Abramson Labor Group | Workers' Compensation Applicant Practice
Department: Claims
Reports To: Claims Supervisor
Language Requirement: Bilingual (English/Spanish) required
Schedule: 9:00 am - 5:30 pm PST
Pay rate: $8.00 hourly
About the Role
The Claims Department is responsible for the efficient administration of the initial post-filing phase of a claim — the period during which insurance carriers are actively investigating. This includes correctly setting up claims with carriers, obtaining claim numbers and status updates, conducting employment and coverage investigations, and filing amendments to applications with the court.
The Claims Department Senior plays a key role in keeping the department running smoothly and efficiently. This person audits case workflows, leads solutions on flagged issues, mentors team members on process and strategy, and manages the department's shared inbox to ensure nothing falls through the cracks. This is a hands-on leadership role for someone who thrives on solving problems and keeping high-volume work moving.
Key Responsibilities
Workflow Audits & Case Solutions
- Conduct daily audits of cases in workflows to identify bottlenecks, errors, or stalled matters
- Lead and implement solutions to move flagged cases forward
- Track recurring issues and recommend process improvements
Supervisor Collaboration
- Meet weekly with the Claims Supervisor to review audit findings
- Discuss and help develop administrative strategies to advance matters efficiently
Team Mentorship
- Serve as a go-to resource for team members' questions on claims processes and procedures
- Coach team members on administrative strategies for resolving common issues
- Help onboard and train newer staff as needed
Department Inbox Management
- Review and triage the department's shared inbox
- Identify required actions and assign or complete them promptly
- Ensure all inbox items are tracked through to completion
Core Claims Functions
- Set up claims correctly with insurance carriers
- Obtain and track claim numbers and claim statuses
- Conduct employment and coverage investigations
- Prepare and file amendments to applications with the court
Other duties as assigned by supervisor
Qualifications
- Strong problem-solving skills and sound judgment under time pressure
- Fast learner, comfortable picking up new systems and processes quickly
- Proven ability to manage high-volume caseloads without sacrificing accuracy
- Critical thinker who can identify root causes, not just symptoms
- Bilingual (English/Spanish) required
- Comfortable mentoring and supporting colleagues
- Strong organizational skills and attention to detail
- Prior insurance claims experience helpful, but not required
What Success Looks Like
A strong Claims Department Senior keeps cases moving through the post-filing claims administration phase without unnecessary delay, catches issues before they become bottlenecks, and helps the whole team get better at solving problems — not just this week's problems, but the patterns behind them.
- Are you bilingual in English and Spanish?
- How many years of experience do you have handling high-volume caseloads or files?
- Do you have prior experience in insurance claims or workers' compensation?
- Have you mentored, trained, or onboarded team members in a previous role?