Claims Examiner 2 - PN- Lima
Claims Examiner 2 - PN- Lima
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Job Description
Mission Statement:
Our mission is to serve injured workers and Ohio employers through expeditious and impartial resolution of issues arising from workers compensation claims and through the establishment of adjudication policy.
The Industrial Commission is seeking an experienced claims examiner with a customer focused background who can handle assigned claims following agency guidelines and procedures someone who can adapt to change and remain professional while working with OIC customers. The selected individual must have strong customer service skills must pay attention to details and produce accurate work product and have the ability to multitask prioritize and manage time effectively.
This position is filled through an assessment consisting of a computerbased test written exercise and structured interview. The computerbased & written exercise portion of the assessment will be administered in person at the William Green Building in Columbus Ohio. The structured interview will be conducted in person at the Lima District Office.
Compensation statement:
The hourly wage for this position is not negotiable. For applicants who are not current State of Ohio employees the starting wage will be the hourly rate listed on this posting. Successful employees will move up a step in the salary range within one year and in most cases within four to six months with subsequent step increases occurring annually.
Formal education in arithmetic that includes addition subtraction multiplication division fractions decimals & percentages & in reading writing & speaking common English vocabulary; 3 mos. trg. or 3 mos. exp. in office practices & procedures.
Or 6 mos. exp. as Claims Examiner 1 16791.
Or equivalent of Minimum Class Qualifications for Employment noted above.
Job Skills: Claims Examination
Technical Skills: Clerical and Data Entry Computer Literacy Customer Service Medical
Professional Skills: Attention to Detail Decision Making Problem Solving Teamwork
What Youll Do:
Under general supervision prepares 1st and 2nd level claim issues for hearings and hearing officer review using personal computer applications (CAS ECM Case Manager Share Point ICON BWC applications) for data retrieval verification resolution tracking & organization.
- Reviews issues according to established Workers Compensation laws and Industrial Commission rules policies and procedures.
- Utilizes time management skills to meet deadlines / legislative time frames.
- Uploads and verifies accuracy of documents uploaded by internal / external customers to ensure an accurate hearing folder.
- Answers inquiries from internal and external customers regarding the claims process / claims status.
- Backs up the customer service counter as assigned.
See the attached position description for more details regarding this position.
Whats 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 fulltime and parttime employees. For a list of all the State of Ohio Benefits visit ourTotal Rewards website! Our benefits package includes:
Medical Coverage
- Quality affordable and competitive medical benefits are offered through the availableOhio 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 unionexempt employee or a unionrepresented 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 employees salary. Visit theOPERS websitefor more information.
Deferred Compensation
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit theOhio Deferred Compensation websitefor more information.
ADA Statement
The Industrial Commission 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. To request a reasonable accommodation due to a disability please contact the ADA Coordinator at(voice) or by email to: assoonas possible but at least 14 days prior to the scheduled event.
Background Check Information Statement
The final candidate selected for the position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicants prior criminal convictions will be made before excluding an applicant from consideration.
Employment Type
Full-Time
