Bill Review Trainer - Hearing Specialist

Sedgwick

91d • $60,000 - $70,000 • Remote

About The Position

This position will be responsible for negotiating California Worker's Compensation medical liens. The primary purpose is to represent client employers at hearings before the appropriate judicial body. The role involves negotiating Workers' Compensation medical liens following unit guidelines, in-house resolution unit.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• Five (5) years of experience in workers' compensation field in a high client-contact position or equivalent combination of education and experience required.
• Excellent knowledge of billing codes.
• PC literate, including Microsoft Office products.
• Strong analytical and interpretive skills.
• Strong problem solving skills.
• Strong interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.
• Ability to work independently.
• Ability to be flexible and handle multiple/changing priorities.
• Ability to meet or exceed Performance Competencies.
• Excellent oral and written communication, including presentation skills.

Nice To Haves

• Experience working on California medical liens.
• Knowledge of Worker's Compensation Labor Codes and WCAB Court procedures.
• Organized and detail-oriented with the ability to adapt to a fast-paced environment.
• Experience in a remote work environment.

Responsibilities

• Reviews upcoming hearings and prepares necessary documentation to represent clients' interests.
• Supports legal counsel in regard to hearings.
• Appears before the judicial body on behalf of clients.
• Reviews state files to update company files accordingly.
• Performs lien negotiations.
• Develops and maintains departmental technical training materials.
• Trains and monitors progress of new departmental colleagues.
• Trains existing departmental colleagues on procedural and system changes.
• Provides training for colleagues in other departments as required.
• Assists in development and maintenance of departmental policies and procedures.
• Completes special projects as required.
• Handles all aspects of research, file review, and negotiation of outstanding medical lien.
• Prepares lien settlements.
• Supports the organization's quality program(s).
• Performs other duties as assigned.

Benefits

• Three Medical and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree