Cleveland - BWC Fraud Analyst - PN: 20066776

BWC’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 flex-time 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 Our Employees Have To SayBWC 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!What You’ll Be DoingApplies claims knowledge to analyze fraud‑detection outputs from crossmatches, data exchanges, and large‑scale data sets, generating actionable investigative leads.Collaborates with Research Analysts and Intelligence Unit to interpret complex data trends, perform outlier analyses, and enhance fraud‑detection methodologies and tools.Serves as a liaison between Intelligence Unit and fraud teams to assess investigative needs, refine detection criteria, and support the development of fraud‑prevention strategies.Works closely with Intelligence Unit Fraud Data Specialists to develop tools, processes, and detection ideas.Assists in maintaining and supporting fraud‑detection reports, visualizations, and detection programs (e.g., Cognos, Tableau).54 mos. exp. in private insurance organization as claims representative, criminal investigator, rehabilitation case manager or equivalent position; 6 mos. exp. in operation of personal computer; valid driver’s license. The final applicant accepted for this position must successfully pass state highway patrol personal background check prior to employment.Or completion of undergraduate core coursework in business, criminal justice, humanities, social & behavioral science, education or related field; 18 mos. exp. in insurance organization as claims representative, criminal investigator, rehabilitation case manager or equivalent position; 6 mos. exp. in operation of personal computer; valid driver’s license. The final applicant accepted for this position must successfully pass state highway patrol personal background check prior to employment .Or 18 mos. exp. as Workers' Compensation Claims Specialist, 16722, or managing caseload of workers' compensation lost-time disability claims which involved making decision to allow or deny claim, verifying appropriateness of medical treatment & charges, pre-authorized medical treatment, equipment, supplies & special travel arrangements, researching, negotiating, authorizing & issuing settlement of claims &/or conducting field inquiries to accurately assess claim information & resolving disputed condensability & benefit level for Ohio Bureau Of Workers' Compensation; 6 mos. exp. in operation of personal computer; valid driver’s license. The final applicant accepted for this position must successfully pass state highway patrol personal background check prior to employment.Or 18 mos. exp. as BWC Fraud Investigator, 26261. Note: Pursuant to Ohio Administrative Code Chapter 4501 users of system shall adhere to policies & guidelines published in NCIC operating manual, CJIS security policy, LEADS operating manual, LEADS security policy, newsletters, & administrative messages from LEADS, all of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS security policy (revised 05/07/03) state & national fingerprint-based record checks must be conducted within 30 days of initial employment or assignment of all personnel, including appropriate IT personnel, having access to LEADS, or to records storage areas containing CCH/II data; minimum check must include submission of both a State of Ohio BCI& I card & an FBI applicant fingerprint card; both completed applicant fingerprint cards must be submitted by employing agency to State of Ohio Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this check must be kept by employing agency & made available to LEADS upon request; fingerprint card returned by Ohio BCI&I is sufficient documentation. Pursuant to Ohio Administrative Code Chapter 4501 terminal agency shall conduct a complete background investigation of all terminal operators including, but not limited to: an applicant fingerprint card submission to BCI&I & FBI, an inquiry of state & national arrest & fugitive files; terminal agency is required to notify CTO of any applicant’s criminal record; existence of a criminal record may result in denial of access.Job Skills: InvestigationMajor Worker CharacteristicsKnowledge of Business, Criminal Justice, Humanities, Social & Behavioral Science Education or related field; BWC Policies & Procedures*, Laws & Regulations related to Adjudication & Maintenance of Workers’ Compensation Claims*; Agency, State & Federal Statutes, rules, regulations & procedures applicable to investigation, evidence gathering & search & seizure*; English; oral & written communication; public relations; interviewing techniques; principles of customer service; fundamental math operations; standard business practices.Skill in use of personal computer; word processor*; database & spreadsheet software*; statistical analysis, data visualization & analytical software used in Fraud Detection*.Ability to communicate effectively & professionally with injured workers, employers, legislators, health care providers & public; make complex decisions regarding claims activity; read & understand medical reference manuals; write clear, concise & professional correspondence & reports; collate & classify information about data, people or things; assess immediate situation & make split-second decisions; respond to sensitive inquiries from & contacts with injured workers, employers, legislators, health care providers & members of general public.(*) Developed after employment.Agency Contact Name and InformationMatthew Palte- HCM Sr. Analyst: Matthew.P.2@bwc.ohio.govUnposting DateMay 20, 2026, 10:59:00 PMWork LocationCleveland Service OfficePrimary LocationUnited States of America-OHIO-Cuyahoga County-ClevelandCompensation$33.52 - $49.18ScheduleFull-timeWork Hours40Classified IndicatorClassifiedUnionOCSEATechnical SkillsCriminology/Criminal JusticeProfessional SkillsAnalyzation, Attention to Detail, Ethics and Values, Time Management, Written CommunicationAgency 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 CultureBWC 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 VisionTo transform BWC into an agile organization driven by customer success.Our MissionTo deliver consistently excellent experiences for each BWC customer every day.Our Core ValuesOne Agency, Personal Connection, Innovative Leadership, Relentless Excellence.