Workers' Compensation Case Manager (Remote) | LATAM

Overview

Full-Time Contractor (Remote)

This role supports a law firm’s California Workers’ Compensation practice by managing claims, client communication, and medical treatment coordination. An existing administrative team handles filings and back-office tasks, while this position owns routine case management issues independently, keeps matters moving, and escalates legal questions or complex issues to attorneys when needed.

Responsibilities

• Manage day-to-day California workers’ compensation cases through timely follow-ups, clear next steps, and independent case progression.
• Provide injured workers with regular case updates in English and Spanish; answer routine questions and maintain empathetic but persistent communication to support treatment participation.
• Coordinate medical care by organizing appointments, treatment plans, referrals, and follow-ups with healthcare providers.
• Monitor treatment delays by tracking authorization requests, utilization reviews, and outstanding responses; escalate unresolved barriers to attorneys.
• Move claims 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 to keep documentation complete and accessible.
• Track deadlines, hearings, and required filings in line with California workers’ compensation procedures.
• Support attorneys 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 overall case progression.

Requirements (Must-Have)

• 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.

Preferred Qualifications (Nice to Have)

• Direct experience independently managing California workers’ compensation cases.
• Experience using cloud-based legal case management software.
• Experience working alongside a dedicated filings or back-office team.

Compensation & Benefits

• USD $1,800 - $2,000 / month

Location

• Remote

Schedule

• Monday-Friday 8:00/9:00 AM–5:00/6:00 PM PST