WC Medical Claims Specialist Supervisor - 20068255

Ohio BWC (official); Columbus (OH); On-site; Full time

Job summary

A leading government agency is seeking a WC Medical Claims Specialist Supervisor in Columbus, OH. This role involves overseeing a team, managing complex billing issues, and ensuring compliance with regulations. Candidates should have relevant experience in claims management or related fields. The position offers flexible work hours and a collaborative work environment.

Qualifications

• 24 months experience in private insurance organization as claims representative or similar.
• 6 months experience providing work direction to claims processing staff.

Responsibilities

• Direct responsibility over team processing Medicare Subrogation.
• Produce & maintain data for management reports.
• Monitors existing billing procedures and oversees implementation.

Skills

Attention to Detail

Leading Others

Teamwork

Education

Undergraduate program core coursework in business administration

Tools

Business

Insurance

Medical

Job description

WC Medical Claims Specialist Supervisor - 20068255

WC Medical Claims Specialist Supervisor - 20068255

1 week ago Be among the first 25 applicants

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 flextime 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.

• Direct responsibility over team processing Medicare Subrogation (medical bill subrogation/disputes)
• Produce & maintain data for weekly/monthly management reports of statistics surrounding business activities and monitoring of staff performance
• Monitors existing billing procedures and oversees implementation of new/revised billing processes to ensure compliance with applicable laws, rules & regulations.
• Coordinates resolution of complex billing issues as they relate to medical billing payment and subrogation.
• Identify training opportunities and assist in development of training material
  
  

To Qualify, You Must Clearly Demonstrate

Required Experience and/or Education:

Completion of undergraduate program core coursework in business administration or related field of study.

Or 24 mos. exp. in private insurance organization as claims representative, nurse, or rehabilitation specialist; 6 mos. exp. providing work direction to claims processing staff.

Or 24 mos. exp. in managing medical-only &/or lost-time claims, serving as primary decision maker to include making initial determination of claim, having overall responsibility & accountability of claims & management of claims to desired outcome.

Or 24 mos. exp. in supervisory level position within Ohio Bureau Of Workers' Compensation, 12 mos. of which involved telephoned, in-person &/or written contact with providers, claimants, employees, public officials, attorneys &/or general public to provide information & answer inquiries concerning various operations, services &/or policies & procedures of agency.

Or equivalent of Minimum Class Qualifications For Employment noted above.

Organization

Workers' Compensation

Agency Contact Name and Information

[e-mail]

Unposting Date

May 15, 2025, 3:59:00 AM

Work Location

William Green Building

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$30.96/hr.

Schedule

Full-time

Work Hours

8:00am - 5:00pm

Classified Indicator

Classified

Union

Exempt from Union

Primary Job Skill

Claims Examination

Technical Skills

Business, Insurance, Medical

Professional Skills

Attention to Detail, Leading Others, Teamwork

Agency Overview

A Little About Us:

With roughly 1,500 employees in 7 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 employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society’s impact on our services and workplace, 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance and Customer Service

• Industries

  Government Administration

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