Workers' Compensation Claims Assistant/coordinator - Salinas, United States - Scaroni Family of Companies/AgData Global, LLC

Description

Job Overview:
Are you looking for an opportunity to join a successful 4th Generation Farming Family with deep roots in the fertile landscapes of the Western USA and Mexico?

We are seeking a dedicated individual to fill the role of Workers' Compensation ("WC") Claims Coordinator.

In this position, you will be responsible for administering the Company's WC program, which includes gathering, investigating, reporting, and coordinating claims with employees, internal safety and human resource points of contact, medical/health care, and insurance providers, for workers in the Company's farming operations in multiple states and its self-insured program in California.

Reporting to an executive team for an excellent employer recognized as the largest employer of H2A Guest workers in the USA this position requires organizational skill and a team-oriented individual who takes great pride in their work and in the Company's dedication to its workforce, understanding that every team member brings unique perspectives and skills to the Company's collective success.

Key Responsibilities:

• Initiate contact with employees, gather claims data/status and injury/incident information, and maintain required reporting including CalOSHA required injury and illness records.
• Collaborate effectively with various internal departments to evaluate, address, and track loss control appeal denials and ensure accountability from insurance payers.
• Develops and maintains close communication with medical providers providing services for injured employees and serves as the liaison between medical providers, injured employees, department supervisors, and safety coordinators.
• Navigate, receive, prepare, handle, and store highly confidential information including the ability to access electronic benefits portals and systems and utilize your experience to assess the accuracy of information provided by agents and third parties to challenge inaccuracies when necessary.
• Reconcile and follow up on WC payments once the claim has been resolved.
• Conduct thorough followup calls to verify any inconsistencies in the original information.
• Responsively handle internal company requests for additional information on existing claims or benefits paid.

Qualifications:

• Previous experience in WC Claims handling for a minimum of 2 years.
• A positive, upbeat, and friendly demeanor is crucial for success in this position.
• Required Bilingual in Spanish with good verbal and written communication skills.
• Valid Driver's License and good driving record.
• Experience with the State of California Workers' Compensation claims administration and regulations is a plus.

This role offers the opportunity to work in a healthcare setting, utilizing your expertise in claims coordination and medical coding.

If you are looking to contribute to a team dedicated to providing quality care, this position may be the right fit for you.

EQUAL OPPORTUNITY EMPLOYER

• The Company does not discriminate based on race, religion, color, national origin, sex, sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics._
• All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance._
• All applicants must be able to perform the position's essential functions, including corresponding core job requirements, with or without a reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities (and others by applicable law) to perform the essential functions of the job, consistent with applicable laws and Company policy._

Pay:
$ $25.00 per hour


Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Overtime
• Weekends as needed

Work setting:

• Inperson
• Office

Experience:

• Workers' compensation law: 2 years (required)
• Workers' compensation: 2 years (required)
• Customer service: 2 years (preferred)

Language:

• Spanish (required)

Ability to Commute:

• Salinas, CA preferred)

Ability to Relocate:

• Salinas, CA 93908: Relocate before starting work (required)

Work Location:
In person