California Workers’ Compensation Specialist / Client Relations

Bluedge · Pakistan

Location: Karachi, Pakistan Salary: Competitive Salary Experience Required: 2+ years in California Workers' Compensation

• Full-time
• On-site

Key Responsibilities

• Manage and follow up on California Workers’ Compensation claims and outstanding A/R
• Review claim status, EOBs/denials, payments, balances, and outstanding documentation
• Communicate with insurance carriers, adjusters, attorneys, and other parties regarding claims and payments
• Follow up on unpaid, denied, delayed, or disputed claims
• Handle Workers’ Compensation lien/reimbursement and collection-related matters
• Maintain accurate case notes, follow-up records, and claim status updates
• Identify reasons for claim denials or payment delays and determine appropriate next steps
• Communicate directly with healthcare providers and explain case/claim status clearly
• Conduct regular client updates and maintain strong relationships with doctors and clinics
• Participate in client meetings and calls when required
• Coordinate with our internal billing and operations team
• Prepare regular reports on collections, pending cases, resolved cases, and outstanding A/R
• Escalate complex legal, billing, or compliance issues when necessary
• Stay updated on California Workers’ Compensation rules, payer requirements, and industry practices

Client-Facing Responsibilities

The selected candidate will be expected to:

• Speak directly with doctors and clinic owners
• Explain Workers’ Compensation processes in a clear and professional manner
• Handle client questions and concerns
• Provide regular updates regarding their cases and collections
• Build trust and maintain long-term client relationships

Requirements

• 2+ years of hands-on experience in California Workers’ Compensation
• Strong knowledge of California Workers’ Compensation billing, claims, A/R, denials, liens, and collections
• Experience dealing with insurance carriers, adjusters, attorneys, and healthcare providers
• Strong understanding of medical billing and Workers’ Compensation terminology
• Excellent spoken and written English
• Strong communication and client-handling skills
• Comfortable conducting calls and meetings with U.S.-based clients
• Strong follow-up, organization, and problem-solving skills
• Ability to work independently and take ownership of assigned cases

Preferred Experience

Experience with any of the following will be a plus:

• Lien filing and follow-up
• A/R collections
• Denial management
• Medical provider credentialing
• California WCAB-related processes
• QME/AME-related billing
• Chiropractor, orthopedic, pain management, psychology, or other healthcare provider billing

What We Offer

• Competitive salary based on experience
• Performance-based incentives/commission
• Opportunity to work directly with U.S.-based healthcare providers
• Long-term growth opportunity
• Professional and collaborative working environment
• Opportunity to take a key role in building and managing our Workers’ Compensation operations