Workers' Compensation Case Manager

This is a fully remote position, open to applicants in Colombia, +5 more countries.

📋 Description

• Oversee the progress of California workers' compensation cases through independent day-to-day management, prompt follow-ups, and clear next steps.

• Provide injured workers with regular case updates in both English and Spanish, address routine inquiries, and offer empathetic yet persistent follow-ups regarding treatment participation.

• Ensure medical care remains on schedule by coordinating appointments, treatment plans, referrals, and follow-ups with healthcare providers.

• Detect and resolve treatment delays by monitoring authorization requests, utilization reviews, and outstanding responses, escalating unresolved issues to attorneys.

• Propel outstanding claim matters towards resolution through consistent communication with insurance adjusters, claims administrators, medical providers, and attorneys.

• Prepare, review, and organize claim forms, medical reports, and supporting documentation to ensure that case records are complete and easily accessible.

• Keep track of deadlines, hearings, and required filings in accordance with California workers' compensation procedures.

• Assist attorneys in case preparation by gathering documentation, identifying missing records or unresolved issues, and coordinating necessary follow-ups.

• Maintain accurate case information in the firm’s cloud-based system, including communications, treatment status, deadlines, and outstanding actions.

• Collaborate with the administrative support team on filings and back-office tasks while maintaining ownership of client communication and case progress.

⛳️ Requirements

• Previous hands-on experience in U.S. personal injury case management, encompassing responsibilities beyond administrative filings.

• Experience in workers' compensation case management with practical knowledge of California claims procedures, insurance claims administration, and Workers' Compensation Appeals Board (WCAB) processes.

• Familiarity with medical treatment coordination, authorization requests, utilization review, and claims follow-up processes.

• Excellent communication skills in English, including the ability to clearly explain case updates and empathetically engage with injured workers.

• Availability to work during Pacific Time business hours.

• Direct experience in independently managing California workers' compensation cases is highly preferred.

• Proficiency in using cloud-based legal case management software.

• Experience working alongside a dedicated filings or back-office team.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Opportunities for professional development and training.

• Comprehensive health and wellness benefits.

• Flexible work arrangements to support work-life balance.