California WC Claims & Client Relations Specialist

BlueEdge Digital Marketing Agency; Karachi Division; On-site; PKR 5,536,000 - 11,071,000; Full time

Benefits offered by this job

Performance-based incentives

Direct work with U.S.-based providers

Growth opportunities

Job summary

BlueEdge Digital Marketing Agency seeks an experienced California Workers’ Compensation Specialist to manage WC claims, follow-ups, A/R collections, and client relations for U.S.-based providers. You will interact with doctors, clinics, carriers, adjusters, and attorneys to ensure timely claim resolution and steady cash flow.

The role is full-time and on-site in Karachi, Pakistan, with a strong emphasis on professional communication and relationship management.

Qualifications

• 2+ years of hands-on experience in California Workers’ Compensation
• Strong knowledge of California Workers’ Compensation billing, claims, A/R, denials, liens, and collections
• Experience dealing with insurance carriers, adjusters, attorneys, and healthcare providers
• Strong understanding of medical billing and Workers’ Compensation terminology
• Excellent spoken and written English
• Strong communication and client-handling skills
• Comfortable conducting calls and meetings with U.S.-based clients
• Strong follow-up, organization, and problem-solving skills
• Ability to work independently and take ownership of assigned cases

Responsibilities

• Manage and follow up on California Workers’ Compensation claims and outstanding A/R
• Review claim status, EOBs/denials, payments, balances, and outstanding documentation
• Communicate with insurance carriers, adjusters, attorneys, and other parties regarding claims and payments
• Follow up on unpaid, denied, delayed, or disputed claims
• Handle Workers’ Compensation lien/reimbursement and collection-related matters
• Maintain accurate case notes, follow-up records, and claim status updates
• Identify reasons for claim denials or payment delays and determine appropriate next steps
• Communicate directly with healthcare providers and explain case/claim status clearly
• Conduct regular client updates and maintain strong relationships with doctors and clinics
• Participate in client meetings and calls when required
• Coordinate with our internal billing and operations team
• Prepare regular reports on collections, pending cases, resolved cases, and outstanding A/R
• Escalate complex legal, billing, or compliance issues when necessary
• Stay updated on California Workers’ Compensation rules, payer requirements, and industry practices

Skills

California WC expertise

A/R collections

Client-facing

Communication skills

Billing terminology

Job description

BlueEdge Digital Marketing Agency seeks an experienced California Workers’ Compensation Specialist to manage WC claims, follow-ups, A/R collections, and client relations for U.S.-based providers. You will interact with doctors, clinics, carriers, adjusters, and attorneys to ensure timely claim resolution and steady cash flow.

The role is full-time and on-site in Karachi, Pakistan, with a strong emphasis on professional communication and relationship management.