Workers’ Compensation Medical Claims Specialist Supervisor – 20068334 Job Vacancy in State of Ohio Jobs Columbus, OH 43215 – Latest Jobs in Columbus, OH 43215
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Company Name : State of Ohio Jobs
Location : Columbus, OH 43215
Position : Workers’ Compensation Medical Claims Specialist Supervisor – 20068334
Job Description : Primary Location: United States of America-OHIO-Franklin County-Columbus
Work Locations: William Green Building 30 West Spring Street Columbus 43215-2256
Organization: Workers’ Compensation
Classified Indicator: Classified
Bargaining Unit / Exempt: Exempt
Schedule: Full-time
Work Hours: 8:00a – 5:00 p
Compensation: $27.80 – $39.60
Unposting Date: Mar 25, 2022, 10:59:00 PM
Job Function: Claims Examination
Job Level: Manager / Supervisor
Agency Contact Name: Human Resources – Office of Personnel & Benefits
Agency Contact Information: a85393@bwc.state.oh.us
Workers’ Compensation Medical Claims Specialist Supervisor – 20068334
(220002KA)
Job Duties
A Little About Us:
With roughly 1,600 employees in 11 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.
If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!
BWC is currently operating under a hybrid schedule that can incorporate both teleworking and in-office hours. Employees may be required to report to the office when requested by management &/or for their initial job training.
What You’ll Do:
Supervises team of Workers’ Compensation Medical Claims Specialists in processing claims for allowance for Workers’ Compensation benefits.
Designs & oversees implementation of new & revised claims procedures to ensure compliance with state, federal & agency laws, rules & regulations.
Conducts review of case assignments.
Prepares reports to assist management in control of operations.
Investigates & responds to legislative inquiries within BWC timeframes.
Maintain daily, weekly, & monthly management reports.
Analyzes statistics to establish overall team performance.
Represents department in intra-agency meetings & workgroups.
For more details about the position, please click here
What’s in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
Medical Coverage
Quality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan.
Dental, Vision and Basic Life Insurance
Dental, vision and basic life insurance premiums are free after one year of continuous service.
Time Away From Work and Work/Life Balance
Paid time off, including vacation, personal, and sick leave
11 paid holidays per year
Childbirth/Adoption leave
Ohio Public Employees Retirement System
OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
Deferred Compensation
The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Ohio is a Disability Inclusion State and strives to be a Model Employer of Individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Qualifications
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.
Knowledge of : workers’ compensation laws, policies & procedures governing adjudication & management of workers’ compensation medical claims*; supervisory principles/techniques*; employee training & development; English grammar; oral & written business communication; public relations; fundamental mathematics (i.e., addition, subtraction, multiplication, division, fractions, decimals & percentages); standard business practices; principles of customer service.
Skill in: use of video display terminal or personal computer*.
Ability to: define problems, collect data, establish facts & draw valid conclusions; read & understand medical reference manuals; write meaningful, accurate & concise reports; gather, collate & classify information about data, people or things; responds to sensitive inquiries from & contacts with claimants, employers & health care providers.
(*)Developed after employment.
Additional Information:
Salary Information:
Unless required by legislation or union contract, candidates will start at lowest rate of the salary range associated with this position.
Transportation:
Position may require travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.
Educational Transcripts:
For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.
This position is Overtime Exempt.
Background Check Information
Background Check:
Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.
EEO & ADA Statement:
The State of Ohio is an Equal Employment Opportunity Employer and does not discriminate based on race, color, religion, gender, gender identity or expression, national origin (ancestry), military status, disability, age (40 years or older), genetic information, sexual orientation, or caregiver status in making employment-related decisions about an individual.
The Ohio Bureau of Workers’ Compensation is committed to providing access and reasonable accommodation in its services, programs, and employment opportunities following the Americans with Disabilities Act and other applicable laws.
All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.
This post is listed Under Ohio jobs
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