California Workers’ Compensation Specialist / Client Relations

Bluedge; Karachi Division; On-site; PKR 16,644,000 - 26,352,000; Full time

Benefits offered by this job

Competitive salary

Incentives/commission

Direct exposure to U.S.-based health‑c

Long-term growth

Job summary

Bluedge seeks an experienced California Workers’ Compensation Specialist to manage WC claims, A/R, and communications with doctors, clinics, and insurers. The role requires strong knowledge of CA WC processes and professional relationship-building with healthcare providers in a client-facing capacity.

The candidate will interact with U.S.-based providers, handle claims follow-up, and coordinate with internal billing to ensure timely collections. On-site in Karachi.

Qualifications

• 2+ years hands-on experience in California Workers’ Compensation.
• Strong knowledge of CA WC billing, claims, A/R, denials, liens, and collections.
• Experience dealing with insurers, adjusters, attorneys and healthcare providers.
• Excellent spoken and written English.

Responsibilities

• Manage California WC claims and follow up on A/R.
• Review claim status, EOBs/denials, payments and balances.
• Communicate with carriers, adjusters, attorneys, and providers.
• Follow up on unpaid, denied, delayed, or disputed claims.
• Maintain case notes, records and updates.
• Explain case status clearly to doctors and clinics, and update clients.
• Coordinate with internal billing and operations teams.

Skills

California WC

A/R collections

Communication skills

Denials & lien management

Billing terminology

Tools

Medical billing systems

Job description

Location: Karachi, Pakistan Salary: Competitive Salary Experience Required: 2+ years in California Workers' Compensation

• Full-time
• On-site

We are looking for an experienced California Workers’ Compensation Specialist who can manage Workers’ Compensation cases, insurance-related follow-ups, A/R collections, and communicate professionally with our healthcare provider clients. The ideal candidate should have hands-on experience with California Workers’ Compensation, understand the claims and billing process, and be confident communicating directly with doctors, clinics, insurance carriers, adjusters, attorneys, and other stakeholders. This is a client-facing position, so strong communication and professional relationship-building skills are essential.

Key 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

Client-Facing Responsibilities

The selected candidate will be expected to:

• Speak directly with doctors and clinic owners
• Explain Workers’ Compensation processes in a clear and professional manner
• Handle client questions and concerns
• Provide regular updates regarding their cases and collections
• Build trust and maintain long-term client relationships

Requirements

• 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

Preferred Experience

Experience with any of the following will be a plus:

• Lien filing and follow-up
• A/R collections
• Denial management
• Medical provider credentialing
• California WCAB-related processes
• QME/AME-related billing
• Chiropractor, orthopedic, pain management, psychology, or other healthcare provider billing

What We Offer

• Competitive salary based on experience
• Performance-based incentives/commission
• Opportunity to work directly with U.S.-based healthcare providers
• Long-term growth opportunity
• Professional and collaborative working environment
• Opportunity to take a key role in building and managing our Workers’ Compensation operations

Only candidates with genuine California Workers’ Compensation experience will be considered.