: 20069620)

State of Ohio; United States; On-site; USD 19,000 - 33,000; Full time

Job summary

State of Ohio's Workers’ Compensation Division in Cincinnati is seeking a Claims Assistant to support adjudication, documentation, and claims processing. The role emphasizes accuracy, timely filing, and coordination with employers and representatives.

The position operates full-time in Hamilton County with standard 8:00am–5:00pm hours, on-site work, and a competitive benefits package. Strong English writing and public communication skills are essential for success.

Qualifications

• 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 handling inquiries or complaints

Responsibilities

• Adjudicating system to monitor claims work list & monitor 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 & reps, reviews applications & Workers’ Compensation Claims Management System for timely filing)
• Requests medical documentation & wage information from 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

Skills

Claims Examination

Basic Documentation

Customer Service

Insurance

Job description

Cincinnati – Workers’ Compensation Claims Assistant (PN: 20069620) (260007DQ)

Organization

: Workers’ Compensation
Agency Contact Name and Information: Sierra Dent – HCM Sr. Analyst: [e-mail]

Primary Location

: United States of America-OHIO-Hamilton County-Springdale
Compensation: $23.65/hr.

Schedule

: Full-time
Work Hours: 8:00am to 5:00pm
Classified Indicator: Classified
Union: OCSEA

Primary Job Skill

: Claims Examination
Technical Skills: Basic Documentation, Claims Examination, Customer Service, Insurance
Professional Skills: Attention to Detail, Time Management, Verbal Communication, Written Communication

Agency Overview

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.

Job Description

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.

What You’ll Be Doing:

• 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)

BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.

Why Work for the State of Ohio

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.

Qualifications

To Qualify, You Must ++Clearly++ Demonstrate:

2 courses or 6 months experience in English composition or grammar AND 2 courses or 6 months experience in accounting, bookkeeping or general math AND 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 AND successful completion of one typing course or demonstrate