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Workers' Compensation Claims Specialist - Columbus, United States - City of Columbus
Description
Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy)
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Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy)
Salary
$ $44.47 Hourly
Location
Varies by position
Job Type
Full-time
Job Number
V2
Department
46 Department of Human Resources
Division
Human Resources
Opening Date
05/15/2024
Closing Date
5/29/2024 11:59 PM Eastern
+ Description
+ Benefits
+ Questions
Definition
The City of Columbus Department of Human Resources is seeking an experienced Workers Compensation claims specialist. The individual in this role will be responsible for the administration and management of the Citys Injury Leave (salary continuation) and Workers Compensation programs to include: ensuring claims are processed according to City and BWC policies and procedures; facilitating the claims process in a timely manner by initiating and maintaining communications with all interested parties; developing action plans for injury claims and managing them to resolution; documenting all claim files accurately and thoroughly, and; assisting various Departments/Divisions with understanding of injury leave/salary continuation and Ohio BWC processes and procedures.
Under direction, is responsible for serving as a subject matter specialist for the Citys employee benefits and risk management programs; performs related duties as required.
Examples of Work
(Any one position may not include all of the duties listed, nor do the examples cover all of the duties that may be performed.)
Interprets language contained in insurance contracts and other relevant contracts to ensure compliance; applies contract interpretations and employee benefits policies to individual situations;
Researches, collects, and analyzes claims and trust fund data; prepares trust fund projections; resolves claim discrepancies;
Prepares materials for and attends litigation hearings to represent the interests of the City;
Responds orally and in writing to inquiries and complaints received from other offices, City employees, or the general public;
Reviews and/or prepares statistical and narrative reports to aid in the analysis of employee benefits programs effectiveness or for labor negotiations;
Acts as a liaison between the City and benefits providers to evaluate the services provided or inform the providers of changing City needs or requirements;
Manages reimbursement requests, injury leave requests, and disability and workers compensation claims; reviews, certifies, and rejects requests and claims; files waivers and/or appeals when necessary;
Gathers information and reviews medical documentation and other details of claims in order to process and certify claims and to determine the appropriateness of treatment; schedules independent medical examinations;
Develops training programs on employee benefits and the administration of employee benefits programs;
Communicates open enrollment periods and responds to inquiries regarding the requirements and provisions of various voluntary benefits programs;
Conducts employee benefits training sessions for City departments, divisions, unions, or employees;
Prepares bid specifications and conducts bid processes as required.
Minimum Qualifications
Possession of a bachelor's degree AND two (2) years of experience in the administration of employee benefits, insurance risk management programs, workers compensation, claims processing and dispute resolution, or contract interpretation and compliance.
OR
Possession of an associates degree and four (4) years of experience in the administration of employee benefits, insurance risk management programs, workers compensation, claims processing and dispute resolution, or contract interpretation and compliance.
OR
Possession of a license to practice nursing in the State of Ohio and three (3) years of experience in the administration of employee benefits, insurance risk management programs, workers compensation, claims processing and dispute resolution, contract interpretation and compliance, managed care, or direct patient care.
Test/Job Contact Information
Recruitment #: V1
Employment Type: Full-Time (Regular)
Should you have questions regarding this vacancy, please contact:
Kelly Lee
Department of Human Resources
77 N Front Street
Columbus, Ohio 43215
P:
E: )
The City of Columbus is an Equal Opportunity Employer
The City of Columbus seeks to promote compensation strategies that maximize the recruitment, performance, development, and retention of quality employees in support of the City's Covenant and strategic plan. In addition to a competitive pay plan, the City offers a comprehensive benefits program that includes the following:
+ Medical
+ Dental
+ Vision
+ Short-term Disability
+ Life Insurance
+ Wellness Program
+ Tuition Reimbursement
Specifics about these benefit opportunities and eligibility can be discussed with one of the City's human resources professionals at the time of your interview or by contacting the Department of Human Resources, Labor Relations Office at for further information.
01
Have you included all of your relevant work experience (previous and current)? Resumes will not be accepted as a substitute for completing the application.
+ Yes
+ No
02
Have you reviewed the Minimum Qualifications for the job that you are applying to ensure that you meet specified requirements?
+ Yes
+ No
03
Have you attached the documents that provide proof of your license, education (post high school), and/or professional or state certification as you have referenced in your applicant profile? Such documents may include a photocopy or scan of your driver's license, bachelor's/master's degree or transcript of completed coursework.
+ Yes
+ No
Required Question
Agency
City of Columbus
Address
77 N. Front Street, Suite 330
Columbus, Ohio, 43215
Phone
Website
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