CA Lien Negotiator and Hearing Representative

Sedgwick

1d•Remote

About The Position

This position will be responsible for negotiating California Worker's Compensation medical liens. The primary purpose is to negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit, and to represent client employers at hearings before the appropriate judicial body. The role involves performing lien negotiations, reviewing upcoming hearings and preparing necessary documentation to represent clients' interests, supporting legal counsel in regard to hearings, and appearing before the judicial body on behalf of clients. The position also requires reviewing state files to update company files accordingly, developing and maintaining departmental technical training materials, training and monitoring progress of new departmental colleagues, training existing departmental colleagues on procedural and system changes, and providing training for colleagues in other departments as required. Additionally, the role assists in the development and maintenance of departmental policies and procedures and completes special projects as required. The primary role is to perform as a Medical Lien Negotiator on behalf of the Lien Resolution Unit, handling all aspects of research, file review, and negotiation of outstanding medical liens, and preparing lien settlements. The candidate must be experienced with Worker's Compensation Labor Codes, WCAB Court procedures, and setting Timely resolution and follow up on pending files. The role requires the ability to be organized and detail-oriented with the ability to adapt to a fast-paced environment, and excellent computer skills with the ability to troubleshoot technical issues in a Work From Home environment. The position supports the organization's quality program(s) and performs other duties as assigned. A plus if located central to the DWC Boards. Travels as required.

Requirements

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 skill
Must be experienced with Worker's Compensation Labor Codes, WCAB Court procedures, and setting
Must be organized and detail oriented with ability to adapt fast pace environment
Must have excellent computer skills and ability to trouble shoot technical issues in Work From Home environment
Credit security clearance, confirmed via a background credit check, is required for this position.

Nice To Haves

Bachelor’s degree from an accredited college or university preferred.
A plus if located central to the DWC Boards.

Responsibilities

Performs lien negotiations.
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.
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.
Handle all aspects of research, file review, and negotiation of outstanding medical lien.
Prepare lien settlements.
Timely resolution and follow up on pending files.
Supports the organization's quality program(s).
Performs other duties as assigned.