Claims Coordinator I

Title: Claims Coordinator I/Workers Compensation Coordinator
Location: Torrance, CA 90505 - Onsite
Assignment Duration: 3 Months (Possible Extensions)
Schedule: 1^st Shift | 8 hours per day | 40 hours per week | Mon - Fri
Pay Rate: $25.00/hour

Position Overview

We are seeking a detail-oriented and organized Workers Compensation Coordinator to support workers' compensation-related administrative and care coordination activities within an orthopedic/medical environment. The ideal candidate will have strong communication and organizational skills, be comfortable interacting with patients, providers, and claims adjusters, and have experience working with electronic medical records and administrative healthcare processes.

Key Responsibilities

• Complete and process Requests for Authorization (RFAs) for workers' compensation services and treatments.
• Communicate with workers' compensation claims adjusters via telephone and email regarding authorizations, claims, and patient care.
• Interact professionally with patients and healthcare providers to address questions, concerns, and issues related to medical care.
• Coordinate administrative aspects of patient care and follow up on outstanding requests, documentation, and authorizations.
• Maintain accurate records and documentation while ensuring information is processed in a timely and confidential manner.
• Perform faxing/eFaxing, PDF editing, email correspondence, data entry, and other administrative duties as required.
• Collaborate effectively with internal teams and healthcare professionals in an interdependent work environment.
• Maintain compliance with HIPAA and applicable healthcare privacy and administrative requirements.

Required Qualifications

• High school diploma or GED required; Bachelor's degree preferred.
• Previous experience in workers' compensation, healthcare administration, medical office coordination, claims, authorizations, or care coordination preferred.
• Strong computer skills, including proficiency with email, PDF editing, fax/eFax systems, and general office applications.
• Experience with Cerner/EMR systems is preferred.
• Excellent verbal and written communication skills.
• Strong attention to detail, organization, follow-up, and documentation skills.
• Ability to communicate effectively with patients, healthcare providers, claims adjusters, and internal teams.
• Ability to work independently while also collaborating effectively within a team.
• Must be able to commit to a 40-hour workweek throughout the assignment with minimal or no planned time off.

Preferred Skills

• Workers' Compensation Coordination
• Requests for Authorization (RFA)
• Medical authorization processing
• Claims adjuster communication
• Healthcare/medical office administration
• EMR/Cerner experience
• Patient and provider communication
• Care coordination
• HIPAA compliance
• Data entry and documentation
• Email, PDF, fax/eFax systems

Work Environment

This is an onsite position in Torrance, California. The position involves direct interaction with patients and healthcare providers and requires professional communication, confidentiality, and teamwork.