Jobs · Customer Service · Ohio

Canton WC Claims Specialist (PN: 20068383 & 20068404)

Ohio BWC (official) · North Canton, OH · 2 days ago
Customer Service$26.54–$34.53/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes "What Our Employees Have To Say", "What You’ll Be Doing", then qualifications/experience, then job skills, then agency contact, unposting date, work location, compensation, schedule, etc. We need to use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should only include sections that have real specific content. We need to preserve all substantive info, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO etc. The posting includes "What Our Employees Have To Say" which is not a standard heading but we can map to maybe "About the role"? Actually "What Our Employees Have To Say" is employee testimonials; could be a section like "Employee Feedback". But the instruction says use headings for those specific labels: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should map content accordingly. We have: - Core hours, flex-time, work location: that's schedule info. So we can put Schedule section with details: core hours Mon-Fri 8-5, flex-time 7-8:30 start, supervisor approval, on-site at seven offices, etc. - "What Our Employees Have To Say": could be placed under About the role? Or maybe we create a section "About the role" with that content? But the instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., meaning those are examples; we can use those headings if appropriate. We should not invent headings not in that list unless needed? It says use those for section headings. Likely we should use those exact headings when we have content. So we need to map content to those headings. We have responsibilities: "What You’ll Be Doing" includes detailed duties. That maps to Responsibilities. We have qualifications: the long paragraph about experience/education etc. That maps to Requirements or Qualifications. We have both Requirements and Qualifications as possible headings. We need to decide which to use. Probably combine experience/education under Qualifications, and maybe Requirements for skills? But we also have a separate "Job Skills:" section. That maps to Skills. We have compensation: "$26.54 - $34.53". That's Pay. We have schedule: we already have schedule info. We have benefits: not explicitly mentioned besides flex-time? There's no explicit benefits like health insurance etc. So we should not create Benefits section unless posting actually states them. It does not mention benefits, so omit. We have "Agency Overview" etc. That could be About the role? Or maybe we put under About the role: description of BWC, mission, vision, core values. That seems appropriate. Thus sections: - About the role: include agency overview, mission, vision, core values, employee testimonials? The testimonials are under "What Our Employees Have To Say". Could be part of About the role. - Responsibilities: the "What You’ll Be Doing" bullet list (though it's prose). We'll put as
  • items. - Qualifications: the experience/education requirements. - Skills: the "Job Skills:" list (knowledge, skill, ability). We'll break into
    • . - Pay: compensation range. - Schedule: core hours, flex-time, work location, etc. We must not repeat job title as heading. Not include Job ID etc. We should drop unposting date, agency contact name? That's minor metadata; we can fold into a short

      or drop. The instruction: "do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

      or drop it." So we can include a short paragraph for contact info and unposting date maybe. But we need to preserve ALL substantive information; contact name and email is substantive? It's agency contact. Might be considered minor metadata but still info. We'll include a short

      at end: "Agency Contact: Mia Truss-Davis, HCM Sr. Analyst, Mia.T.1@bwc.ohio.gov. Unposting Date: Sep 18, 2026, 11:59:00 PM." We also have work location: Canton Service Office, Primary Location United States of America-OHIO-Stark County-North Canton. That's location info; we can include in Schedule section or maybe a separate line. We'll include in Schedule. Now we need to ensure we don't create sections with filler like "commensurate with experience". Not present. We must output ONLY HTML fragment, no /, no markdown. Let's craft. Structure:

      About the role

      ... agency overview, mission, vision, core values, employee testimonials ...

      Responsibilities

      • Manages a caseload of Workers’ Compensation claims: Communicates, coordinates & collaborates with internal & external stakeholders (e.g. Disability Management Coordinator [DMC], Medical Service Specialist [MSS], Managed Care Organization [MCO], Employer Management [EM] team, Safety & Hygiene, injured workers, employers, Third Party Administrators [TPA] & rehabilitation personnel) in order to set return to work expectations.
      • Performs initial/subsequent claims investigation & determination within prescribed timeframes: Contacts parties involved in claim process; completes investigation during initial claim development to determine information pertinent to management of claim (e.g., jurisdiction, coverage, causality, compensability, claim data accuracy, current work status of claimant, job description, salary continuation, physical demands of job, & work history of claimant).
      • Processes various types of compensation ranging from Temporary Total (TT) Compensation, Wage Loss, Permanent Partial and Percentage of Permanent Partial, Living Maintenance, to Lump Sum Advancement requests; addresses subsequent requests by parties to claim via due process notification, investigation, BWC orders & referrals to the Industrial Commission (IC) of Ohio
      • Responds to customer inquiries
      • Follows Ohio Revised Code and BWC policies and procedures
      • Communicates with legal representatives, employers, claimants, etc.

