Jobs
>
Cincinnati

    Cincinnati- Workers' Compensation Claims Assistant - Springdale, United States - State of Ohio

    State of Ohio
    State of Ohio Springdale, United States

    3 weeks ago

    Default job background
    Description

    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.

    What our employees have to say:
    BWC conducts an internal engagement survey on an annual basis.

    Some comments from our employees include:

    • I have worked for BWC for 27 years and it has been a positive experience.
    • I have worked with a wonderful group of people from management down to my co-workers.
    • So much opportunity for growth here, the leadership from top to bottom is stellar, the employees have pride in our agency - a great place to work
    • Coming up on 30 years and still love what I do and where I work
    • I find BWC to be a dynamic agency that not only provides a much-needed public service, but also has a culture of learning and development where employees are encouraged to be a part of the agency as a whole.
    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 may incorporate both teleworking and in-person office hours. Employees must be able to report to the office when requested by management &/or for their initial job training.


    What You'll Be Doing:

    • Utilizing claims adjudicating system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications for both self-insured and state fund claims.
    • Reviewing incoming claims documents to determine required action (e.g. exam referral, schedule for hearing) to ensure claims documents are forwarded to proper parties for action (e.g. Exam Scheduler, SI employer, Industrial Commission [IC]).
    • Processing 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 & that there are no outstanding issues to prevent application from being processed).
    • Inquiring if Injured Workers (IWs) have other possible injuries within past 10 years & verifies 10-year history check form (i.e. data provided by data warehouse system or C-123 form) is complete & types in missing information (e.g. prior % permanent partial, all past claims, type of physician needed for exam, county).
    • Requesting medical documentation & wage information from (e.g. MCOs, SI Employers, IWs, Employers) as appropriate.
    • Making referral to wage calculation team for wages to be calculated; prepares exam packet by selecting forms on Claims Management System needed by the physician.
    • Updating Claims Management System on the status of exam (e.g. date scheduled for exam, date report received by physician) & forward to the Clerk for exam scheduling.
    • Generating 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) & Right Faxes documents into fax queue.
    • Generating Subsequent Order to set the wages based on the calculations/data from the wage calculation team.
    • Referring claim to claim owner teams to generate payment plans and/or prefect the orders.

    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 available Ohio Med plans.
    Dental, Vision and Basic Life Insurance


    • Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.
    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
    Employee Development Funds


    • The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.
    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.

    To Qualify, You Must Clearly Demonstrate:

    Required Experience and/or Education:

    • 2 courses or 6 mos. exp. in English composition or grammar AND 2 courses or 6 mos. exp. in accounting, bookkeeping or general math AND 2 courses or 6 mos. exp. in communication or public speaking or 6 mos. exp. 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.


    Job Skills:
    Claims Examination, Insurance
  • Sedgwick

    Claims Assistant

    1 week ago

    Sedgwick Cincinnati, United States Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • First Transit

    Claims Administrative Assistant

    1 week ago

    First Transit Cincinnati, United States

    Location 191 Rosa Parks St, Suite 800, Cincinnati, Ohio 45202 US · Phone Number () - · Categories Professional & Corporate · Req ID JR3036 Claims Administrative Assistant (Open) · First for a reason · First Student is the largest school transportation provider in North America wi ...

  • First Student

    Claims Administrative Assistant

    3 weeks ago

    First Student Cincinnati, United States Full time

    · Job Description: · First for a reason · First Student is the largest school transportation provider in North America with more than a century of experience providing safe and reliable transportation. We work with 1,250 school districts in 39 states and 8 Canadian provinces car ...

  • U.S. Military Entrance Processing Command

    Testing Clerk

    1 week ago

    U.S. Military Entrance Processing Command Fort Hamilton, United States

    **Duties**: · - Conduct aptitude and qualification examinations at the Military Entrance Processing Station (MEPS) and Military Entrance Test (MET) sites for the applicants of the various Armed Services. · - Scores enlistment and high school tests using automated and non-automate ...

  • HerMD

    Revenue Cycle Specialist

    2 weeks ago

    HerMD Cincinnati, United States

    This is a remote position. · About the Role · HerMD is seeking a full time Revenue Cycle Specialist to be responsible for medical billing oversight, employee and patient questions related to insurance and billing, and serves as the primary escalation point for outsourcing partner ...

