Bill Review Trainer - Hearing Specialist

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If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here.

Join us and contribute to Sedgwick being a great place to work.

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Bill Review Trainer - Hearing Specialist PRIMARY PURPOSE : To develop and conduct technical training for all new and existing departmental colleagues;

to represent client employers at hearings before the appropriate judicial body. Negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Reviews upcoming hearings and prepares necessary documentation to represent clients' interests; supports legal counsel in regard to hearings;

appears before the judicial body on behalf of clients.

• Reviews state files to update company files accordingly.
• Performs lien negotiations.
• Develops and maintains departmental technical training materials.
• Trains and monitors progress of new departmental colleagues; trains existing departmental colleagues on procedural and system changes.
• Provides training for colleagues in other departments as required.
• Assists in development and maintenance of departmental policies and procedures.
• Completes special projects as required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Primary role to perform as Medical Lien Negotiator on behalf of the Lien Resolution Unit
• Handle all aspects of research, file review, and negotiation of outstanding medical lien
• Prepare lien settlements
• Must be experienced with Worker's Compensation Labor Codes, WCAB Court procedures, and setting
• Timely resolution and follow up on pending files
• Must be organized and detail oriented with ability to adapt fast pace environment
• Must have excellent computer skills and ability to trouble shoot technical issues in Work From Home environment
• Supports the organization's quality program(s).
• Performs other duties as assigned.
• A plus if located central to the DWC Boards
• Travels as required.

QUALIFICATIONS Education & Licensing Bachelor’s degree from an accredited college or university preferred. Experience Five (5) years of experience in workers' compensation field in a high client-contact position or equivalent combination of education and experience required. Skills & Knowledge

• Excellent knowledge of billing codesPC literate, including Microsoft Office productsLeadership / management / motivational skillsStrong analytical and interpretive skillsStrong problem solving skillsStrong interpersonal skillsExcellent negotiation skillsAbility to work in a team environmentAbility to work independentlyAbility to be flexible and handle multiple / changing prioritiesAbility to meet or exceed Performance CompetenciesExcellent oral and written communication, including presentation skills
• WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental : Clear and conceptual thinking ability;
• excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously;

and ability to meet deadlines Physical : Computer keyboarding, travel as required Auditory / Visual : Hearing, vision and talking NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.

They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

You may be just the right candidate for this or other roles.