Claims Examiner 2 - PN 20065973, PN 20065926 - Cleveland

About the Role

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 multi-task, prioritize and manage time effectively.

Responsibilities

• 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.

Qualifications

• 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.

Skills

• Job Skills: Claims Examination
• Technical Skills: Clerical, Computer Literacy, Customer Service, Data Entry, Medical
• Professional Skills: Attention to Detail, Decision Making, Problem Solving, Teamwork

Pay

$22.59 (Step 1)

Schedule

• Full-time
• Work Hours: 8:00 am - 5:00 pm
• Classified Indicator: Classified
• Union: OCSEA

Work Location

Cleveland Regional Office — United States of America-OHIO-Cuyahoga County-Cleveland