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Workers' Compensation and Disability Claims Examiner

2 months ago

cleveland, United States Greater Cleveland RTA Full time

About Greater Cleveland Regional Transit Authority


As the recipient of the gold-level award from The Partnership for Excellence (TPE, Baldrige Award) and the national APTA award for bus safety, we continue to be a well-recognized and high-performing public agency providing public transportation to the greater Cleveland area. We are proud to be one of northeast Ohio’s major employers with over 2,300 employees. Our service encompasses 460 square miles and we provide 40 million rides annually, which is more than 100,000 rides on a typical weekday. Our corporate mission is to provide safe, reliable, clean and courteous public transportation.


We offer a wide range of comprehensive benefits and programs to support the health and wellness of employees and family members including health benefits and participation in the Ohio Public Employee Retirement System. If you’re interested in this exciting opportunity, we encourage you to apply for this position and become a valued member of the GCRTA team


Duties

The Greater Cleveland Regional Transit Authority (GCRTA) is looking for a motivated Workers’ Compensation and Disability Claims Examiner. Under the direction of the Director of Risk Management, this position reviews and processes employee injury/occupational disease claims to determine compensability under Ohio Workers’ Compensation laws. Review news bulletins and attend seminars to stay current on changes in Ohio WC law and changes in Industrial Commission and BWC rules for self-insurers; Handles medical payments and compensation payments; Processes reactivation of previous claims. Responds to and processes Industrial Commission orders. Handles claims for permanent partial disability; Reviews requests for change of physicians; Processes hearing notices and motions requesting additional allowance or other action on claims. Supports legal department in preparation for attendance at hearings as well as handling any WC related lawsuits. Handles claims for short-term disability for employees up to Grade 6; Handles subrogation process from original notice to employee, Attorney and third parties. This position will promote a safe and secure atmosphere, follow all safety and security rules and perform other related duties as assigned.


Minimum Requirements

Applicant must have a high school diploma or its GED equivalent. Bachelor’s degree preferred. Minimum 3 years of workers’ compensation claims processing experience including making determination as to compensability of claims is required, self-insured employer experience preferred. Applicants must possess superior oral, written communications and interpersonal skills capable of dealing with all levels of personnel including discussions with attorneys, physicians and other involved parties. Knowledge of workers’ compensation return-to-work programs, standards, procedures and guidelines required. Applicants must have an understanding of medical and legal terminology as applicable to processing claims.

AN EQUAL OPPORTUNITY / ADA EMPLOYER / A DRUG FREE WORKPLACE