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

    RadNet
    RadNet Los Angeles, United States

    1 day ago

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    Description
    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 its people with the commitment to a better healthcare experience.

    When you join us as a Worker's 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.
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