Workers' Compensation Claims Assistant (PN: 20068682)
About The Position
What You’ll Be Doing: Adjudicating system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications Determine if waiting period has lapsed from date of injury in Medical Only claim or date of last compensation in lost time claims Processes C92/C92A applications (e.g. mails applications received to employers &/or reps, reviews applications & Workers’ Compensation Claims Management System (Claims Management System) to ensure timely filing Requests medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate Generates Tentative Orders on Claims Management System for all state fund and SI claims by entering required data into computer form (e.g. percentage of permanent partial, additional conditions)
Requirements
- 2 courses or 6 months experience in English composition or grammar AND 2 courses or 6 months experience in accounting, bookkeeping or general math AND 2 courses or 6 months experience in communication or public speaking or 6 months experience in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public AND successful completion of one typing course or demonstrate ability to type 35 words per minute.
- -Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
- Knowledge of: BWC & IC policies & standard operating procedures; ORC rules & regulations; applicable state & federal regulations governing documents processed, reviewed &/or prepared; public relations; BWC claims documents & forms; SI; IC; CCT; BWC claims-related terminology.
- Skill in: operation of PC to efficiently log & enter data; claims adjudicating systems; use of general office equipment (e.g. telephone, copier/fax machine).
- Ability to: solve practical, everyday problems, gather, collage & classify information about practical, everyday problems, gather, collate & classify information about data people or things; handle routine inquiries from & contacts with injured workers, employers, legislators.
- Position requires travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.
Responsibilities
- Adjudicating system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications
- Determine if waiting period has lapsed from date of injury in Medical Only claim or date of last compensation in lost time claims
- Processes C92/C92A applications (e.g. mails applications received to employers &/or reps, reviews applications & Workers’ Compensation Claims Management System (Claims Management System) to ensure timely filing
- Requests medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate
- Generates Tentative Orders on Claims Management System for all state fund and SI claims by entering required data into computer form (e.g. percentage of permanent partial, additional conditions)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
