BWC Fraud Analyst

Ohio Department of Administrative Services
Any Location, OH
Job Description
Role Overview

Act as a lead worker over lower-level BWC fraud investigators, monitoring cases and conducting case reviews to determine progress and ensure proper steps are taken. Review and critique reports of investigation, ensuring accuracy and completeness. Prepare reports for Industrial Commission hearings and BWC orders or motions.

What You Will Do

Monitor and document claims activities, including adjusting benefit plans, declaring overpayment allocations, and stopping improper medical payments. Prepare recovery packets and calculate overpayment and actuarial savings totals.

Why It Might Be a Fit

This role requires 54 months of experience in private insurance or a related field, with a valid driver's license and ability to pass a state highway patrol background check. The ideal candidate will have strong analytical and communication skills, with the ability to make complex decisions and work effectively with injured workers, employers, and other stakeholders.

Requirements

  • 54 months of experience in private insurance or a related field
  • Valid driver's license
  • Ability to pass a state highway patrol background check

Benefits

  • Medical Coverage
  • Free Dental, Vision and Basic Life Insurance premiums
  • Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
  • Childbirth, Adoption, and Foster Care leave
  • Education and Development Opportunities
  • Public Retirement Systems
  • Optional Deferred Compensation
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