Workers' Compensation Collections Specialist II

All Jobs > Workers' Compensation Collections Specialist II Workers' Compensation Collections Specialist II West Covina, CA/Rocklin, CA If you are seeking meaningful work in a company that values integrity, innovation, and growth, consider a career with Gemini Legal. Headquartered in Rocklin, California, Gemini Legal is an industry-leading legal support company serving attorneys across California. Our proprietary, in-house developed technology platform powers efficient, secure digital record collection and workflow management. In addition to records services, we provide vocational counseling to injured workers, delivering comprehensive support throughout the life of a case. Our growth is powered by our people. We operate with an open-door leadership philosophy and a culture built on accountability, collaboration, and service. We promote from within whenever possible and invest in individuals who demonstrate commitment and potential, including those new to the industry. Ethical. Passionate. Smart. These principles guide how we work, how we serve clients, and how we support one another. Employees of Gemini Legal Support may be exposed to confidential, private or sensitive information, protected under HIPAA. ABOUT THE ROLE The Workers' Compensation (WC) Resolution Specialist II’s primary responsibility is to manage and resolve accounts/cases associated with workers' compensation claims in outstanding AR greater than 1 year. This role demands a strong understanding of workers' compensation regulations, excellent negotiation skills, and the ability to collaborate with multiple stakeholders. An additional objective is analyzing and preparing cases for the possibility of litigation. This position includes compliance with HIPAA, state and federal document security regulations. Specialists receive advanced training in workers’ compensation laws, regulations, and copy service fee schedules related to all aspects of billing, collections, objections, and the regulatory landscape specifically related to copy service fees. The WC Resolution Specialist II will also be involved in mentoring, training, and assisting other departments in the understanding of workers compensation as a whole and copy service as an individual area of specialty. Location: West Covina, CA or Rocklin, CA/Remote-Hybrid Schedule: Monday-Friday, 8:00am-5:00pm Compensation: $26.44-$33.17 Per Hour The pay range for this role is $26.44-$33.17. Starting pay for new hires is typically within the lower third of the range: $26.44-$28.69. Exceptions may be made based on factors such as education, specialized skills, or significant relevant experience Requirements RESPONSIBILITIES Review, assess, and analyze cases associated with workers' compensation claims to determine their validity and accuracy Conduct comprehensive research and gather necessary documentation to support negotiations and resolutions Negotiate with claims adjusters, lien resolution specialists, defense attorneys, and other relevant parties to reach fair and reasonable settlements Ensure compliance with all relevant workers' compensation laws, regulations, and guidelines in lien resolution activities Maintain effective communication with various stakeholders, including claims adjusters, attorneys, lien units, clients, and internal stakeholders to update them on the progress of case resolution Maintain detailed records of all resolution activities, including agreements, payments, and any relevant correspondence Create and maintain detailed analysis of cases in preparation of litigation Record keeping of payments pursuant to settlement agreements and correspondence with a guarantee of payment Handle any disputes or conflicts related to lien resolution in a professional and diplomatic manner Identify opportunities to minimize costs associated with resolution of cases while upholding legal and ethical standards Stay updated on changes in workers' compensation laws and regulations, and attend training sessions or workshops as necessary May handle collections of the Voucher and/or Civil AR, requiring basic workers’ compensation knowledge related to vouchers Other duties as required WHAT YOU BRING Education and/or experience: High School diploma or equivalent required 3+ years of experience in the workers’ compensation field required Skills: Typing speed of at least 35 WPM with 90% accuracy In depth understanding of workers' compensation statutes, regulations, and case law Ability to collaborate with multiple stakeholders Comprehensive skills in process writing and flow chart mapping Exceptional ability to effectively negotiate Excellent verbal and written communication skills, including proof-reading, syntax, and grammar General computation skills, including the use of a calculator Technology Proficient using a computer, business phone, office software, video conferencing, and other computer programs including Google Workplace (Docs, Sheets, Calendar, Gmail, etc.) and Microsoft applications Ability to complete data entry with a high level of accuracy FUNCTIONAL REQUIREMENTS Must be able to perform the essential functions of the position with or without accommodation, including, but not limited to: Sitting for at least one hour at a time (total: 4-6 hours/day) Keyboarding for extended periods of time (total: 4-6 hours/day) Using a phone with or without a headset for extended periods (total: 3-5 hours/day) WHAT YOU’LL LOVE ABOUT GEMINI LEGAL Full-Time Team Members Comprehensive medical, dental, and vision coverage Generous paid time off, including PTO, sick leave, volunteer time, and paid holidays 401(k) plan with company match Employee Assistance Program and legal assistance benefit Company-paid annual charitable donation in your name #J-18808-Ljbffr Gemini Legal Support, Inc.