The Case Manager plays a pivotal role in ensuring exceptional customer service and facilitating the progression of client cases towards settlement. This position involves a diverse range of responsibilities, all aimed at efficiently managing cases through pre-litigation stages and optimizing client outcomes.
Responsibilities:
1. Coordination of Cases: Manage all aspects of cases from start to pre-litigation stages, ensuring smooth progress and adherence to protocols.
2. Intake Handling: Collect and analyze intake information and relevant documents to establish a comprehensive understanding of each case.
3. Insurance Management: Verify insurance coverage details and maintain regular communication with insurance companies to facilitate claims processing.
4. Oversight of Medical Care: Monitor and manage the medical care of clients, ensuring optimal treatment outcomes and avoiding unnecessary services.
5. Review of Settlement Packages: Thoroughly review settlement demand packages for accuracy and completeness in documentation.
6. Interpretation of Medical Records: Analyze and interpret medical records and reports to extract relevant information for case progression.
7. Negotiation of Insurance Liens: Negotiate medical insurance liens to minimize financial burdens on clients and maximize settlement amounts.
8. Settlement Negotiations: Collaborate with attorneys to negotiate settlements for clients, ensuring favorable outcomes within legal boundaries.
9. Management of Case Files: Organize and maintain electronic case files using a robust case management system for efficient tracking and accessibility.
10. Client Communication: Communicate clearly and comprehensively with clients, providing information on the personal injury process and guiding them on necessary actions.
11. Treatment Oversight: Monitor and manage client treatment processes to align with case objectives and avoid unnecessary treatments.
12. Communication with Claim Adjusters: Maintain regular communication with claim adjusters, providing detailed documentation and case information for smooth claims processing.
13. Generation of Settlement Breakdowns: Create comprehensive settlement breakdowns to reduce client bills and maximize settlement amounts.
14. Approval/Denial of Loans: Evaluate and make decisions on client loan approvals or denials based on case requirements and client needs.
15. Coordination of Litigation: Collaborate with senior management to assess cases for potential litigation and coordinate necessary actions for case escalation when needed.
Qualifications:
- Bachelor's degree in a related field preferred.
- Previous experience in case management or a related field.
- Strong understanding of legal and insurance processes.
- Excellent organizational and communication skills.
- Proficiency in electronic case management systems and Microsoft Office Suite.
- Ability to work effectively in a fast-paced, deadline-driven environment.
- Attention to detail and ability to multitask effectively.
Note: This job description outlines primary responsibilities and qualifications but is not exhaustive. Additional duties may be assigned as necessary.