Claims Administrator (Workers' Compensation)
7000 Fitzwater Rd, Brecksville, Oh 44141
Handle self insured claims as well as state funded claims.Process and mail out all compensation checks and calculate wages.Approve or deny provider bills, approve or reject medicaltreatments, motions and review all medical documentation that comes into the office.Create action plans on how to resolve a claimant’s claim for the client.Set up independent medical examination (IME’S), write up letters and questions for IMEs.Prep claim files for hearing, appeal orders and enter all orders from The Ohio Bureau of Workers’ Compensation as well and order from the Industrial Commission.Create invoices for clients, process and mail out W’9’s and filed SI-40’s, set up meeting for client visits or conference calls and create and print / email loss reports for clientsSet up surveillance and investigate claimKeep good communication between all parties (client, injuredworker, attorney, bureau and the MCO’s), contact providers, copy files for attorneys, assist company operator with phone and attend BWC meetings.Create letter so send out to claimant, employer, attorneys, medicalproviders, The Ohio Bureau of Workers’ Compensation, IndustrialCommission and keep up with filing of all documentation.