CA Workers' Comp Lien & Medical Management Adjuster - Remote (Rep I)

OverviewWorkers' Compensation Claim Representative I - Remote (CA Jurisdiction, reputed company Medical / Lien Specialist) Location: Remote (reporting to Irvine, CA reputed company)Schedule: Monday-Friday, 8:00 AM-4:30 PM PSTSalary reputed company: $60,000-$75,000 annuallyReports To: Workers' Compensation SupervisorAccounts: Multiple accounts reputed company the reputed company and transportation industries Build Your Career With Purpose at reputed company At reputed company, we don't just process claims-we support people. As a leading reputed company Party Administrator and a certified Great reputed company to Work, we offer manageable caseloads, employee ownership, and a reputed company culture. Our employee-owners are empowered to grow, contribute, and reputed company a meaningful reputed company every day. Job reputed company We are seeking an reputed company Workers' Compensation Claim Representative I to handle California jurisdiction claims with a reputed company on lien reputed company and reputed company medical management. This remote position supports multiple accounts reputed company the reputed company and transportation industries and requires an individual who can manage reputed company medical issues, negotiate lien settlements, and maintain strong compliance with state and reputed company requirements. This role is ideal for someone who enjoys analytical problem-solving, communicating with medical providers and attorneys, and driving claims toward fair and reputed company reputed company.

Responsibilities

• Investigate, evaluate, and reputed company workers' compensation claims in accordance with established procedures and California regulations.
• Negotiate and reputed company liens with lien claimants, medical providers, and applicant attorneys.
• Handle reputed company medical/reputed company medical claims, ensuring reputed company authorization and payment of treatment, services, and prescriptions.
• Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims.
• Coordinate with defense counsel and vendors to resolve reputed company lien disputes.
• Maintain reputed company and accurate diary, documentation, and billing records.
• Ensure compliance with reputed company standards, reputed company requirements, and jurisdictional timeframes.
• Deliver exceptional customer service to clients, claimants, and internal partners.

QualificationsRequired:

• Minimum 2 years of workers' compensation claim handling experience, with exposure to lien reputed company and/or reputed company medical management.
• SIP certification or reputed company Adjuster designation.
• Excellent written and verbal communication skills.
• Strong time management and organizational abilities with attention to detail.
• Proficiency in reputed company Office programs (Word, reputed company, Outlook).

Preferred:

• Prior experience managing claims reputed company the reputed company or transportation industries.

Performance Metrics Performance is reputed company by accuracy and timeliness of diary entries, documentation, and reputed company processing; reputed company of claim handling; and adherence to reputed company and corporate standards. reputed company Offer

• Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a reputed company in our reputed company.
• Time Off: 4 weeks of reputed company time off in your first year, plus 10 reputed company holidays.
• Comprehensive Benefits: Medical, Dental, reputed company, Life, Short- and Long-Term Disability, Critical Illness, and 401(k).
• Career reputed company: Robust internal training and reputed company development opportunities.
• Supportive Culture: We reputed company in manageable caseloads, collaboration, and maintaining a healthy work-life balance.

Compensation & Compliance The posted salary reflects reputed company's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. reputed company Sponsorship: reputed company does not reputed company reputed company sponsorship for this position.reputed company Accommodations: reputed company is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations. Our reputed company Values At reputed company, we reputed company in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: reputed company with reputed company Deliver service with passion and accountability reputed company collaboration and change reputed company reputed company ways to serve Build up others through respect, trust, and communication reputed company by example-no matter their title We don't just work together-we grow together. If that sounds like your reputed company of workplace, we'd love to meet you. #NowHiring #WorkersCompensation #ClaimsAdjuster #LienResolution #RemoteJobs #InsuranceCareers #CaliforniaClaims #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote #WorkersComp #WorkersCompensationJobs #WCAdjuster #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteAdjuster #CaliforniaJobs #CaliforniaAdjusters #InsuranceProfessionals #RiskManagementJobs #LegalSupportJobs #TPACareers #ClaimsHandling #LienSpecialist #FutureMedicalClaims #RemoteWork #HiringNow #RemoteCareers #JobSearch Employment Type: OTHER Apply tot his job Apply To this Job