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Claims Professional
We are looking for a dedicated Claims specialist to join our team in Los Angeles, California. This contract-to-permanent position offers an exciting opportunity to contribute to effective claims management processes within the service industry. The ideal candidate will bring expertise in workers' compensation and a proactive approach to managing medical records, claims data, and communication with stakeholders.<br><br>Responsibilities:<br>• Oversee the management of medical records related to workplace injuries, ensuring timely submission to insurance adjusters.<br>• Input medical details from records into the system and provide updates on diagnoses and work status to supervisors.<br>• Support injured employees and managers in implementing early return-to-work programs.<br>• Schedule and monitor follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of visits.<br>• Communicate appointment outcomes to adjusters and supervisors promptly, maintaining a 24-hour response time.<br>• Track and update lost time and modified work statuses in the system regularly.<br>• Maintain consistent communication with insurance adjusters every 60 days until claims are resolved.<br>• Conduct audits of claim data and other relevant records to ensure accuracy and compliance.<br>• Monitor and review organizational claim-related data on a monthly basis.
• Minimum of 2 years of experience in claims management or a related field.<br>• Strong understanding of workers' compensation processes and regulations.<br>• Proficiency in managing medical records and claims data.<br>• Excellent communication skills with the ability to liaise effectively with supervisors, adjusters, and employees.<br>• Highly organized and detail-oriented, with the ability to track and monitor multiple claims simultaneously.<br>• Familiarity with computer systems and data entry for claims-related information.<br>• Ability to adhere to strict timelines for documentation and communication.<br>• Commitment to maintaining accuracy and compliance in all aspects of claims processing.
<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
  • 20.00 - 24.00 USD / Hourly
  • We are looking for a dedicated Claims specialist to join our team in Los Angeles, California. This contract-to-permanent position offers an exciting opportunity to contribute to effective claims management processes within the service industry. The ideal candidate will bring expertise in workers' compensation and a proactive approach to managing medical records, claims data, and communication with stakeholders.<br><br>Responsibilities:<br>• Oversee the management of medical records related to workplace injuries, ensuring timely submission to insurance adjusters.<br>• Input medical details from records into the system and provide updates on diagnoses and work status to supervisors.<br>• Support injured employees and managers in implementing early return-to-work programs.<br>• Schedule and monitor follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of visits.<br>• Communicate appointment outcomes to adjusters and supervisors promptly, maintaining a 24-hour response time.<br>• Track and update lost time and modified work statuses in the system regularly.<br>• Maintain consistent communication with insurance adjusters every 60 days until claims are resolved.<br>• Conduct audits of claim data and other relevant records to ensure accuracy and compliance.<br>• Monitor and review organizational claim-related data on a monthly basis.
  • 2025-12-03T00:29:08Z

Claims Professional Job in Los Angeles | Robert Half