      Qualifications

      ... the long paragraph about experience/education ...

      We need to preserve all substantive info; we should not lose any detail. The qualifications paragraph is quite long with multiple options. We'll keep it as a

      but maybe break into

      • for each option? The instruction: Use
        • for any list of duties/requirements/benefits. This is a list of options, so we should use
          • . Let's parse the qualifications text: "36 mos. exp. in position requiring evaluation of medical or public assistance benefits (e.g., health insurance benefits, disability benefits, workers’ compensation benefits, unemployment benefits, public assistance benefits for food subsidies) in order to determine eligibility for benefits, approve or deny claims, resolve benefit-related disputes, calculate benefit payments, &/or perform similar benefit-related duties. Or completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; 12 mos. exp. in position requiring evaluation of medical or public assistance benefits (e.g., health insurance benefits, disability benefits, workers’ compensation benefits, unemployment benefits, public assistance benefits for food subsidies) in order to determine eligibility for benefits, approve or deny claims, resolve benefit-related disputes, calculate benefit payments &/or perform similar benefit-related duties.Or 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 &/or BWC Customer Service Representative, 64451 &/or as BWC Employer Service Representative, 63521.Or 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721.Or any combination of at least 36 mos. exp. in position requiring evaluation of medical or public assistance benefits &/or as Workers' Compensation Claims Assistant, 16720, &/or as BWC Customer Service Representative, 64451 &/or as BWC Employer Service Representative, 63521.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." We'll turn each option into
          • . Also include the note about proficiency demonstration as a separate
          • maybe. Thus:

            Qualifications

            • 36 mos. exp. in position requiring evaluation of medical or public assistance benefits (e.g., health insurance benefits, disability benefits, workers’ compensation benefits, unemployment benefits, public assistance benefits for food subsidies) in order to determine eligibility for benefits, approve or deny claims, resolve benefit-related disputes, calculate benefit payments, &/or perform similar benefit-related duties.
            • Completion of undergraduate core coursework in business, humanities, social & behavioral science, education or related field; 12 mos. exp. in position requiring evaluation of medical or public assistance benefits (e.g., health insurance benefits, disability benefits, workers’ compensation benefits, unemployment benefits, public assistance benefits for food subsidies) in order to determine eligibility for benefits, approve or deny claims, resolve benefit-related disputes, calculate benefit payments &/or perform similar benefit-related duties.
            • 24 mos. exp. as Workers' Compensation Claims Assistant, 16720 &/or BWC Customer Service Representative, 64451 &/or as BWC Employer Service Representative, 63521.
            • 12 mos. exp. as Workers' Compensation Medical Claims Specialist, 16721.
            • Any combination of at least 36 mos. exp. in position requiring evaluation of medical or public assistance benefits &/or as Workers' Compensation Claims Assistant, 16720, &/or as BWC Customer Service Representative, 64451 &/or as BWC Employer Service Representative, 63521.
            • Equivalent of Minimum Class Qualifications For Employment noted above.
            • Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment.
            Now Skills: The "Job Skills:" includes Knowledge, Skill, Ability. We'll break into
            • each bullet? It's a long sentence with subparts. Could keep as

              but instruction says use

              • for any list of duties/requirements/benefits. This is a list of skills, so we should use list. We'll parse: Knowledge of: workers' compensation laws, policies & procedures*; eligibility criteria & procedures used for processing workers' compensation claims*; English grammar & spelling; oral & written business communication; public relations*; addition, subtraction, multiplication, division, fractions, decimals & percentages; interviewing techniques; internet search engines & navigation; medical terminology; medical diagnosis coding*; Industrial Commission processes*; claims reserving*; Skill in: operation of a personal computer; typing; use of Microsoft Office software (e.g., Outlook, Word, Excel, Access, PowerPoint); use of BWC-specific software (e.g., Workers’ Compensation Claims Management System, Intrafin, FMS fraud system)*; operation of office machinery (e.g. calculator, printer, copier, fax, phone); communication skills (e.g., listening, writing, reading, phone etiquette); use of internet; Ability to: define problems, collect data, establish facts, & draw valid conclusions; read & understand medical reference manuals & reports, gather, collate, & classify information about data, people, or things; respond to sensitive inquiries from & contacts with injured workers, employers, providers or their representatives, & the public; answer routine & technical inquiries from injured

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