  • US Army Installation Management Command

    Caterer Business Coordinator Nf-03

    1 week ago

    US Army Installation Management Command Fort Hamilton, United States

    **Duties**: · - Serves as a Catering Business Coordinator responsible for providing expert advice and assistance to authorized clientele on various banquet and catering offerings provided by Community Club. · - Creates, administers and manages event party contracts coordinating e ...

  • MRG Exams

    Independent Medical Evaluators

    1 week ago

    MRG Exams Addyston, United States Full time

    Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and ...

  • City of Clermont

    Wellness & Safety Coordinator

    3 weeks ago

    City of Clermont Clermont, United States

    **General Description**: · This position coordinates the employee wellness, workers' compensation and safety programs for the City including marketing and promoting the programs, enhancing the programs with the design and delivery of classes and other activities, coordinating wit ...

  • Sapphire Solutions

    Clerk (female/male/diverse)

    3 weeks ago

    Sapphire Solutions Blue Ash, United States

    Administrative Assistant (m/f/d) in Blue Ash · Welcome to JobImpulse · We are an experienced international staffing agency with an exceptional success story since our founding in 2006. Today, we have over 53 offices in 13 countries and employ more than 9,300 people worldwide. · ...

  • NewVista Healthcare

    Patient Account Specialist

    3 days ago

    NewVista Healthcare Blue Ash, United States

    **Patient Account Specialist** · **Who we are** · At NewVista, the mission is to inspire hope and deliver holistic care to those in need of behavioral health services and Addiction services in a safe and healing environment. We operate Behavioral Health Hospitals, Detox and Resid ...

  • MRG Exams

    Independent Medical Evaluators

    1 week ago

    MRG Exams Hooven, United States Full time

    Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment R ...

  • Eye Care Partners

    Medical Denial Follow-up Remote Opportunity

    2 weeks ago

    Eye Care Partners Cincinnati, United States

    Our growing eye care organization has immediate need for experienced an Accounts Receivable Specialist who is experienced in researching unpaid claims and following up on the insurance end. The ideal candidate will be compassionate and naturally helpful, willing to work through a ...

  • Great American Insurance Group

    Senior Customer Service Representative

    2 weeks ago

    Great American Insurance Group Cincinnati, United States

    The P&C Corporate Claims Division consists of over 100 professionals who support Great American's highly diversified P&C claims operations across the world. The functional teams within our division include Claims Practices, Claims Counsel, Claims Support Services, Claims Resoluti ...

  • Sedgwick Claims Management Services, Inc.

    Intake Associate

    3 weeks ago

    Sedgwick Claims Management Services, Inc. Cincinnati, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • Insight Global

    Medical Billing Claims Analyst

    2 weeks ago

    Insight Global Cincinnati, United States

    Insight Global is looking for a Medica Billing Claims Analyst to join our professional/physician billing team in Norwood, OH. This person will track and report on claims through Availity RCM. This team is responsible for billing for services provided by a physician or multiple ph ...

  • Insight Global

    Medical Billing Claims Analyst

    5 days ago

    Insight Global Cincinnati, United States

    Insight Global is looking for a Medica Billing Claims Analyst to join our professional/physician billing team in Norwood, OH. This person will track and report on claims through Availity RCM. This team is responsible for billing for services provided by a physician or multiple ph ...

  • Elevance Health

    Claims Representative I, II, III

    3 weeks ago

    Elevance Health Cincinnati, United States

    WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you ...

  • Bon Secours Mercy Health

    Claims Coordinator

    3 weeks ago

    Bon Secours Mercy Health Cincinnati, United States

    At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. · **Claims Coordinator Risk & Insurance Services / Claims** ...

  • Sedgwick

    Intake Associate

    3 weeks ago

    Sedgwick Cincinnati, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • Fifth Third Bank, N.A.

    Quality Review Analyst II

    2 weeks ago

    Fifth Third Bank, N.A. Cincinnati, United States

    Make banking a Fifth Third better · We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. · GENERAL FUNCTION: The Quality Review Analyst II administers Quality Reviews for Mortgage Performing and De ...