Role and Responsibilities will identify, prevent, and mitigate potential penalties as well as assistant the claims department:
Schedule:Monday-Friday- 8AM-5PM
Location: Ontario, California
- Bilingual in Spanish and English
- Input date entry on all new claims
- Provide indemnity payment and cycles.
- Identify, prevent, and mitigate potential case penalties.
- Deliver 3-point contact ( Medical Only &/ or Indemnity files) to verify the mechanics of the injury, compensability, and discharge. – Calculate and pay mileage benefits.
- Verify lost time and waiting periods.
- Perform maintenance of current legal claims
- Identify issues requiring conversion to Indemnity to include supporting documentation.
- Input basic notes relating to claim, status and treatment.
- Process medical/legal bills daily to avoid penalty and interest.
- Return phone calls on a timely manner.
- Input status letters, delay letters, or any other required initial letters.
- Comply to subpoenas
- Interaction with nurse on case management regarding return to work status.
- New hires protocol
- Background checks
- Coordinating PPE supplies request.
- Assist safety team on identifying injury trends.
- Performs other related duties as assigned
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