Medical-Only Workers' Compensation Claims Technician - California
Core
Provides on-going medical case management for injured workers, verifying information to assess compensability and managing medical treatment protocols.
Role type
Medical-Only Workers' Compensation Claims Technician
Builds
Medical case files and payment authorizations for injured workers
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Medical case management, claim investigation, provider communication, payment authorization, subrogation identification, record maintenance, form generation
Preferred skills
Insurance knowledge, medical management resource utilization
Technologies
Electronic Document Management (EDM)
Responsibilities
Conduct investigations to secure facts from injured workers, employers, and providers; verify information to assess compensability and causal relation of medical treatment; manage on-going medical cases; arrange Independent Medical Exams and Peer Reviews; authorize payment of medical payments and treatment; identify and prepare subrogation cases; maintain accurate records and status notes; generate form letters for physicians and employers.
Seniority
Entry-level to Mid-level, hands-on IC