Client Advocate, Workers Compensation, Hybrid
Full Time
Fresno, CA 93650
Posted
Job description
Overview:- All positions are located in Fresno/Clovis CA *
Community Health System is the region's largest healthcare provider and includes three divisions: Community Medical Centers hospitals, Community Care Health and Community Provider Network. These three pillars of healthcare - hospitals, health insurance and physicians - work best when they work together.
Responsibilities:
Provide case management of workers' compensation claims and leaves that are consistent with FMLA guidelines. Work collaboratively with injured workers and leadership to assure positive outcomes of transitional work assignments, as well as Employee Health Services, physicians and specialists to provide an early and safe return to work. Assist in the ADA accommodation process for all related Qualified Injured Workers (QIW's). Work closely with CMC's Third Party Administrator assuring efficient and effective handling of claims per CMC policies.
Qualifications:
Education
- High School Diploma, General Education Development (GED) or Completion of a CMC Approved Individualized Education Plan (IEP) Certificate required
- 1 year Workers' Compensation Claims Management experience including, Return to Work Program, Utilization Review, AME and QME Process required
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