What are the responsibilities and job description for the Workers Comp/Personal Injury Case Manager position at ActOne Group?
Bilingual Spanish Case Manager needed for Workers Comp dept
Possible Hybrid work schedule after 90 days.
Will have to go in M-F for the first 90 days to train
3 days in office, 2 days at home
The Case Manager will work directly with and support the assigned Workers’ Compensation Attorney / Hearing Representative. The Case Manager will be responsible for case management of assigned caseload.
- Along with handling attorney, manage approximately 150-200 cases from beginning until we and / or client have received settlement;
- Process new intake files by making initial contact with the client, verifying intake packet with the client, opening the file on the Firm’s case management software, sending representation / opening letters, setting up initial medical appointment, obtaining subpoena records, etc.;
- Answer heavy volume of telephone calls / emails from clients, insurance companies, defense counsel, doctors and medical facilities, and any other parties associated with the case;
- Medically manage the cases by scheduling medical appointments, requesting treating physician changes, setting AME’s / PQME evaluation appointments; etc.;
- Follow up with doctors for reports or status;
- Review pertaining correspondence for each case;
- Keep files up to date with medical evidence by obtaining medical reports;
- Along with handling attorney, review medical reports and serve PTP’s with PQME / AME reports for further treatment or if client is P&S;
- Ensure client is receiving all Workers’ Compensation benefits they are entitled to;
- Request doctor panels for case development;
- Prepare files for hearings, trials / MSC / PC / SC / CX and depositions by writing case summaries, creating medical index, preparing trial exhibit, etc.;
- Complete IMR application and send medical reports to IMR;
- Object to medical reports as requested by attorney;
- Shrink file by eliminating unnecessary documents that have already been scanned in the electronic file;
- Send out files for subbed out cases;
- Enter any and all notes relating to each case on the Firm’s case management software;
- Alert the Team Lead when defense counsel / adjusters have not responded to requests for medical treatment or benefits and / or when good faith efforts have been exhausted;
- Maintain open lines of commutation with client to improve the Firm’s overall client retention
Company offers full benefits and a great working environment.
They owner orders food once a month from a place called Porto's and they do alot of team building events throughout the year.
and FREE PARKING!
This is a VERY WELL KNOWN FIRM IN LA, so many will want to work for them.
