We are seeking a Hearing Representative to join our team! Long term temp to possible hire. You will resolve customer questions and offer solutions to drive company revenue.
The Litigation Specialist is primarily responsible for the analysis, management and resolution of assigned Asbestos and Lien claims under company jurisdiction. The Asbestos claims are primarily venued at the Long Beach WCAB. The Litigation Specialist will work closely with the claims team to insure the efficient and cost-effective resolution in accordance with the California Labor Code, California Code of Regulations, and applicable case law within the provisions of Article 14.2, 1063 of the California Insurance Code. It is expected that the Litigation Specialist will represent companies interest and carry out lien negotiations within appropriate financial authority, within parameters set by department leadership. The Litigation Specialist may on occasion attend other WCAB hearings and settlement conferences if deemed appropriate by the Litigation Manager. Strong communication skills are essential for the variety of audiences this position will interact with. The Litigation Specialist will have strong reasoning, organizational and time management skills.
II. Position Responsibilities and Result Accountability:
1. Research case law, statutes, and regulations on a wide variety of topics including lien resolution and transform data researched into practical solutions for claims files.
2. Provide legal support to the Claims Department as it relates to all types of lien issues present on files.
3. Owner of EAMS accessibility for the company.
4. Analyze and implement lien resolution plans at the file level.
5. Attends frequent WCAB hearings, settlement conferences, and settlement walk-troughs as assigned.
6. Manages lien litigation in conjunction with the assigned adjuster and department leadership.
7. Flexible and willing to challenge lien resolution processes and procedures to ensure the best possible outcomes.
8. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce the overall cost of claims.
9. Frequently communicates with all appropriate parties involved with the claim to solve problems.
10. Thoroughly document all activities in the claim file.
11. Other duties assigned.
III. Position Knowledge and Personal Skills:
1. In-depth knowledge of laws for workers’ compensation.
2. In-depth knowledge of labor codes and appropriate legal principles, including knowledge of California fee schedules.
3. Experience attending WCAB hearings.
4. Strong written and verbal communication skills; able to analyze and interpret complex legal and general documents.
5. Strong organizational skills.
6. Strong negotiation skills; able to calculate figures such as discounts, interest, proportions, percentage, etc.
7. A courteous, flexible and professional attitude when working with internal and external business constituents.
8. Strong analytical and interpretive skills with the ability to define problems, analyze data, establish facts and draw valid conclusions. The capacity to integrate data into valid action plans and lead them to conclusion.
9. An understanding of workplace health and safety procedures.
10. Works independently with little to no direct supervision.
IV. Management / Supervisory Responsibilities:
No direct supervision responsibilities
V. Position Education and Experience Requirements:
1. Education: An undergraduate degree from an accredited college or university is required. IEA certification or SIP certification is preferred
2. Experience: At least five years of experience working in the field of California workers’ compensation claims.
3. Special Knowledge: Intermediate Microsoft Office software skills, in particular Excel, Word and Outlook. Current technical knowledge of California Civil Code, California Insurance Code, and California Fair Claims Settlement Practices Regulations. Current technical knowledge of Workers’ Compensation Laws of California.
4. Other Experience: High level of literacy and arithmetic skills, as demonstrated by activities or achievements in or out of the work environment. High level of interpersonal skills associated with effective employee communications.
VI. Physical Requirements:
Working conditions are normal for an office environment. Work requires significant travel and may require occasional weekend and/or evening work beyond normal business hours. Position duties essentially depend on sedentary work, consisting of occasional walking, standing, lifting and/or carrying 20 pounds maximum. Seeing, speaking, and operating a vehicle or willingness to travel by airline or other modes of public transportation is essential.