At York, we believe that an experience marked by expertise, consistency and compassion sets us apart. And we celebrate the diverse backgrounds and unique perspectives that allow us to stand apart from our competitors. Thats why we are committed to recruiting, developing and retaining people who represent our values and who believe in our mission.

Job Description

Once a claim is settled, the Future Medical Examiner manages the medical care in accordance with the Award, transferring the files to the Future Medical desk along with timely closing of files results in adherence to maximum caseloads of 300

• Monitor treatment in accordance with settlement and UR (35%).
• Payment of benefits where applicable (Life pension, PD, medical bills and medical mileage reimbursement) (15%)
• Diary compliance (new mail & CMRs), verify, analyze and appropriately establish reserves based on lifetime exposure. (40%)
• Excess reporting and request for reimbursement where applicable.
• Provide verbal and written communication with our injured workers and clients.
• Adherence to client protocols as well as York operating definitions

EDUCATION:

• BS / BA or Equivalent Work Experience
• WCCA Preferred

EXPERIENCE:

• 1 to 3 years

SKILLS/ABILITIES:

• Strong technical skills.
• Good human relation skills, including the ability to work in conjunction with other administrative, management, and supervisory employees.
• Ability to anticipate and resolve issues proactively and in a professional manner.

KNOWLEDGE:

• Knowledge of claims handling and settlement procedures in the California Workers Compensation system.
• Familiar with Microsoft applications such as Outlook and Microsoft Word.