Claims reviewer full time jobs

Job Description The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a Hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests Participate in customer claim reviews and presentations Ability to travel overnight and attend meetings if required Additional duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Effective quantitative, analytical and interpretive skills Strong leadership, management and motivational skills Demonstrated, strong customer service skills Maintains composure under pressure and communicates diplomatically across various channels, including telephone, email, and written correspondence Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Demonstrated public speaking skills Minimum of 5 years' claims handling experience Knowledge of WC required Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel Self-Insured Certificate preferred State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $71, 696 - $110,701 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Hybrid

Workers' Compensation Claims Assistant - 20068665 (250009KD) Organization: Workers' CompensationAgency Contact Name and Information: a85603@bwc. state. oh. us Unposting Date: Dec 31, 2025, 4:59:00 AMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $22. 96/hr. Schedule: Full-time Work Hours: 8:00 am-5:00 pm Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Claims ExaminationTechnical Skills: Claims Examination, InsuranceProfessional Skills: Attention to Detail, Customer Focus, Listening, Teamwork Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success. Our Mission:To deliver consistently excellent experiences for each BWC customer every day. Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence. What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work. I have worked at several state agencies and BWC is the best place to work. Best place to work in the state and with a sense of family and support. I love the work culture, helpfulness, and acceptance I've been embraced with at BWC. I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC. If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flextime work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. What You'll Be Doing:Provides assistance to the Workers' Compensation Medical Claims Specialists and supervisors in the Medical Billing and Adjustments unit;Reviews and cross-references data on bills, adjustments, Medicare correspondence, and other documents with data in BWC's claims management system and other ancillary systems;Scans, indexes and track bills, adjustments, Medicare documents, and correspondences into claim file; other tracking databases Reviews incoming claims and billing documents to obtain missing information and determine required action;Performs specialized clerical tasks and handling of all departmental incoming, outgoing, and misdirected mail, and other documents. QualificationsTo Qualify, You Must Clearly Demonstrate:Required Experience and/or Education:2 courses or 6 mos. exp. in English composition or grammar AND 2 courses or 6 mos. exp. in accounting, bookkeeping or general math AND 2 courses or 6 mos. exp. in communication or public speaking or 6 mos. exp. in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public AND successful completion of one typing course or demonstrate ability to type 35 words per minute. Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment. Job Skills: Claims Examination, InsuranceMAJOR WORKER CHARACTERISTICS: Knowledge of addition, subtraction, multiplication, division, fractions, decimals & percentages; ICD/CPT codes, BWC/IC policies & procedures & ORC rules & regulations*; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations. Skill in operation of pc to efficiently log & enter data. Ability to solve practical, everyday problems; gather, collate & classify information about data, people or things; handle routine inquiries from & contacts with injured workers, employers, legislators, providers or their representatives & public; complete routine forms & prepare standard reports. (*) Developed after employment. Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order. The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox bwcada@bwc. ohio. gov. BWC OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position. Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service. Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed. All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted. Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. ADA StatementOhio 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. Drug-Free WorkplaceThe 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.

