A large publicly traded company and on of Los Angeles’ premier employers is looking to hire a Claims Analyst who interprets and applies law to administer workers’ compensation claims in compliance with all rules, regulations and reporting requirements of the Labor Code, Division of Workers’ Compensation, Self-Insurance Regulations, and other administrative laws. Reviews and approves benefits payable to injured employee, invoices including attorney bills, medical provider bills, liens and mileage. Rates employee’s permanent disability. Reviews and monitors employee medical records to ensure scope and duration of treatment are appropriate based on the injury and diagnosis. Seeks recovery from third parties. Reports appropriate cases to excess insurance and seek reimbursement. Manages litigated cases and non-litigated cases with complex issues. Focuses on cost effective solutions.
A minimum of 2 years of focused experience of workers’ compensation claims administration
Thorough knowledge of DMS policies and procedures
Must have thorough knowledge of Self-Insurance regulations, Case Law, Labor Code and rules and regulations of OSHA.
High school diploma or GED
Preferred experience with ADA and Return to Work Interactive Process.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.