Claims Representative - Workers Compensation - JDT

Job Description

Job Description

Job Title : Claims Representative – Workers Compensation

Location : Long Beach, CA (On-site)

Contract Duration : Until 12 / 19 / 2025

Primary Purpose

Responsible for processing low-level workers compensation claims to determine benefits due, ensuring claims are adjudicated according to company standards and industry best practices, and identifying opportunities for subrogation and settlement negotiation under general supervision.

Essential Functions & Responsibilities

• Process low-level workers compensation claims, determine compensability and benefits due, and file necessary documentation with state agencies.
• Monitor reserve accuracy and develop action plans for claim resolution and return-to-work initiatives.
• Approve claim payments in accordance with client contracts and applicable regulations.
• Administer subrogation of claims and negotiate settlements as needed.
• Maintain professional communication with claimants and clients regarding claim actions.
• Ensure claim files are properly documented and accurately coded.
• Process low-level lifetime or defined-period medical claims, including physician filings and treatment decisions based on utilization review.
• Build and maintain professional client relationships.

Additional Functions

Qualifications

Education & Licensing :

Experience :

Skills & Knowledge :

Work Environment

Mental : Strong conceptual thinking, sound judgment, multitasking, and ability to meet deadlines under pressure.

Physical : Frequent computer use; travel as needed.

Auditory / Visual : Requires good hearing, vision, and verbal communication skills.

Note :

A credit security clearance confirmed via background credit check is required for this position.

This job description reflects the general nature and level of work expected but is not an exhaustive list of all duties or responsibilities. Management reserves the right to modify or adjust duties as needed.

Company Description

TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal.

We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness.

We also have national recruiting

Company Description

TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. \r\n\r\nWe also have national recruiting