This job listing has expired and the position may no longer be open for hire.

Benefits Management Representative at STATE OF OHIO in Columbus, Ohio

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

 

The Ohio Department of Administrative Services, Human Resources Division, Benefits Administration-Disability unit is seeking an experienced Benefits Management Representative to perform the following duties:

 

Assists in development & implementation of benefits policies & procedure affecting state employees claims for disability leave benefits:

 

 



  • Provides technical assistance to state workers & state agencies to resolve benefits issues related to disability, workers compensation & injury leave;




  • Develops methods to implement policies & procedures for all state workers & implements statewide policy;




  • Analyzes medical information & applies established criterion to facilitate the case management process;




  • Coordinates & case manages disability benefits claims through communication with employees, agencies, medical providers & others to determine the appropriate benefits to apply;




  • Works with agency representatives to coordinate a timely return to work for the employee;




  • Coordinates & case manages disability claims of basic to moderate complexity;




  • Analyzes medical information & applies established criterion to facilitate the case management & return to work process;




  • Researches, reviews & prepares disability files to present & collaborate objectively in order to facilitate case resolution;




  • Reviews and process disability claim applications & medical reports in claims processing system & document management system.



 

 

Acts as a liaison between Benefits Administration Services, state agencies & state employees regarding disability leave:

 

 



  • Researches complex telephone & written inquiries from active & former employees & state agencies concerning eligibility, payments & continuation of disability benefits;




  • Coordinates & researches workers’ compensation claims & resolves & responds to appeals;




  • Resolves complaints received from employees & form employees;




  • Provide assistance & information to hearing representatives & represents management in appeals in disability claims;




  • Interviews claimants or authorized parties to obtain additional/needed information pertaining to claims;




  • Contacts employees, agencies & physicians as part of claims management activities;




  • Recommends measures to improve processing & claims management;




  • Operates personal computer to enter, edit & retrieve data & produce documents.



 

 

Performs other duties related to case management, processing claims & coordinating with state agencies.

 

Please follow us on LinkedIn!!

24 mos. exp. in processing benefits enrollment with third party administrators &/or insurers in governmental agency or private sector; 12 mos. exp. in public relations; 3 mos. exp. in operation of video display terminal or personal computer.

-Or for positions responsible for or assigned to disability benefits, must have: 24 mos. exp. in adjudicating benefit claims or in coordinating benefit claims issues with third party administrators &/or insurers in governmental agency or private sector.

-Or equivalent of Minimum Class Qualifications for Employment noted above.





More jobs in Columbus, Ohio

Sales
about 1 hour ago

CRH Ohio, LTD
Sales
30+ days ago

CRH Ohio, LTD
Other
about 3 hours ago

Oldcastle
More jobs in General Business

General Business
9 minutes ago

Nemours
General Business
10 minutes ago

Signature Healthcare at Home
General Business
10 minutes ago

Signature Healthcare at Home