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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing California workers' compensation cases, including treatment coordination, claims administration, and effective communication with injured workers and legal teams. Proficient in utilizing cloud-based legal case management systems to maintain accurate case documentation and ensure timely follow-ups.
Highest-signal resume keywords
California Workers' Compensation Case ManagementMedical Treatment CoordinationCloud-Based Legal Case Management SoftwareStrong Communication Skills in English and SpanishUnderstanding of Claims Procedures and Utilization Review
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Keep California workers' compensation cases progressing through independent day-to-day management, timely follow-ups, and clear next steps.
- Give injured workers regular case updates in English and Spanish, answer routine questions, and provide empathetic but persistent follow-up on treatment participation.
- Keep medical care on track by coordinating appointments, treatment plans, referrals, and follow-ups with healthcare providers.
- Identify and address treatment delays by monitoring authorization requests, utilization reviews, and outstanding responses, escalating unresolved barriers to attorneys.
- Move outstanding claim matters toward resolution through consistent communication with insurance adjusters, claims administrators, medical providers, and attorneys.
- Prepare, review, and organize claim forms, medical reports, and supporting records so case documentation is complete and accessible.
- Keep deadlines, hearings, and required filings visible and on track in accordance with California workers' compensation procedures.
- Help attorneys prepare cases by gathering documentation, identifying missing records or unresolved issues, and coordinating necessary follow-ups.
- Maintain accurate case information in the firm's cloud-based system, including communications, treatment status, deadlines, and outstanding actions.
- Coordinate with the administrative support team on filings and back-office work while retaining ownership of client communication and case progression.
Requirements
What you’ll need- Prior hands-on U.S. personal injury case management experience, with responsibilities beyond administrative filings.
- Workers' compensation case management experience and practical knowledge of California claims procedures, insurance claims administration, and Workers' Compensation Appeals Board (WCAB) processes.
- Understanding of medical treatment coordination, authorization requests, utilization review, and claims follow-up.
- Strong communication skills in English, including the ability to explain case updates clearly and communicate empathetically with injured workers.
- Availability to work during Pacific Time business hours.
- Direct experience independently managing California workers' compensation cases is strongly preferred.
- Experience using cloud-based legal case management software.
- Experience working alongside a dedicated filings or back-office team.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Workers' Compensation Case ManagementClaims AdministrationAuthorization RequestsUtilization ReviewCase Documentation PreparationDeadline ManagementMedical Report OrganizationFollow-Up CoordinationIndependent Case ManagementClaims Follow-Up
Soft Skills
Empathetic CommunicationPersistent Follow-UpOrganizational SkillsTeam CollaborationProblem-Solving
Tools & Technologies
Cloud-Based Case Management Systems
Industry Keywords
California Claims ProceduresWorkers' Compensation Appeals Board (WCAB)Personal Injury Case ManagementInsurance Claims AdministrationHealthcare Provider Coordination