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Job DescriptionDescription: Position Summary This position provides an opportunity to operate with an independent nature and with a keen focus on quality care. In addition to clinic duties, as a Nurse Practitioner (NP) or Physician Assistant (PA) with Agile you will sharpen your leadership skills by joining a medical team with expertise in occupational medicine, coaching back-office staff, educating nursing staff and students. At Agile, you can directly and positively affect change every day in patients’ lives. Schedule: Monday through Friday, 9:00 AM to 6:00 PM Compensation: Starting compensation range is $145,000.00- $170,000.00 annually. Exact compensation may vary based on skills, experience, and location. Responsibilities • Assures personal compliance with licensing, certification, and accrediting bodies, • Evaluates and treats occupational medicine patients in accordance with Agile's medical practice model, • Establishes and monitors appropriate level of care for center patients, • Completes all medical record documentation prior to end of shift, • Works with Center Medical Director to ensure operations are consistent with medical and professional standards of care and professional PA/NP association, • Recommends potential growth opportunities for new or existing services within the Center, • Meets with Medical Director or designate to discuss quality of patient care, review policies, procedures, outcomes reports, and records, • Calls client representatives following employee treatment for initial injury and/or at any significant change in status, • In the absence of Center Medical Director, provides guidance to other medical personnel and center colleagues, • Masters use of clinical systems to ensure efficiency, excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow through on all patient care orders, • Ensures compliance with individual State Practice Act, and Workers’ Compensation regulations, • Maintains and cultivates relationships with center clients and payers while responding to requests within 24 hours, • Works with medical and clinical leadership to manage clinical and support staffing levels and proficiencies that will optimize patient satisfaction, workflows, and efficiencies, • Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition, • Promotes center initiatives and workflows that are consistent with those in other centers, • Graduate of an accredited PA or NP program and an unrestricted California PA/NP license (or license in progress), • Must meet all licensure requirements for the applicable state of practice, • Active DEA registration required, • Current BLS and AED certification required; ACLS certification preferred, • Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions, • Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism, • The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies, • Medicine knowledge, • Systems evaluation knowledge, • Customer and personal service knowledge including needs assessment, meeting quality standards for services and evaluation of customer satisfaction, • Judgment and decision making, • Critical thinking, • Speaking to effectively convey information to supervisors, peers, or customers, • Instructing skills to teach others, • Demonstrated knowledge of techniques and information needed to diagnose and treat human injuries, • Fosters a cooperative and harmonious working climate conducive to maximize employee morale and productivity, • Ability to put patients first and enjoys treating patients, • Must be a team player in a multidisciplinary environment, • Demonstrates a value of all contributions to product and outcome, • Displays a professional, approachable, and selfless demeanor at all times both to external and internal clients, • Agrees, supports, and commits to Agile’s core practice standards and policies and procedures, • Ability to display high degree of inspiration for team members to retain focus of providing highest levels of customer satisfaction, • Willingness to learn and continuously improve, to be audited, observed, and reviewed; is positively responsive to feedback, • Working knowledge of medical office administration and procedures, • Basic computer skills, including email, • Preferred experience with electronic medical record application Benefits • Comprehensive benefits package, including medical, dental, vision, life, and disability insurance, • Excellent work-life balance with no required nights, weekends, or holidays, • Fast-paced and dynamic work environment, • 401(k) plan with employer match, • Annual CME stipend and MedBridge subscription, • Employer-provided medical malpractice insurance, • Paid time off and company-paid holidays, • Opportunity to make a meaningful impact on patient care and clinic performance Why You Should Join Our Team Agile Occupational Medicine is a leading occupational medicine group with a network of 43 clinics and one surgery center dedicated to providing comprehensive healthcare services to businesses and their employees across California and Yuma, Arizona. We specialize in ensuring the health and well-being of workers through a range of medical services, including injury care (workers’ compensation), physical examinations (employer services), and commercial (urgent care). We are a rapidly growing company with a fun and collaborative work environment. We are passionate about disrupting the world of occupational medicine, and we are committed to providing our customers and patients with the best possible experience. We offer our employees competitive salaries, commission, and benefits, and we give them the opportunity to make a real impact on the business. Agile Occupational Medicine is an Equal Opportunity Employer. Agile does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided upon qualifications, merit, and business need

Job DescriptionJob ProfileJob TitleWorkers Compensation Claims Examiner (Project 1346011)LocationRemote reside in CaliforniaHire TypeContingentHourly$33.65 - $45.00Work ModelMonday – FridayContact Phone(443)-345-3305 Contact Nature & Scope:Positional Overview Mary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with service expectations, industry best practices, and client requirements. The examiner will be responsible for identifying subrogation opportunities, managing the litigation process, and negotiating settlements to ensure cost-effective claim resolution.Role & Responsibility:Tasks That Will Lead To Your Success • Analyze and process complex workers' compensation claims by investigating and gathering relevant information to assess claim exposure., • Develop action plans to manage claims efficiently and bring them to timely resolution., • Negotiate claim settlements within designated authority levels., • Calculate and assign reserves to claims promptly; monitor reserve adequacy throughout the claim lifecycle., • Calculate benefits due and approve timely claim payments and adjustments; settle claims within authority levels., • Prepare and submit necessary state filings in compliance with statutory requirements., • Manage the litigation process to ensure claims are resolved timely and in a cost-effective manner., • Coordinate vendor referrals for additional investigations or litigation management as necessary., • Use cost-containment strategies, including partnerships with vendors, to minimize overall claim costs., • Manage claim recoveries, such as subrogation, Second Injury Fund excess recoveries, and Social Security or Medicare offsets., • Report claims to excess carriers and respond to requests or directives in a timely and professional manner., • Maintain clear and regular communication with claimants and clients, ensuring professional relationships are upheld., • Ensure proper documentation and accurate coding of claim files., • Refer cases to supervisors and management as needed., • Perform other duties as assigned., • Support the organization’s quality initiatives., • Travel as required.Skills & Experience:Qualifications That Will Help You Thrive, • High School Graduate or GED required, Bachelor's degree preferred., • Professional certifications related to workers' compensation or claims handling preferred., • Minimum of 5 years of workers' compensation indemnity claims handling experience is required., • In-depth knowledge of workers' compensation principles, laws, and best practices, including indemnity claims., • Expertise in litigation management and claims resolution processes., • Strong understanding of medical management practices, cost-containment techniques, and Social Security/Medicare procedures., • Excellent oral and written communication skills, including the ability to negotiate and present effectively., • Proficient in Microsoft Office and claims management software., • Analytical and problem-solving abilities, with strong organizational skills., • Ability to work independently and as part of a team., • Strong interpersonal skills and the ability to meet or exceed service expectations., • Must reside within California boundaries., • Minimum of 5 years of experience handling California workers' compensation indemnity claims., • Strong experience in managing the litigation process to ensure timely, cost-effective claims resolution., • Credit security clearance, confirmed via a background check, is required.