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Claims Professional
<p>We are looking for a skilled Claims Specialist to join our team in Los Angeles, California. . The ideal candidate will bring expertise in managing workers' compensation claims and ensuring seamless communication between all parties involved.</p><p><br></p><p>Responsibilities:</p><p>• Manage a portfolio of modified duty and lost time claims with efficiency and accuracy.</p><p>• Forward medical records related to workplace injuries to the appropriate insurance adjuster.</p><p>• Input data from medical records into the system while maintaining attention to detail.</p><p>• Notify supervisors of initial diagnoses and work status for injured employees.</p><p>• Support the Hospital Manager and injured employees in implementing early return-to-work programs.</p><p>• Schedule and track follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of each visit.</p><p>• Communicate appointment outcomes to insurance adjusters and supervisors promptly.</p><p>• Monitor lost time and modified work data, updating the system regularly.</p><p>• Maintain regular communication with insurance adjusters, providing updates at least every 60 days until claims are resolved.</p><p>• Conduct audits of claim data and related records consistently to ensure accuracy</p>
• Minimum of 2 years of experience in handling workers' compensation claims.<br>• Strong understanding of medical management processes in workplace injury claims.<br>• Proficiency in data entry and maintaining accurate records.<br>• Effective communication skills for liaising with supervisors, insurance adjusters, and medical professionals.<br>• Ability to organize and track follow-up appointments and outcomes efficiently.<br>• Experience with auditing claim and related data to ensure compliance and accuracy.<br>• Familiarity with early return-to-work programs for injured employees.<br>• Knowledge of workers' compensation regulations and procedures.
<h3 class="rh-display-3--rich-text">TalentMatch<sup>®</sup></h3> <p>­Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.</p> <p>Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. <a href="https://www.roberthalf.com/us/en/mobile-app" target="_blank">Download the Robert Half app</a> and get 1-tap apply, notifications of AI-matched jobs, and much more.</p> <p>Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information.</p> <p>© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to <a href="https://www.roberthalf.com/us/en/terms">Robert Half’s Terms of Use</a>.</p>
  • Los Angeles, CA
  • remote
  • Contract / Temporary to Hire
  • 22.00 - 27.00 USD / Hourly
  • <p>We are looking for a skilled Claims Specialist to join our team in Los Angeles, California. . The ideal candidate will bring expertise in managing workers' compensation claims and ensuring seamless communication between all parties involved.</p><p><br></p><p>Responsibilities:</p><p>• Manage a portfolio of modified duty and lost time claims with efficiency and accuracy.</p><p>• Forward medical records related to workplace injuries to the appropriate insurance adjuster.</p><p>• Input data from medical records into the system while maintaining attention to detail.</p><p>• Notify supervisors of initial diagnoses and work status for injured employees.</p><p>• Support the Hospital Manager and injured employees in implementing early return-to-work programs.</p><p>• Schedule and track follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of each visit.</p><p>• Communicate appointment outcomes to insurance adjusters and supervisors promptly.</p><p>• Monitor lost time and modified work data, updating the system regularly.</p><p>• Maintain regular communication with insurance adjusters, providing updates at least every 60 days until claims are resolved.</p><p>• Conduct audits of claim data and related records consistently to ensure accuracy</p>
  • 2025-10-21T23:54:26Z

Claims Professional Job in Los Angeles | Robert Half