Perform independent commercial real estate appraisal reviews on high complexity/risk properties. The Senior Risk Reviewer will be assigned to larger exposure, more complex collateral typically resulting in greater risk to Citizens, whereby the reliance on experience is critical to identify major issues to protect the bank's collateral position. Ascertain compliance of appraisal reports with the applicable Citizens scope of work and federal regulatory requirements and guidance including, but not limited to: Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (FIRREA; 12 USC §3331, et seq.) and the implementing regulations promulgated thereunder by the Office of the Comptroller of the Currency (OCC) at 12 CFR Part 34 ("Real Estate Lending and Appraisals") "Uniform Standards of Professional Appraisal Practice" (USPAP); "Interagency Appraisal and Evaluation Guidelines" ("Interagency Guidelines"), dated December 2010, issued by OCC as periodically supplemented by Financial Institution Letters; and, "OCC Comptroller's Handbook: Commercial Real Estate Lending," by the OCC, dated August 2013 (OCC Bulletin 2013-19). + Manage risks associated with the commercial real estate appraisal and evaluation process for a given geographic market and/or assigned lending groups + Supervisory responsibilities may include administrative supervision and required process oversight, including adherence to internal policies and procedures to ensure regulatory compliance and appraisal industry requirements for assignments + Real estate risk identification, quantification and consulting (including discounted cash flow (DCF) analysis) for the various commercial lending and credit functions throughout Citizens + Perform independent commercial real estate appraisal reviews of high complexity/risk properties including memorializing such review in a comprehensive written format for the benefit of internal customers (Relationship Managers/Portfolio Managers; Credit Officers); + Assist in the scoping and engagement of commercial appraisal/evaluation assignments, including third-party vendor selection, analysis type, report content, report format and contract authorization in accordance with policies and procedures. + Interact with senior management of Wholesale Credit Risk and Commercial Lending regarding projects especially for those properties that represented a higher degree or real estate risk or otherwise have identified appraisal issues or concerns. + Manage vendor relationships + Provide direct, responsive customer service to external vendors and internal customers (i.e., Relationship Managers/Portfolio Managers; Credit Officers) that RERS supports and serve as the primary liaison and point-of-contact with both internal customers and external vendors regarding regulatory requirements, identification and explanation of any issues of concern, and development/application of any potential risk mitigants. Critical Skills: + Risk Assessment + Regulatory Environment + Due Diligence + Critical Thinking + Analytical Reasoning + Building Relationships + Communicating Effectively + Advising + Risk Exposure Calculation To thrive as a colleague at Citizens, candidates must demonstrate a strong customer-centric mindset, exhibit persistence and resilience in the face of challenges, and embrace continuous learning to adapt and grow in a dynamic environment. Qualifications: + 10+ years' experience in diversified commercial appraisal experience and/or appraisal review positions + May either maintain or be pursuing their (MAI) designation + Thorough knowledge of real estate appraisal and valuations techniques as well as local, regional and national real estate market understanding + Self-motivated and disciplined + Ability to work autonomously with limited direct supervision. + Excellent written and verbal communication skills + Thorough understanding of USPAP, FIRREA and Interagency Appraisal and Evaluation Guidelines + Strong working knowledge of PCs; Word, Excel and Access skills preferred. + Strong analytical and organizational skills. + Strong oral and written communication skills. + Ability to work as a team player. + Ability to manage numerous projects simultaneously. + Flexibility and willingness to assume responsibilities for projects and tasks as assigned. Education, Certifications and/or Other Professional Credentials: + Bachelor's Degree or Greater is required + Certified General Real Estate Appraiser or equivalent appraisal experience + MAI preferred Hours & Work Schedule: Hours per Week: 40+ Work Schedule: M-F 8-5 This position will work 4 days in office. Pay Transparency The salary range for this position is $90,640-$135,960 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience. We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of every local and state jurisdiction in the United States. For an overview of our benefits, visit ************************************** . Citizens will not sponsor an applicant for a work visa, such as an H-1B, for this position. #LI-Citizens2 Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance. Equal Employment Opportunity Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability. Why Work for Us At Citizens, you'll find a customer-centric culture built around helping our customers and giving back to our local communities. When you join our team, you are part of a supportive and collaborative workforce, with access to training and tools to accelerate your potential and maximize your career growth Background Check Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information. 12/31/2025

