Los Angeles Community College District

Workers' Compensation Claims Specialist (#5067)

$38.59-$47.81 hourly / $6,689.24-$8,286.80 monthly / $80,270.88-$99,441.60 annual


Definition

Performs a variety of complex journey-level professional staff work related to the administration of the District's workers' compensation claims program.

Typical Duties

Performs a variety of professional technical and advisory work related to the administration of the District's workers' compensation claims program.

Investigates District workers' compensation claims.

Audits outside workers' compensation claims administration firms and outside vendors such as defense counsels, investigation firms, vocational rehabilitation firms, and medical clinics.

Attends meetings, depositions, settlement conferences, hearings, and trials.

Makes recommendations regarding settlement and disposition of workers' compensation cases and assists in mediating return to work disputes.

Researches, interviews, and makes recommendations regarding the use and selection of outside vendors such as defense counsels, medical clinics, claims administration firms, investigation firms, and vocational rehabilitation firms.

Assists in the development and implementation of policies, regulations, rules, and practices regarding the administration of workers' compensation claims.

Provides information, guidance, advice, and policy interpretation to District administrators and employees on workers' compensation related matters.

Effectively utilizes the capabilities of management information systems related to worker's compensation programs.

Prepares the annual Survey of Occupational Injuries and Illnesses report for state agencies and the annual Public Self Insurers report.

Distributes monthly OSHA and Workers' Compensation Experience reports to the colleges and appropriate departments.

Arranges or attends interactive meetings in cases where a work injury is the cause of an employee's disability.

Plans, schedules and conducts in-service workshops on workers' compensation related issues.

Develops information packages, instructions, and brochures related to workers' compensation issues.

May supervise the work of assigned staff.

Performs related duties as assigned. 

Distinguishing Characteristics

A Workers’ Compensation Claims Specialist performs a variety of professional-level staff work related to the administration of the District’s workers’ compensation claims program.

A Risk Manager develops, implements, and administers risk management programs designed to minimize losses and to assure the efficient and economical operations of the District’s liability, workers’ compensation, occupational health and safety and loss control programs.

An Insurance Claims Specialist performs a variety of professional-level staff work related to the administration of the District’s insurance claims program.

An Employee Benefits Specialist administers the day-to-day operational activities of the employee benefits program of the District; assists in reviewing, selecting, and negotiating benefits plans, vendors, and carriers and serves as a resource person to the Joint Labor Management Benefits Committee.

Supervision

General supervision is received from a classified manager or administrator. Functional supervision may be exercised over assigned lower-level technical and clerical staff.

Class Qualifications

Knowledge of:

Practices and procedures pertinent to workers’ compensation administration

Sections of the California Education and Government Code pertaining to workers’ compensation

Sections of the California Labor Code pertinent to workers’ compensation

Rules and regulations of the California Division of Industrial Accidents, Workers’ Compensation Appeals Board, and Unemployment Insurance Appeals Board

California OSHA laws, rules and regulations

Principles of underwriting, claims management, safety, and risk management

Literature, periodicals, and other source materials pertaining to current trends in workers’ compensation administration

Principles and procedures of budgeting

Basic principles and methods of statistical analysis, prediction and presentation

Organization and management of records

Principles and practices of business and public administration

Capabilities of computer systems, software, and hardware used in the workers’ compensation field

Principles of training

Ability to:

Perform complex professional staff work related to the administration of a workers’ compensation program

Interpret and apply laws, rules, regulations and policies pertinent to assigned area

Work effectively and tactfully with all levels of staff in the District and representatives of contractors and other public agencies

Write clear, comprehensive, and accurate reports and correspondence

Make clear, concise, and effective oral and written presentations

Identify workers’ compensation program needs and alternatives, and makes recommendations on modifications and improvements as needed

Collect, analyze, interpret, and evaluate data, draw sound conclusions, and make recommendations

Effectively utilize computer equipment, software, and management information systems in the performance of duties

Cope with novel and difficult problems

Organize work to meet critical deadlines

Plan, schedule, coordinate, and conduct in-service workshops, seminars and conferences

Develop informational packages, instructions and brochures relating to workers’ compensation

Provides technical assistance and guidance to others

Travel to offsite meetings

Learn specialized computer applications

Entrance Qualifications

Education:

A bachelor's degree from a recognized college or university preferably with a major in risk management, public administration, business administration, or a related field.

Experience:

Three years of recent full-time, paid professional-level experience related to the administration of a workers’ compensation claims program for an organization employing 500 or more employees.

Possession of a valid California Workers’ Compensation Claims Administration Certificate (WCCA) and California Workers’ Compensation Claims Professional (WCCP) designation issued by the Insurance Educational Association are desirable.

Special:

A valid Class “C” California driver’s license.

Travel to locations throughout the District is required.

Reasonable Accommodations

Our class specification generally describes the duties, responsibilities, and requirements characteristic of the position(s) within this job class. The duties, responsibilities, and requirements of a particular position within this class may vary from the duties of other positions within the class.

In accordance with the Americans with Disabilities Act (ADA), the Los Angeles Community College District provides reasonable accommodation to qualified individuals with covered disabilities on a case-by-case basis throughout the application, examination, and hiring processes and throughout employment. If an individual is in doubt about his or her ability to perform the duties and responsibilities of a position or possession of any other requirement noted in a class specification or job announcement, he or she should always apply for a position and request reasonable accommodation at the appropriate time.

 


CLASS: 5067; EST: ; REV: 5/23/2018;