<p>We are in search of a dedicated Applicants' side Workers' Compensation Attorney to join our team. This role plays a vital part in our legal industry by representing injured workers in their workers' compensation claims. The firm offers <strong>remote</strong> flexibility throughout California. </p><p><br></p><p>Responsibilities:</p><p>• Advocate for injured workers in their compensation claims</p><p>• Manage a full caseload of claims through various stages of litigation </p><p>• Use your knowledge of Workers Compensation and Civil Litigation to build strong cases</p><p>• Utilize Case Management Software and Adobe Acrobat for document management and organization </p><p>• Handle claim administration and complaint handling with detail-oriented and empathetic approach</p><p>• Employ your Spanish Translation skills when necessary to ensure clear communication with all clients </p><p>• Leverage your knowledge of Personal Injury Plaintiffs in the handling of cases</p>
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>