Claims Analyst

Rose International
Published
November 19, 2020
Location
Los Angeles, CA
Category
Job Type

Description

Position Title: Claims Analyst - 1

Position Number: 351879

Location: Los Angeles, CA 90013

Position Type: Temporary

Required Skill Set:

Claims, Compliance, Insurance

Position Description:

**Only U.S. Citizens and those authorized to work in the U.S. can be considered as W2 candidates.**
Title:Workers Comp Claims Analyst
Duration:11/30/2020 - 3/31/2021
Location: Los Angeles, CA 90013 (Remote Start)


Qualifications:
Interprets and applies law to administer workers’ compensation claims in compliance with all rules, regulations and reporting requirements of the Labor Code, Division of Workers’ Compensation, Self-Insurance Regulations, and other administrative laws. Reviews and approves benefits payable to injured employee, invoices including attorney bills, medical provider bills, liens and mileage. Rates employee’s permanent disability. Reviews and monitors employee medical records to ensure scope and duration of treatment are appropriate based on the injury and diagnosis. Seeks recovery from third parties. Reports appropriate cases to excess insurance and seek reimbursement. Manages litigated cases and non-litigated cases with complex issues. Focuses on cost effective solutions.

Responsibilities:
Must effectively communicate, both verbally and written, with employees, supervisors and external providers; strong client focus with diplomacy and clear explanation of decisions; must educate and counsel on complex and sensitive issues; basic mathematical skills required for calculations and ratings; must be well-organized to meet heavy workload and be able to effectively manage multiple demands; must have strong teamwork skills; knowledge and understanding of workers’ compensation claims administration required; thorough knowledge of DMS policies and procedures good working ; knowledge of computer applications is required; must have thorough knowledge of Self-Insurance regulations, Case Law, Labor Code and rules and regulations of OSHA.
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