Workers' Comp Claims Examiner (North Canton, Flex-Time)

State of Ohio; North Canton (OH); On-site; USD 37,000 - 48,000; Full time

Benefits offered by this job

Medical coverage

Paid time off

Paid holidays

Public retirement systems

Development opportunities

Job summary

State of Ohio in North Canton, OH is seeking a Claims Examiner to manage a caseload of Workers’ Compensation claims. You will coordinate with Disability Management Coordinators, Medical Service Specialists, MCOs, and employers to set return-to-work expectations and ensure accurate claim development.

The role requires initial and subsequent investigation, determination, and handling of various compensation types, while following the Ohio Revised Code and BWC procedures.

Qualifications

• 36 mos. exp. in evaluating medical or public assistance benefits to determine eligibility or deny claims
• 12–36 mos. exp. in related Workers' Compensation/benefits positions or equivalent
• Ability to communicate with internal/external stakeholders and handle complex claim development

Responsibilities

• Manages a caseload of Workers’ Compensation claims and coordinates with internal/external stakeholders to set return-to-work expectations
• Performs initial/subsequent claims investigations and determinations within prescribed timeframes
• Processes various compensation types (Temporary Total, Wage Loss, Permanent Partial) and responds to requests via due process notifications
• Evaluates information and issues orders or claim allowances in line with the law and policy
• Responds to customer inquiries and adheres to Ohio Revised Code and agency procedures

Skills

Claims Examination

Job description

State of Ohio in North Canton, OH is seeking a Claims Examiner to manage a caseload of Workers’ Compensation claims. You will coordinate with Disability Management Coordinators, Medical Service Specialists, MCOs, and employers to set return-to-work expectations and ensure accurate claim development.

The role requires initial and subsequent investigation, determination, and handling of various compensation types, while following the Ohio Revised Code and BWC procedures.