Claim Specialist

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Job ID:
2489135
Location:
Cleveland, OH
Category:
Accounting
Salary:
per year
Zip Code:
44101
Employment Type:
Full time
Posted:
06.13.2018
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Job Description:

1-888-OhioComp is currently seeking a Full-Time Claim Specialist for our Cleveland office.

The Claim Specialist is responsible for reporting injured workers first report of injuries (FROI) to the Bureau of Workers' Compensation (BWC). Responsible for managing medical only claims, review and triage all documentation received, seek return to work information, monitoring injured workers who are on light duty/transitional work, and performing clerical duties for his/her assigned case manager.

Candidates should have a customer service background. We offer an excellent benefit package, daytime hours, 5 day work week, and a friendly office environment. Looking for a team player with excellent communication and computer skills.

Duties and Responsibilities:

  • Entering FROI data elements
  • Makes initial three point contact to injured worker, employer, and healthcare provider to verify and obtain necessary FROI information
  • Responsible for verification of data accuracy including FROI information, physician of record, injured worker, and other related party's contact information
  • Makes follow up calls after C-9 approvals, office visits, diagnostics, and therapy appointments to ensure compliance with treatment requested.
  • Assists case managers with non-clinical aspects of claims management and case management activities
  • Creates a return to work (RTW) plan if injured worker restrictions are 30 days or greater
  • Documents actions and phone calls in claim notes system

Qualifications:

  • High School diploma
  • Computer skills
  • Organized
  • Attention to detail
  • Communication skills (both verbal and written)
  • Ability to work in a team environment.
Company Info
1-888-OHIOCOMP