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Help supervise a team that's redefining efficiency in commercial auto claims. At Great American Insurance Group, our Corporate Claims division is committed to delivering exceptional service and technical expertise. We're looking for a Claims Supervisor to add to the management team of the Accelerated Auto Group-a high-volume, low-severity commercial auto claims unit supporting multiple internal divisions. This is more than a supervisory role-it's an opportunity to shape a growing team, drive quality, and make an impact across the organization. The Accelerated Auto Group is a start up shared service within the organization. The role includes exposure to divisional management as well as senior management within Corporate Claims. We are looking for someone with technical and supervisory expertise to grow their career within the Accelerated Auto Group and with the company. The Claims Supervisor will work alongside the group's Claims Manager to drive claim efficiencies while improving and maintaining claims compliance and overall claim quality. In addition to supervising a team within the Accelerated Auto Group team, the Claims Supervisor will maintain an active caseload. The percentage of claims handled will vary based on the number of direct reports. What You'll Do Technical Oversight and Management (about 50-75%) Supervise a team within a shared service claim group Supervise the investigation and resolution of high volume, low severity commercial auto property damage claims Develop, mentor, and coach a growing claims staff Train new team members Ensure that claim handling follows best practices and compliance guidelines Be a technical resource for the group Manage quality control efforts including (audits, compliance, etc.) Identify opportunities for improvements in process and technology changes for claim assignment and handling Assist with monthly reporting and billing Research best practices within and outside the organization to establish benchmark data Additional job duties as assigned Direct Claim Handling (about 25-50%) Handle a small inventory of claims across 50 states Communicate with policyholders and third-party claimants Investigate, reserve, and resolve claims under best practices and compliance guidelines Maintaining Internal Customer Relationships, Shared Service Development, Vendor Relations (about 15%) Maintain strong relationships between the divisional points of contact and the shared service team Develop relationships with the other shared service teams in Corporate Claims Market the shared service claim group within the organization. Maintain current relationships with corporately contracted vendors (e.g., Snapsheet, Equian, Gerber, Enterprise) Continual research and analysis of potential new vendors Work with senior management to grow the Accelerated Auto Group brand across Great American and take on additional books of business from internal business units. What We're Looking For Technical Expertise: Strong knowledge of commercial auto claims processes, coverage, compliance, and best practices. Leadership Skills: Ability to inspire, coach, and develop a team while balancing operational priorities. Problem-Solving Mindset: Comfortable making decisions and driving results in a fast-paced, high-volume environment. Career Growth: A desire to build a long-term career with Great American, embracing opportunities for professional development and advancement. Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience. Experience: A minimum of three years of auto claims handling experience including at least one year of experience supervising commercial auto PD claims. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC). Business Unit: Corporate Claims Salary Range: $80,000.00 -$95,000.00 Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at **************************** *Excludes seasonal employees and interns.

Perform independent commercial real estate appraisal reviews on high complexity/risk properties. The Senior Risk Reviewer will be assigned to larger exposure, more complex collateral typically resulting in greater risk to Citizens, whereby the reliance on experience is critical to identify major issues to protect the bank's collateral position. Ascertain compliance of appraisal reports with the applicable Citizens scope of work and federal regulatory requirements and guidance including, but not limited to: Financial Institutions Reform, Recovery, and Enforcement Act of 1989 (FIRREA; 12 USC §3331, et seq.) and the implementing regulations promulgated thereunder by the Office of the Comptroller of the Currency (OCC) at 12 CFR Part 34 ("Real Estate Lending and Appraisals") "Uniform Standards of Professional Appraisal Practice" (USPAP); "Interagency Appraisal and Evaluation Guidelines" ("Interagency Guidelines"), dated December 2010, issued by OCC as periodically supplemented by Financial Institution Letters; and, "OCC Comptroller's Handbook: Commercial Real Estate Lending," by the OCC, dated August 2013 (OCC Bulletin 2013-19). * Manage risks associated with the commercial real estate appraisal and evaluation process for a given geographic market and/or assigned lending groups * Supervisory responsibilities may include administrative supervision and required process oversight, including adherence to internal policies and procedures to ensure regulatory compliance and appraisal industry requirements for assignments * Real estate risk identification, quantification and consulting (including discounted cash flow (DCF) analysis) for the various commercial lending and credit functions throughout Citizens * Perform independent commercial real estate appraisal reviews of high complexity/risk properties including memorializing such review in a comprehensive written format for the benefit of internal customers (Relationship Managers/Portfolio Managers; Credit Officers); * Assist in the scoping and engagement of commercial appraisal/evaluation assignments, including third-party vendor selection, analysis type, report content, report format and contract authorization in accordance with policies and procedures. * Interact with senior management of Wholesale Credit Risk and Commercial Lending regarding projects especially for those properties that represented a higher degree or real estate risk or otherwise have identified appraisal issues or concerns. * Manage vendor relationships * Provide direct, responsive customer service to external vendors and internal customers (i.e., Relationship Managers/Portfolio Managers; Credit Officers) that RERS supports and serve as the primary liaison and point-of-contact with both internal customers and external vendors regarding regulatory requirements, identification and explanation of any issues of concern, and development/application of any potential risk mitigants. Critical Skills: * Risk Assessment * Regulatory Environment * Due Diligence * Critical