Claims Team Lead - Litigation
Our client is currently seeking a Claims Team Lead - Litigation in Ontario, CA
This job will have the following responsibilities :
- Maintain contact with team via Microsoft Teams and phone calls for teambuilding and to provide assistance
- Approve overlimit payments process according to procedure
- Review and approve new claim determinations and provide initial directions as to whether to delay, deny, accept
- Review and approve litigation referrals and investigation referrals
- Review mail of your team, provide direction as needed
- Monitor for hearing dates and need for settlement authority requests or staffing of legal issues as they arise with examiner, DA, Director (if needed), County Representative (if needed)
- Ensure team meets their monthly #’s for core duties (reports are sent to assist with this)
- Review and ensure Medata suspended payments (bill review payments pending approval by examiner) are reviewed / processed by examiners
- Review and approve benefit notices prepared by examiners to ensure accuracy prior to mailing
- Review and approve benefits payments that exceed examiner’s level and ensure appropriate documentation and paperwork is attached to the claim to support payment
- Ensure claim coding is accurate and required fields are updated
- Respond to email inquiries and phone calls to assist our customers
- Review claims for supervisor direction every 90 days or sooner depending on need
- Maintain diary on all claims with emphasis on lost time claims / and delays
Requirements :
- County of Los Angeles experience preferred
- Hybrid 2 days in office (flexible)
- 10 years of experience in workers compensation.
- Self insurance certificate mandatory.
Claims Operations Team Lead
As our new Claims Operations Team Lead, you will manage daily operations, coordinate projects, and provide leadership across the claims process. Your responsibilities will include building and maintaining relationships with third-party administrators (TPAs), collaborating with various stakeholders, ...
Claims Team Lead - Litigation
Our client is currently seeking a Claims Team Lead - Litigation in Ontario, CA. Maintain contact with team via Microsoft Teams and phone calls for teambuilding and to provide assistance . Maintain diary on all claims with emphasis on lost time claims/and delays. Review and approve litigation referra...
Commercial Claims Advocacy, Team Lead
Commercial Claims Advocacy, Team Lead. We want to bring out the best of all our team members! Offering countless opportunities to grow and an environment which values our most important assets, you, our team members. Lead claims resource for BrokerLink's largest clients. Structure BrokerLink's Comme...
Commercial Claims Advocacy, Team Lead
Commercial Claims Advocacy, Team Lead. We want to bring out the best of all our team members! Offering countless opportunities to grow and an environment which values our most important assets, you, our team members. Lead claims resource for BrokerLink’s largest clients. Structure BrokerLink’s Comme...
Claims Team Lead
Maintain contact with team via Microsoft Teams and phone calls for teambuilding and to provide assistance. Maintain diary on all claims with Client on lost time claims/and delays. Review and approve litigation referrals and investigation referrals. Review mail of your team, provide direction as need...
Claims Team Lead (Supervisor) Workers Compensation
To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; a...
Claims Team Lead - Workers Compensation
Maintain contact with team via Microsoft Teams and phone calls for teambuilding and to provide assistance. Maintain diary on all claims with emphasis on lost time claims/and delays. Review and approve litigation referrals and investigation referrals. Review mail of candidate team, provide direction ...
Claims Operations Team Lead
As our new Claims Operations Team Lead, you will manage daily operations, coordinate projects, and provide leadership across the claims process. The opportunity Reporting to the SVP of Claims and Corporate Counsel, we are seeking a Claims Operations Team Lead. Your responsibilities will include buil...
Warehouse Lead
Calian is seeking a Warehouse Lead to play a vital role in our UID program. Calian is seeking a Warehouse Lead to assist our client with the facilitation of their project. The Warehouse Lead is a crucial role in the implementation of the Unique Identification (UID) program, ensuring the accurate app...
Technical Lead- OSS/BSS Products
Provide technical leadership and mentorship to the R&D team, nurturing a culture of continuous learning and technical excellence. Strong leadership skills, with a proven ability to lead, motivate, and mentor technical teams. Looking for a Technical hands on leader within the Telecom OSS/BSS space. I...