Claims Examiner Supervisor - PN 20065810 - Cambridge

What You'll Do:

Under general direction of the Administrative Officer 2 (AO2) or Program Administrator 2 or 3 (PA2/PA3):

• Supervises & directs (assigns & monitors) all work activities for the district / regional office staff, customer service, word processing, claims examining (all 1st & 2nd level hearing issues), & docketing
• Supervises lower level supervisors (customer service & program administrator 1)
• Interprets & applies existing workers' compensation laws, IC / BWC rules, policies & procedures & instructs personnel accordingly
• Follows up verbal instruction with written direction to ensure understanding & compliance
• Assists staff with the resolution of complex work activities
• Makes recommendations to AO2, PA2, PA3 or Regional Manager regarding policy & procedure changes to assure the efficient processing of claims
• Reviews & analyzes all queues in Case Manager, Applications (Action items, Action uploads, Power BI, VSSR, etc.) & Outlook email (ODI / ODIPT, File Drop, etc.) to ensure inventories are current
• Works with other claims examiner supervisors to resolve claim, word processing, docketing & report issues (open pcn reports, CAS tracking issues, etc.,)
• Updates information on CAS, ECM & Case Manager as needed. Prepares or routes claims for exparte orders
• Maintains the risk & representative master files
• Serves as liaison with central office departments (administration, fiscal, information technology, operations support, security services, customer service (interpreters), medical services, human resources, management planning, & claims support) & the BWC
• Oversees & resolves all building operational issues: security, maintenance issues, etc., & reports concerns as needed
• Backs up other district office supervisors or regional program administrators as needed

See the attached position description for more details regarding this position.

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
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

• Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Technical Skills: Claims Examination, Management, Customer Service, Training, Communications

Professional Skills: Attention to Detail, Developing Others, Critical Thinking, Problem Solving, Time Management

• This position is filled through an assessment consisting of a structured interview. The interview will be administered in person at the Cambridge District Office.

• 
  For internal applicants, the position will be filled pursuant to legislation or the provision of the OCSEA/AFSCME Contract.

• This position may require travel; therefore, the person occupying this position must be able to provide his/her own transportation &/or legally operate a state-owned vehicle.
• Compensation statement: The hourly wage for this position is not negotiable. For applicants who are not current State of Ohio employees, the starting wage will be the hourly rate listed on this posting. Successful employees will move up a step in the salary range within one year, and in most cases within four to six months, with subsequent step increases occurring annually.
• ADA Statement: The Industrial Commission 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. To request a reasonable accommodation due to a disability please contact the ADA Coordinator, at 614-466-2765 (voice) or by email to: diversity@ic.ohio.gov, as-soon-as possible but at least 14 days prior to the scheduled event.
• Background Check Information Statement: The final candidate selected for the position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.

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.

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.