Thinking * Analytical Reasoning * Building Relationships * Communicating Effectively * Advising * Risk Exposure Calculation To thrive as a colleague at Citizens, candidates must demonstrate a strong customer-centric mindset, exhibit persistence and resilience in the face of challenges, and embrace continuous learning to adapt and grow in a dynamic environment. Qualifications: * 10+ years' experience in diversified commercial appraisal experience and/or appraisal review positions * May either maintain or be pursuing their (MAI) designation * Thorough knowledge of real estate appraisal and valuations techniques as well as local, regional and national real estate market understanding * Self-motivated and disciplined * Ability to work autonomously with limited direct supervision. * Excellent written and verbal communication skills * Thorough understanding of USPAP, FIRREA and Interagency Appraisal and Evaluation Guidelines * Strong working knowledge of PCs; Word, Excel and Access skills preferred. * Strong analytical and organizational skills. * Strong oral and written communication skills. * Ability to work as a team player. * Ability to manage numerous projects simultaneously. * Flexibility and willingness to assume responsibilities for projects and tasks as assigned. Education, Certifications and/or Other Professional Credentials: * Bachelor's Degree or Greater is required * Certified General Real Estate Appraiser or equivalent appraisal experience * MAI preferred Hours & Work Schedule: Hours per Week: 40+ Work Schedule: M-F 8-5 This position will work 4 days in office. Pay Transparency The salary range for this position is $90,640-$135,960 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience. We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of every local and state jurisdiction in the United States. For an overview of our benefits, visit ************************************** . Citizens will not sponsor an applicant for a work visa, such as an H-1B, for this position. #LI-Citizens2 Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance. Equal Employment Opportunity Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability. Background Check Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information. Benefits We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. View Benefits Awards We've Received Age-Friendly Institute's Certified Age-Friendly Employer Dave Thomas Foundation's Best Adoption-Friendly Workplace Disability:IN Best Places to Work for Disability Inclusion Human Rights Campaign Corporate Equality Index 100 Award Fair360 Top Regional Company FORTUNE's World's Most Admired Companies Military Friendly Employer

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Claims Management Shift/schedule: Full Time (40 hrs/wk) Works under the supervision of the Claims Management Manager and Assistant Manager. The Claims Management Correspondence Tech's primary responsibility is to sort and deliver all mail, records, and paper correspondence that are handled by the Claims Management department. Organizing all transfers of the mail by either scanning or placing it in designated mailboxes. Mailing all paper claims and letters printed within the department. Tracking and ordering all office supplies used by the department. Performing all other duties as assigned. QUALIFICATIONS Education: * High School Diploma or successful completion of an equivalent High School Exam required Licensure: * None Experience: * Two years of office/clerical experience preferred * Basic typing, computer and office equipment skills preferred JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. * Records arrival of mail for reference when needed. * Distributes, retrieves and sorts all mail for Claims Management Department into offices/practices and financial classes to prepare for scanning. * Scans mail into the system and distributes mail electronically to appropriate mailboxes. * Pulls electronic mail from insurance websites and distributes to proper offices/practices and financial classes. * Responsible for mailing all printed patient letters and printed claims to insurance. * Responsible for printing records and EOBs to match w/claims that are to be mailed. * Answers phones and retrieves electronic faxes, adhering to HIPPA regulations. * Monitors Claims Management Department telephone extensions with the assistance of the assistant manager and manager. * Covers PTO/schedule changes for other main Revenue Cycle Department Assistant. * Manages and orders office supplies for the Claim Management department. * Performs other duties as assigned. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a Hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises claims staff in their day-to-day operations * Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements * Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) * Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions * Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests * Participate in customer claim reviews and presentations * Ability to travel overnight and attend meetings if required * Additional duties as assigned KNOWLEDGE & SKILLS: * Excellent written and verbal communication skills * Ability to assist team members to develop knowledge and understanding of claims practice * Effective quantitative, analytical and interpretive skills * Strong leadership, management and motivational skills * Demonstrated, strong customer service skills * Maintains composure under pressure and communicates diplomatically across various channels, including telephone, email, and written correspondence * Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets * Strong interpersonal, time management and organizational skills * Ability to work both independently and within a team environment * Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: * Bachelor's degree or a combination of education and related experience * Demonstrated public speaking skills * Minimum of 5 years' claims handling experience * Knowledge of WC required * Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel * Self-Insured Certificate preferred * State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $71, 696 - $110,701 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Hybrid

