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SIU investigates auto, property, Workers' Compensation, and liability claims of varying complexity in which specific indicators have been identified; and coordinates with law enforcement and / or the state fraud bureaus for regulatory compliance and criminal prosecutions.
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Competently represents the Employer/Carrier before the Workers' Compensation Appeals Board at administrative hearings, conferences, trials and appeals on litigated and in pro per claims.
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Manage report & record of injuries and input/send them on Workers Compensation claims including RTW (Return to Work) program to eventual closure. Job Summary : The primary responsibility is to efficiently and effectively acknowledge, understand and maintain all Regulatory, Environmental, Health, Safety & Security requirements of the Federal, State, and Local agencies and laws as it pertains to the DOL (OSHA, OWCP), EPA, OMF Code of Conduct (Sustainability) and Food Defense (Bioterrorism Act of 2002.
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As a Manning Kass Workers' Compensation attorney, you'll play a crucial role in supporting business owners and employers, providing expert defense against workers' compensation claims.
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Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation experience to join its Los Angeles office, with hybrid work arrangements available and the ability to work primarily remotely in the Los Angeles/Orange County areas.
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The associate will be responsible for managing the legal defense of claims from inception to final resolution, including all aspects of discovery and litigation. The ideal candidate will have a general knowledge of the California workers' compensation system and will have superior writing, research and analytical skills.
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Minimum five years of financial analysis/business, medical claims adjusting background preferably in Workers Compensation with progressive management responsibility. Keep informed on issues and trends relating to Healthcare, Workers Compensation, Bill Review, Cost Containment, Managed Care, and related areas.
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Research and build a library of case law (particularly regarding state-specific jurisdictional workers compensation issues) that can be drawn from to assist in provider negotiations and to defend company medical bill re-pricing decisions.
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In-depth understanding of Workers Compensation rules and regulations required. Prepare legal/settlement assessments, manage litigation/bill disputes, respond to defense attorney requests, and provide testimony as an expert witness as required.
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As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.
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Monitor changes in State and Federal laws, rules or fee schedules that impact medical bill review/re-pricing and ensure they are integrated into workflows (and Smart Advisor via Mitchell) for proper adjudication.
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Any offered salary is determined based on internal equity, internal salary range, market data, applicant skills, and relevant experience. This is a great opportunity for candidates seeking a high level of responsibility in an exciting practice.
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As an EOE/AA employer, & Culbertson LLP will not discriminate in its employment practices due to an applicant’s age, race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
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This estimated salary range is specifically for applicants who will perform work in the state of California if selected for the role. Deposition and/or trial experience is a plus. Only candidates contacted for an interview will receive a response.
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If you are a resident of the State of California please review our Privacy Notice for California Owners, Directors, Officers, Employees, Contractors and Job Applicants before you submit any personal information, including a resume or job application to our Firm. Here is a link to that Privacy Notice.
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