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CA Lien Negotiator and Hearing RepresentativeThis position will be responsible for negotiating California Worker's Compensation medical liens. Preferred candidate must have experience working on California medical liens.
PRIMARY PURPOSE: Negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit. To represent client employers at hearings before the appropriate judicial body.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
- Performs lien negotiations.
- Reviews upcoming hearings and prepares necessary documentation to represent clients' interests; supports legal counsel in regard to hearings; appears before the judicial body on behalf of clients.
- Reviews state files to update company files accordingly.
- Develops and maintains departmental technical training materials.
- Trains and monitors progress of new departmental colleagues; trains existing departmental colleagues on procedural and system changes.
- Provides training for colleagues in other departments as required.
- Assists in development and maintenance of departmental policies and procedures.
- Completes special projects as required.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Primary role to perform as Medical Lien Negotiator on behalf of the Lien Resolution Unit
- Handle all aspects of research, file review, and negotiation of outstanding medical lien
- Prepare lien settlements
- Must be experienced with Worker's Compensation Labor Codes, WCAB Court procedures, and setting
- Timely resolution and follow up on pending files
- Must be organized and detail oriented with ability to adapt fast pace environment
- Must have excellent computer skills and ability to trouble shoot technical issues in Work From Home environment
- Supports the organization's quality program(s).
- Performs other duties as assigned.
- A plus if located central to the DWC Boards
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor’s degree from an accredited college or university preferred.
Experience
Five (5) years of experience in workers' compensation field in a high client-contact position or equivalent combination of education and experience required.
Skills & Knowledge
- Excellent knowledge of billing codes
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Strong analytical and interpretive skills
- Strong problem solving skills
- Strong interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to work independently
- Ability to be flexible and handle multiple/changing priorities
- Ability to meet or exceed Performance Competencies
- Excellent oral and written communication, including presentation skill
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
TAKING CARE OF YOU BY
- We offer a diverse and comprehensive benefits package including:
- Three Medical, and two dental plans to choose from.
- Tuition reimbursement eligible.
- 401K plan that matches 50% on every $ you put in up to the first 6% you save.
- 4 weeks PTO your first full year.
NEXT STEPS
If your application is selected to advance to the next round, a recruiter will be in touch.
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,000 - $70,000.00/year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
United States
AU, CA + 4 more