Claims - Workers Comp Technician I - II

The Cincinnati Insurance Companies; Fairfield (OH); On-site; USD 40,000 - 50,000; Full time

Job summary

The Cincinnati Insurance Companies is seeking a Workers’ Compensation Technician I - II to handle medical only workers’ compensation claims. You will verify coverage, review class codes, and maintain contact with agents, employers, employees and providers through conclusions of claims.

Ideal candidates have familiarity with workers’ compensation basics, strong communication skills, and proficiency in Microsoft Outlook/Word/Excel and Adobe. A high school diploma or equivalent is required.

Qualifications

• Understanding of workers’ compensation claims handling basics.
• Strong decision-making skills and acute attention to detail.
• Excellent verbal and written communication skills.
• Excellent customer service skills.
• High school diploma or equivalent required.

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 medical bills and records to confirm causal relationship to allowed 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.

Skills

Workers' compensation claims handling

Decision making

Attention to detail

Verbal and written communication

Customer service

Education

High school diploma or equivalent

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Adobe

Job description

Make a difference with a career in insurance

At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we’re looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person®.

If you’re ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.

The pay range for this position is $40,000-$50,000 annually. The pay determination is based on the applicant’s education, experience, location, knowledge, skills, and abilities. Eligible associates may also

Build Your Future With Us

Claims Workers Compensation is currently seeking a Workers’ Compensation Technician I - II to handle medical only workers’ compensation claims.

Be Ready To

• 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

Be Equipped With

• 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

Bring Education And Experience From

• high school diploma or equivalent

Enhance your talents

Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you’re new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional – all while enjoying a meaningful career.

Enjoy Benefits And Amenities

Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages.

Embrace a diverse team

As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation; religion; national origin; age; disability; or any other basis prohibited by law. Learn more about the Federal Employment Notices.

US-OH-Fairfield