Bilingual - Workers' Compensation Claims Assistant (PN: 20069153)

BWC conducts an internal engagement survey on an annual basis. Here’s what our employees have to say:

• BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.
• I have worked at several state agencies and BWC is the best place to work.
• Best place to work in the state and with a sense of family and support.
• I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.
• I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.

Schedule

BWC’s core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC’s seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.

Responsibilities

• Adjudicate system to monitor claims work list & manage caseload of Percentage of Permanent Partial applications.
• Determine if waiting period has lapsed from date of injury in Medical Only claim or date of last compensation in lost time claims.
• Process C92/C92A applications (e.g., mail applications received to employers &/or reps, review applications & Workers’ Compensation Claims Management System to ensure timely filing).
• Request medical documentation & wage information from (e.g., MCOs, SI Employers, IWs, Employers) as appropriate.
• Generate 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).

Requirements

To qualify, you must clearly demonstrate:

• 2 courses or 6 months experience in English composition or grammar AND
• 2 courses or 6 months experience in accounting, bookkeeping or general math AND
• 2 courses or 6 months experience in communication or public speaking OR 6 months experience in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public.
• 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.

Skills

Knowledge of:

• BWC & IC policies & standard operating procedures
• ORC rules & regulations
• Applicable state & federal regulations governing documents processed, reviewed &/or prepared
• Public relations
• BWC claims documents & forms
• SI (Self-Insured)
• IC (Industrial Commission)
• CCT (Claims Classification & Tracking)
• BWC claims-related terminology

Skill in:

• Operation of PC to efficiently log & enter data
• Claims adjudicating systems
• Use of general office equipment (e.g., telephone, copier/fax machine)

Ability to:

• Solve practical, everyday problems
• Gather, collate & classify information about data, people, or things
• Handle routine inquiries from & contacts with injured workers, employers, legislators

Position-Specific Minimum Qualifications:

• Must have the ability to read, write, and speak Spanish (*developed after employment). Bilingual Representatives are paid an additional $1.18/hour supplement.
• Position requires travel; therefore, persons occupying this position must be able to provide own transportation &/or legally operate a state-owned vehicle.

Pay

$23.65/hour.

About the Organization

With roughly 1,500 employees in seven 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 strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in online forums, 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.