Claims Examiner 2 - PN 20066006 - Youngstown

What You'll 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.

What’s 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 full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage

• Quality, affordable, and competitive medical benefits are offered through the available Ohio 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 union-exempt employee or a union-represented 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 employee’s salary. Visit the OPERS website for more information.
  
  

Deferred Compensation

• The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
  
  

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.

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

Organization

Industrial Commission

Agency Contact Name and Information

Human Resources 614-644-2765

Unposting Date

Nov 30, 2024, 10:59:00 PM

Work Location

Youngstown District Office

Primary Location

United States of America-OHIO-Mahoning County-Youngstown

Compensation

$20.99 (Step 1)

Schedule

Full-time

Work Hours

8:00 am - 5:00 pm

Classified Indicator

Classified

Union

OCSEA

Primary Job Skill

Claims Examination

Technical Skills

Computer Literacy, Clerical & Data Entry, Customer Service, Medical

Professional Skills

Attention to Detail, Decision Making, Problem Solving, Teamwork

Agency Overview

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 multi-task, prioritize and manage time effectively.