Hours: 8:30 A.M. - 4:30 P.M.
- High School Diploma or GED required; College degree preferred.
- Valid adjuster license preferred.
- 1+ year of high-volume HR experience.
- Experience with DLT reporting platform and reviewing medical reports.
- Knowledge of workers’ compensation law and procedures.
- Excellent organizational, communication, and customer service skills.
- Proficiency with Microsoft Office; typing and phone skills required.
- Medical coding experience preferred.
- Familiarity with HR databases (Lawson, Frontline)preferred.
- Bilingual preferred.
Responsibilities:
- Review and analyze workers’ compensation cases.
- Communicate with employees, doctors, and attorneys.
- Serve as liaison with legal counsel and PPSD attorney.
- Prepare and file legal documents with the Department of Labor and Training.
- Maintain accurate logs of cases, claims, and disability forms.
- Manage correspondence, deadlines, and compliance timelines.
- Coordinate medical treatment and process payments.
- Review medical reports for discrepancies.
- Ensure billing compliance with WC fee schedules.
- Code and process medical bills.
- Schedule and prepare for independent medical exams (IMEs).
- Update vendor records in Lawson.
- Track litigation, settlements, and compliance deadlines.