Ohio BWC (official) · 2 days ago
Toledo - Workers' Compensation Claims Supervisor- PN: 20069807
Toledo, OH
Full-time
Onsite
Mid, Senior Level
$43.09/hr - $61.56/hr
3+ years expOhio BWC is a state agency that promotes workplace safety and provides insurance policies for workplace injuries. The Workers' Compensation Claims Supervisor will oversee a claims service team, ensuring compliance with laws and managing lost time compensation claims effectively.
Employee BenefitsInsuranceTraining
No H1B
U.S. Citizen Only
Responsibilities
Supervises one claims service team consisting of multiple claims specialists in managing lost time compensation claims
Oversees claims management procedures to ensure compliance with applicable state & federal & BWC laws
Conducts review of case assignments & monitors the quality, accuracy & productivity of assignments
Uses management reports which are computer generated in order to review pending cases assigned to each individual claims specialist
Addresses quality, accuracy & timeliness and identifies problem areas
Maintains detailed management reports produced on a regular basis (e.g. number of new cases received, number of pending cases, how long it took to allow each claim, when the first award was placed on the claim, when it was first referred to Rehabilitation & the number of dollars spent in each case)
Qualification
Required
36 mos. exp. managing medical-only &/or lost-time claims, serving as primary decision maker to include making initial determination of claim, having overall responsibility & accountability of claim & management of claim to desired outcome
Or 36 mos. trg. or 36 mos. exp. in providing rehabilitation &/or medical management expertise in managing claims (e.g., develop return to work plans AND provide medical opinion; recommend, monitor &/or review medical treatment & determinations; provide job development training or career counseling enabling injured workers to return to work force)
Or 24 mos. trg. or 24 mos. exp. in private insurance organization as claims representative, nurse or rehabilitation specialist AND 12 mos. trg. or 12 mos. exp. providing work direction to claims processing staff
Or completion of undergraduate core program in business administration, public administration, human resources, finance, economics, nursing, social work, human service field (e.g., rehabilitation counseling) or related field AND 12 mos. exp. in providing rehabilitation &/or medical expertise in managing workers' compensation claim (e.g., develop return to work plans; provide medical opinion; recommend, monitor & review medical treatment & determinations; provide job development training or career counseling enabling injured workers to return to work force), or 12 mos. exp. managing workers' compensation lost-time claims &/or medical-only claims serving as primary decision maker to include making initial determination of claim, having overall claim responsibility & accountability of claim & management of claim to desired outcome, or 12 mos. exp. supervising lower-level claims staff in managing medical only claims, or 12 mos. exp. in supervisory level position within Ohio Bureau Of Workers' Compensation which involved telephoned, in-person &/or written contact with providers, claimants, employers, public officials, attorneys &/or general public to provide information & answer inquiries concerning various operations, services &/or policies & procedures of agency
Or 36 mos. exp. in supervisory-level position within Ohio Bureau Of Workers' Compensation, 24 mos. of which involved telephoned, in-person &/or written contact with providers, claimants, employers, public officials, attorneys &/or general public to provide information & answer inquiries concerning various operations, services &/or policies & procedures of agency
Or equivalent of Minimum Class Qualifications For Employment noted above
Company
Ohio BWC (official)
BWC helps thousands of injured workers and their employers each year by providing support, resources, and services to ensure workplace safety and recovery.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
John Logue
BWC Administrator / CEO
Shawn Crosby MBA, CPM, OWCG, Prosci® CMP
Chief Operating Officer
Recent News
2025-01-04
Crain's Cleveland Business
2022-01-28
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