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Workers' Compensation Case Manager (California)

HireHawk

Nuevo Remote
Remote Mid 🇬🇧 English

Descripcion del puesto

About the role

A California law firm's workers' compensation practice is looking for an experienced case manager to handle claims, client communication and medical treatment coordination. The firm already has an administrative team covering filings and back-office work, so you will own routine case management independently and escalate legal questions or complex problems to the attorneys. Candidates from LATAM countries are welcome to apply.

Key responsibilities

  • Keep California workers' compensation cases moving through day-to-day management, timely follow-ups and clear next steps.
  • Give injured workers regular case updates in English and Spanish, answer routine questions and follow up on treatment participation.
  • Coordinate appointments, treatment plans, referrals and follow-ups with healthcare providers.
  • Monitor authorization requests, utilization reviews and outstanding responses, escalating unresolved barriers to attorneys.
  • Move outstanding claims toward resolution through communication with insurance adjusters, claims administrators, medical providers and attorneys.
  • Prepare, review and organize claim forms, medical reports and supporting records; keep deadlines, hearings and filings on track.
  • Gather documentation and coordinate follow-ups to help attorneys prepare cases.
  • Maintain accurate case information in the firm's cloud-based system and coordinate with the administrative team on filings.

Required profile

  • Prior hands-on U.S. personal injury case management experience beyond administrative filings.
  • Workers' compensation experience and practical knowledge of California claims procedures, insurance claims administration and WCAB processes.
  • Understanding of medical treatment coordination, authorization requests, utilization review and claims follow-up.
  • Strong English communication skills, including explaining case updates clearly and communicating empathetically with injured workers.
  • Availability to work during Pacific Time business hours.
  • Nice to have: direct experience independently managing California cases, cloud-based legal case management software, and experience with a dedicated filings or back-office team.

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Publicado hace 3 horas

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