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 ourTotal Rewards website! Our benefits package includes:
*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
The Ohio Industrial Commission (OIC) Office of Claim Support is seeking a highly qualified professional to serve as Director of Claims this leadership role you will be instrumental in shaping statewide claims processing policies and procedures ensuring compliance with IC/BWC rules and regulations. A key focus will be on leveraging technology to develop new improved procedures that enhance productivity and efficiency to promote standardized high-quality claims addition you will be tasked with designing and delivering robust training programs for our dedicated support staff. This position requires a strategic thinker who can serve as a liaison across intra-agency departments and with the BWC providing guidance on claims practices to the Director of Adjudication.
Under administrative supervision from the Deputy Director of Adjudication directs the operation of the Claims Support department: plans coordinates & implements hearing services programs that support the adjudication of workers compensation claims issues (training procedure updates meetings internal/external claims inquiries special projects etc.).
Reviews evaluates analyzes & interprets claim processing policies & procedures for statewide implementation & ensures compliance with IC/BWC laws rules resolutions policies & procedures.
Reviews BWC claims policy changes for impact on the ICs claims review process. Notifies staff accordingly.
Monitors workloads & recommends adjustments in staffing levels to the Deputy Director of Adjudication. Monitors the statewide support staff in baskets & provides feedback to supervisors.
Assists with the establishment & implementation of performance goals for hearing services management & support staff.
Provides information on claims practices to the Director of Adjudication & the Information Technology staff to assist with claims processing & computer application changes.
Develops new or improved procedures to incorporate technology increases productivity improves work product & enhances efficiency & directs/oversees the implementation of the same for hearing services claims processing functions (examining word processing customer service).
Designs implements delivers & monitors training programs to instruct hearing services support staff (new hires & existing staff).
Responds to internal inquiries to identify training needs educate & update procedural changes as needed.
Responds to external inquiries to ensure consistency of response.
Promotes standardized claims processing statewide.
Overseas & monitors Claims Support staff activities (interviews recommends hire trains/monitors training coaches responds to leave requests evaluates disciplines etc.).
Serves as liaison to all intra-agency departments.
Serves as liaison with the BWC to resolve claim & procedure issues.
Conducts/facilitates & attends meetings to provide updates on processing changes (prepares agenda documents summarizes & posts meeting minutes).
Prepares departmental reports.
Reviews & recommends changes in policies at the request of Administration.
Performs other duties as required.
See the attached position description for more details regarding this position.
Completion of undergraduate core program in public or business administration or management science; 24 mos. trg. or 24 mos. government laws and regulations applying either to unemployment compensation or worker compensation; 12 mos. trg. or 12 mos. supervisory principles/techniques.
-Or 36 mos. trg. or 36 mos. a position utilizing government laws and regulations applying to either unemployment compensation or workers compensation claims programs. 12 mos. trg. or 12 mos. supervisory principles/techniques.
-Or equivalent of Minimum Class Qualifications or Employment noted above.
Technical Skills: Claims Examination
Professional Skills: Attention to Detail Critical Thinking Decision Making Developing Others
About Us:
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.
Workers compensation insurance provides medical benefits and compensation to workers who suffer an injury or illness due to their employment. While the Ohio Bureau of Workers Compensation (BWC) is the exclusive provider of workers compensation benefits in Ohio the Ohio Industrial Commission (IC) is the state agency responsible for adjudicating all contested claims matters.
This position is filled through an assessment consisting of a structured interview. The interview will be administered in person at the William Green Building in Columbus Ohio.
This position may require travel; therefore the person occupying this position must be able to provide his/her own transportation &/or legally operate a state-owned vehicle.
The hourly wage for this position is not negotiable.
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: as-soon-as possible but at least 14 days prior to the scheduled event.
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.
The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39) and as outlined in the posting.
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.
Required Experience:
Director
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