Workers' Comp Claims Specialist 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

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.