Workers’ Compensation Consultant

California Department of Industrial Relations; Alameda (CA); Hybrid; USD 80,000 - 110,000; Full time

Job summary

California Department of Industrial Relations seeks a Workers’ Compensation Consultant to perform Independent Medical Review (IMR) and Independent Bill Review (IBR) of applications. You will communicate with involved parties using the case management system and track information to resolve claims efficiently.

The role requires thorough knowledge of relevant laws, ability to coordinate with authorities, and to work in an office setting with potential telework options after training.

Responsibilities

• Performs IMR and IBR reviews of applications as part of the independent review process.
• Communicates with all parties using the case management system and responds to inquiries requiring knowledge of applicable laws and statutes.
• Tracks information independently and with consultation to ensure timely resolution of claims.

Job description

Job Description And Duties

Under the general direction of the Supervising Workers’ Compensation Consultant, the Workers’ Compensation Consultant (WCC) performs tasks related to Independent Medical Review (IMR) and Independent Bill Review (IBR) of applications received that include vital component of the review process from communicating with all parties involved using the case management system; responding to written and verbal inquiries received that require thorough knowledge of various laws and statutes; and tracking information in an independent capacity and/or in consultation with appropriate authorities that will result in the timely resolution of claims thereby meeting the Department’s needs in the most cost effective manner.

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Working Conditions

Location: 1515 Clay St, Oakland, CA 94612

The incumbent will work 40 hours per week in an office setting equipped with standard office equipment. Air conditioned, in a high-rise building with elevator access, cubicle with natural and artificial lighting. Telework may be available consistent with Department policy. Once formal training has been concluded , part-time telework may be offered upon approval by the Medical Unit Manager and consistent with the Department of Industrial Relations Telework Policy.

You will find additional information about the job in the Duty Statement.