Our client is looking to hire a new team mate who will help take their team to the next level!

Job Title: Claims Team Lead

Location: Los Angeles, CA

Contract

Hybrid

Pay Range: $45.56 HR

We are seeking a highly experienced Workers Compensation Specialist to join our dynamic team. While County of Los Angeles experience is preferred, we welcome candidates with a strong background in workers compensation from diverse backgrounds. This position offers a hybrid work model, with the flexibility of two days in the office.

Responsibilities:

• Foster team cohesion and support through regular communication via Microsoft Teams and phone calls, promoting a collaborative environment and providing assistance as needed.

• Ensure adherence to payment procedures by approving overlimit payments in accordance with established protocols.

• Assess and provide initial direction on new claim determinations, including decisions to delay, deny, or accept claims.

• Review and authorize litigation and investigation referrals, ensuring thoroughness and compliance with regulatory requirements.

• Provide guidance to team members based on review of incoming mail, addressing inquiries and providing direction as necessary.

• Monitor upcoming hearing dates and handle settlement authority requests, coordinating with relevant stakeholders such as examiners, legal representatives, and county personnel as required.

• Oversee team performance to ensure monthly targets for core duties are met, leveraging provided reports for tracking and evaluation.

• Review and facilitate the processing of Medata suspended payments, ensuring timely resolution by examiners.

• Approve benefit notices prepared by examiners to ensure accuracy prior to mailing, and verify and authorize benefit payments exceeding examiner thresholds, ensuring all requisite documentation is complete and compliant.

• Maintain accuracy of claim coding and update essential fields as needed, ensuring data integrity and regulatory compliance.

• Provide timely and thorough responses to customer inquiries via email and phone, offering support and guidance as required.

• Conduct regular reviews of claims for supervisor direction, with a focus on lost time claims and potential delays, adjusting frequency as necessary based on evolving needs.

Requirements:

• Preferred experience within the County of Los Angeles, although candidates from diverse backgrounds with relevant expertise are encouraged to apply.

• Ability to work in a hybrid model, with two days per week in the office, offering flexibility and adaptability.

• A minimum of 10 years of demonstrated experience in workers compensation, with a mandatory self-insurance certificate.

This position offers an exciting opportunity to join a collaborative team and make a meaningful impact in the field of workers compensation. If you are a seasoned professional with a passion for excellence and a commitment to delivering exceptional service, we encourage you to apply.

If this is a role that interests you and you’d like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!

About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands – Manpower, Experis, Talent Solutions, and Jefferson Wells – creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.

ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.