Workers' Compensation Specialist I & II

Posted yesterday

alura workforce solutionsSimi Valley (CA)

Labor Relations Specialists Temporary Help Services

SENIORITY

Senior

SALARY

$24.00 - $30.00 per hour

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About the role

Dispute Resolution Representative Position: Dispute Resolution Representative I Compensation: $24.00/hr - $26.00/hr Dispute Resolution Representative II Compensation: $26.00/hr - $30.00/hr

Position Type: Contract/Contract to Hire Schedule: M-F, 8:00 am - 5:00 pm; Onsite About Our Client Our client reviews medical bills tied to insurance claims, mainly workers' compensation and liability cases, making sure the charges are accurate and fair. They also help resolve billing disputes and catch questionable billing activity before it becomes a bigger problem. REP IAssist team with plans of action, status reports, and account inventory Contact providers for bills and medical reports Review and summarize medical reports Negotiate with providers by phone

Requirements: 1+ year in bill negotiations or CA workers' comp claims. CA Labor Code knowledge and IEA/Self Insurance certificate a plus. REP IIManage caseload, plans of action, and legal arguments for lien negotiations Review and summarize medical reports Negotiate with providers by phone; prepare legal exhibits Represent cases by phone at lien conferences

Requirements: 1+ year in CA workers' comp lien negotiations. Knowledge of CA Labor Code, WCAB policies, and fee schedules required. IEA/Self Insurance certificate a plus.

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