Workers' Comp Claims Examiner

Taleo

Springdale (OH)

On-site

USD 49,000 - 53,000

Full time

2 days ago

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Job summary

Ohio Bureau of Workers' Compensation in Cincinnati, OH, is seeking a Workers' Compensation Claims Assistant to adjudicate claims and manage a caseload related to permanent partial claims. You will work with medical documentation, wage information requests, and ensure timely filing in the Claims Management System.

This full-time role requires attention to detail, strong communication, and the ability to handle inquiries from employers and injured workers.

Qualifications

Two courses or 6 months experience in English composition or grammar.
Two courses or 6 months experience in accounting, bookkeeping or general math.
Two courses or 6 months experience in communication or public speaking or 6 months experience in handling public inquiries or dealing with injured workers.
Position requires travel; must have own transportation or be able to operate a state vehicle.

Responsibilities

Adjudicate system to monitor claims work list and manage caseload of permanent partial applications.
Determine if waiting period has lapsed from injury date in Medical Only or last compensation in lost time claims.
Process C92/C92A applications; mail applications to employers/reps and review in CMS for timely filing.
Request medical documentation and wage information from MCOs, employers, or reps as appropriate.
Generate Tentative Orders on Claims Management System for state fund and SI claims by entering required data.