Gather claim data and manage low to mid-level workers compensation claims to full duty Return to work
Facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements
Obtain expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC)
Manage medical-only and low
to mid-level lost-time workers compensation claims under close supervision
Process workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes
Verify return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s)
Manage claims in close collaboration with Claims Management Team
Support other claims management staff with larger or more complex claims as necessary
Make referral for case management and/or utilization management when work status changes due to functional limitations/medical instability
Document communications and claims management appropriately in system(s)
Respond to all inquiries within one (1) business day
Maintain knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures
Maintain professional client relationships
Meet and maintain productivity and quality expectations

High school diploma or GED required
Strong oral and written communication skills
Computer literate – including Microsoft Office
Organizational skills required
Clerical or customer service experience or equivalent combination of education and experience preferred

A diverse and comprehensive benefits package including medical, dental, vision, 401K, PTO and more
World class training program with a comprehensive curriculum
Assigned mentor and manager to support and guide on career journey
Career development and promotional growth opportunities

Case Coordinator

Key skills