Jobs
>
Los Angeles

    Workers' Compensation and LOA Specialist - Los Angeles, United States - RadNet

    Default job background
    Description

    **HYBRID ROLE**

    Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity

    Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Workers' Compensation and LOA Specialist, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

    You Will:

    • Reports new claims to insurance carrier.
    • Ensures timely processing of workers' compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate scope of investigation for human resources and safety departments.
    • Ensure that HR and legal department is aware of all depositions, trial or legal proceeding dates.
    • Assists in coordinating medical treatment for all newly reported workers compensation
    • Providing accurate information to injured employee on seeking medical care within the medical provider network (MNP) and filling prescriptions
    • Conducts initial investigations over the phone by interviewing injured employee, site contacts, and witnesses upon receipt of new claims/incident reports. If there are any apparent red flags, notify Workers' Compensation Manager, insurance carrier and HR team.
    • Coordinates and facilitates claim process by acting as a liaison between the insurance carrier/third party administrator, medical provider, site management and injured employee
    • Maintains effective communication with employee, insurance carrier, managers, supervisors, and Work Comp Manager
    • Audit claims to ensure insurance carrier are delivering quality support to injured employee; provide feedback to senior HR management where deficiencies or issues are identified.
    • Facilitate management of individual WC cases by providing insurance carrier with case information, including job descriptions, wage histories and personnel information
    • Follow up with employees regarding their work status, conferring with manager, third-party administrator, and healthcare provider as needed
    • Responsible for managing WC leave of absence FMLA/ADA.
    • Ensure clear, timely communication to appropriate regional HR generalist or Director and site management regarding WC leaves.
    • Interactive process under the Americans Disability Act (ADA) and Fair Employment Housing Act ("FEHA"):

    You Are:

    • Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
    • Able to demonstrate high level of attention to detail, excellent organizational skills and have the ability to multitask
    • Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world class customer service

    To Ensure Success In This Role, You Must Have:

    • Must have and use good overall organizational skills, customer service, public relations, strong time management, ability to multi-task, attention to detail and strong written and verbal communications skills.
    • Must be experienced with FMLA, ADA, FEHA, LOA, and California leave laws.
    • Must be detail oriented and able to interact effectively with employees, vendors, peers, and management.
    • Computer skills are required; experience with MS Word, Excel and HRIS system are highly preferred.
    • Associate's degree (A.A.) or equivalent from two-year college or technical school; or Human Resources Certificate; or six months to one year of related experience or training; or equivalent combination of education and experience.


  • RadNet Los Angeles, United States

    HYBRID ROLE · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the ...


  • RadNet Los Angeles, United States

    Responsibilities · HYBRID ROLE · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is i ...


  • RadNet Los Angeles, United States

    **HYBRID ROLE** · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are · Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people ...


  • RadNet Los Angeles, United States

    **Responsibilities**: · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are_ Radiology Forward_. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its peop ...


  • LHH Recruitment Solutions Norwalk, United States

    Job Description · Job DescriptionLHH is seeking a direct hire LOA & Benefits Specialist to sit on client site near Norwalk, CA. · Pay is dependent upon experience and is $75,000 to $95,000. · Benefits include PTO, medical, dental and PTO. · Coordinating retirement, pension, profi ...


  • Blue Shield of California Los Angeles, United States Full time

    Your Role · The People & Engagement HR:Connect team is a critical part of Human Resources service delivery for all of Blue Shield of California (BSC) The team provides first level support to all BSC employees on a daily basis for both daily operations and employee-facing initiat ...


  • Motion Picture Industry Pension & Health Plans Los Angeles, United States

    Motion Picture Industry Pension & Health Plans (MPI) has an immediate opportunity for a Human Resources Manager to join a collaborative HR team in a key role supporting learning and development, employee engagement and HR initiatives. · This position works onsite in Studio City, ...


  • MedPOINT Management Los Angeles, United States

    Job Description Job Description SummaryUnder the general direction of the Provider Network Operations (PNO) Contracting Supervisor, the PNO Contract Coordinator is responsible for the managing and supporting the administrative and operational aspects of the PNO Contracting Team. ...


  • Blackstone Consulting Los Angeles, United States

    /Job Summary · Job Description-Human Resources Specialist · The HR Specialist (HRS) with Leave & Benefit Administration concentration supports a group of clients, includes but not limited to: · + Assists all employee benefit programs, such as medical, dental, ancillary benefit ...

  • Pathways Personnel

    Leave Specialist

    3 days ago


    Pathways Personnel Los Angeles, United States

    Our client is a prestigious global law firm that is one of the top rated firms in the world. They seek a Leave of Absence Specialist. In addition to San Francisco this role can be located in any of the firm's California offices. · This role is remote but may be needed to be in t ...

  • Martin Luther King Jr. Community Hospital

    HR Generalist

    1 week ago


    Martin Luther King Jr. Community Hospital Los Angeles, United States

    If interested, please apply for the position and send your resume to · POSITION SUMMARY · The HR Generalist will play a vital role in promoting a positive work environment and maintaining strong employee relationships within the hospital. This position will collaborate with v ...

  • Infostride

    Sr. Systems Analyst

    2 weeks ago


    Infostride Los Angeles, United States

    Systems Analyst (Techno-functional) · Location: Prefers SF Bay Area candidates, but will consider National candidates. Candidates may need to be onsite 1-2 times a month. · LOA: months+ extensions · Job Description · Top Skills: · Looking for a generalist, not a specialist. · 5 ...


  • MedPOINT Management Los Angeles, United States

    Job Description · Job Description · Summary · Under the general direction of the Provider Network Operations (PNO) – Contracting Supervisor, the PNO Contract Coordinator is responsible for the managing and supporting the administrative and operational aspects of the PNO Contrac ...


  • Motion Picture Industry Pension & Health Plans Los Angeles, United States

    Motion Picture Industry Pension & Health Plans (MPI) has an immediate opportunity for a Human Resources Manager to join a collaborative HR team in a key role supporting learning and development, employee engagement and HR initiatives. · Want to apply Read all the information abo ...

  • Keck Medicine of USC

    Collector, MSO CBO

    1 week ago


    Keck Medicine of USC Alhambra, United States Full time

    · The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control ...


  • AHMC Healthcare Alhambra, United States

    Overview · The Contracting Specialist is responsible for negotiating ancillary and health plan agreements on behalf of AHMC hospitals. · Responsibilities · ESSENTIAL JOB FUNCTIONS · A. Negotiates ancillary services agreementsB. Negotiates and processes one-time agreements (MOUs, ...

  • AHMC Healthcare

    Contracting Specialist

    20 hours ago


    AHMC Healthcare Alhambra, United States

    Overview: · The Contracting Specialist is responsible for negotiating ancillary and health plan agreements on behalf of AHMC hospitals. · Responsibilities: · ESSENTIAL JOB FUNCTIONS · A. Negotiates ancillary services agreements · B. Negotiates and processes one-time agreemen ...


  • AHMC Healthcare Alhambra, United States

    Overview: · POSITION SUMMARY · The Corporate Sr. Benefits Specialist provides benefit administration and customer service to Corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans (medical, dental, vis ...

  • University of Southern California

    Collector, MSO CBO

    3 weeks ago


    University of Southern California Alhambra, United States Full time

    The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control che ...

  • Innovative Management Systems Incorporated

    Contract Coordinator

    3 weeks ago


    Innovative Management Systems Incorporated City of Industry, United States

    :Position: Contract Coordinator · This position will assist in the development and management of the contracting process workflow, and other duties as needed by the Contracting Department. The Contract Coordinator will need to be able to multi-task, be articulate and detail-orien ...