Workers' Compensation Claims Assistant - 20068665 (250009KD) Organization: Workers' CompensationAgency Contact Name and Information: a85603@bwc. state. oh. us Unposting Date: Dec 31, 2025, 4:59:00 AMWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County Compensation: $22. 96/hr. Schedule: Full-time Work Hours: 8:00 am-5:00 pm Classified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Claims ExaminationTechnical Skills: Claims Examination, InsuranceProfessional Skills: Attention to Detail, Customer Focus, Listening, Teamwork Agency OverviewA Little About Us:With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success. Our Mission:To deliver consistently excellent experiences for each BWC customer every day. Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence. What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work. I have worked at several state agencies and BWC is the best place to work. Best place to work in the state and with a sense of family and support. I love the work culture, helpfulness, and acceptance I've been embraced with at BWC. I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC. If you are interested in helping BWC grow, please click this link to read more, and then come back to this job posting to submit your application!Job DutiesBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flextime work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval. What You'll Be Doing:Provides assistance to the Workers' Compensation Medical Claims Specialists and supervisors in the Medical Billing and Adjustments unit;Reviews and cross-references data on bills, adjustments, Medicare correspondence, and other documents with data in BWC's claims management system and other ancillary systems;Scans, indexes and track bills, adjustments, Medicare documents, and correspondences into claim file; other tracking databases Reviews incoming claims and billing documents to obtain missing information and determine required action;Performs specialized clerical tasks and handling of all departmental incoming, outgoing, and misdirected mail, and other documents. QualificationsTo Qualify, You Must Clearly Demonstrate:Required Experience and/or Education:2 courses or 6 mos. exp. in English composition or grammar AND 2 courses or 6 mos. exp. in accounting, bookkeeping or general math AND 2 courses or 6 mos. exp. in communication or public speaking or 6 mos. exp. in a position involving receiving & responding to public inquiries or complaints or involving contact with injured workers, employers, legislators, providers or their representatives & public AND successful completion of one typing course or demonstrate ability to type 35 words per minute. Or equivalent of Minimum Class Qualifications For Employment noted above. Note: Classification may require use of proficiency demonstration to determine minimum class qualifications for employment. Job Skills: Claims Examination, InsuranceMAJOR WORKER CHARACTERISTICS: Knowledge of addition, subtraction, multiplication, division, fractions, decimals & percentages; ICD/CPT codes, BWC/IC policies & procedures & ORC rules & regulations*; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations. Skill in operation of pc to efficiently log & enter data. Ability to solve practical, everyday problems; gather, collate & classify information about data, people or things; handle routine inquiries from & contacts with injured workers, employers, legislators, providers or their representatives & public; complete routine forms & prepare standard reports. (*) Developed after employment. Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order. The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request reasonable accommodations related to disability, pregnancy, or religion, please contact the ADA mailbox bwcada@bwc. ohio. gov. BWC OCSEA Selection Rights:This position shall be filled in accordance with the provisions of the OCSEA Collective Bargaining Agreement. BWC bargaining unit members have selection rights before non-bargaining unit members. All other applications will only be considered if an internal bargaining unit applicant is not selected for this position. Salary Information:Hourly wage is expected to be paid at step 1 of the pay range associated with the position for candidates who are new employees of the state. Current employees of the state will be placed in the appropriate step based on any applicable union contract and/or requirements of the Ohio Revised Code. Movement to the next step of the pay range (a roughly 4% increase) will occur after six months, assuming job performance is acceptable. Thereafter, an employee will advance one step in the pay range every year until the highest step of the pay range is reached. There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service. Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed. All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted. Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. ADA StatementOhio 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. Drug-Free WorkplaceThe 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.

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a Hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers' Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests Participate in customer claim reviews and presentations Ability to travel overnight and attend meetings if required Additional duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Effective quantitative, analytical and interpretive skills Strong leadership, management and motivational skills Demonstrated, strong customer service skills Maintains composure under pressure and communicates diplomatically across various channels, including telephone, email, and written correspondence Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Demonstrated public speaking skills Minimum of 5 years' claims handling experience Knowledge of WC required Current license or certification in Workers' Compensation must be maintained throughout employment with CorVel Self-Insured Certificate preferred State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $71, 696 - $110,701 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Hybrid