Workers Compensation Claims Team Leader

Techlink Systems

Ontario, CA

$40 to $46 Hourly
Vision , Medical , Dental , Paid Time Off
Contractor

Job Description

Job Title: Claims Team Lead
Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid)
Contract Duration: Contract until 11/16/2024

Description:
County of Los Angeles experience preferred
10 years of experience in workers compensation. Self insurance certificate mandatory.

Job Description:

Maintain contact with team via Microsoft Teams and phone calls for teambuilding and to provide assistance
Approve overlimit payments process according to procedure
Review and approve new claim determinations and provide initial directions as to whether to delay, deny, accept
Review and approve litigation referrals and investigation referrals
Review mail of your team, provide direction as needed
Monitor for hearing dates and need for settlement authority requests or staffing of legal issues as they arise with examiner, DA, Director (if needed), County Representative (if needed)
Ensure team meets their monthly #’s for core duties (reports are sent to assist with this)
Review and ensure Medata suspended payments (bill review payments pending approval by examiner) are reviewed/processed by examiners
Review and approve benefit notices prepared by examiners to ensure accuracy prior to mailing
Review and approve benefits payments that exceed examiner’s level and ensure appropriate documentation and paperwork is attached to the claim to support payment
Ensure claim coding is accurate and required fields are updated
Respond to email inquiries and phone calls to assist our customers
Review claims for supervisor direction every 90 days or sooner depending on need
Maintain diary on all claims with emphasis on lost time claims/and delays

Company Description

Overview

TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal.

We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness.

We also have national recruiting centers that service our enterprise and MSP/VMS clients. We are a Secret Cleared Facility and our core competencies are Information Technology, Engineering, Customer Service/Call Center, Admin/Clerical, Finance/Accounting, Scientific/Clinical, Sales/Marketing, Legal, Human Resources, Light Industrial (limited), and Professional across a range of industries.

The company’s talented Recruiters and HR Specialists have backgrounds in many cutting-edge, high-performance industries making TechLink Systems an ideal partner for recruitment process outsourcing.

We look forward to our partnership with you!