Specialty: Workers' Compensation Claims

Closing Date: 05-OCT-22

Salary Grade: H1K

Salary Range: $72,530 - $90,646 - $108,763

External/Internal: EXTERNAL

This bulletin is posted to establish or add to a Qualified Candidate Pool (QCP)

Basic Function

Supervises and audits the administration of Metro's Workers' Compensation Unit to ensure compliance with the Workers' Compensation Laws of California and that payments and notices are processed accurately and within required timeframes.

Example Of Duties

·         Develops, oversees, and evaluates the claims settlement process and approves settlements to the limit of established authority; prepares written analysis and settlement recommendations for cases exceeding established authority for submission to the director

·         Coordinates and chairs meetings to develop case strategy

·         Coordinates/oversees immediate psychiatric care for employees involved in or witnessing fatal accidents

·         Oversees, audits, and establishes procedures for outside firms providing workers' compensation claims administration services; serves as liaison between Metro and these firms

·         Advises and makes recommendations to Metro management regarding workers' compensation policies, procedures, and case disposition

·         Develops and measures results of the Workers' Compensation program

·         Represents Metro at appeal hearings, settlement conferences, internal labor arbitration hearings, and before the Board of Directors to receive authorization for claim settlements

·         Compiles case documentation for workers' compensation litigation and labor issues

·         Assesses training needs and develops and presents training on workers' compensation issues, procedures, and laws to Metro management and staff

·         Supervises, trains, and motivates assigned staff

·         Accounts for assigned employees′ compliance with the safety rules, policies, and procedures

·         Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out

Requirements For Employment

A combination of education and/or experience that provides the required knowledge, skills, and abilities to perform the essential functions of the position. Additional experience, as outlined below, may be substituted for required education on a year-for-year basis. A typical combination includes:

Education

·         Bachelor's Degree in Business Administration, Human Resources, or a related field

Experience

·         Five years of relevant experience examining and processing complex California workers' compensation indemnity claims, including experience as a team leader and in training staff; some positions in this class may require specialized experience in area of assignment.

Certifications/Licenses/Special Requirements

·         California Self-Insured Administrator's Certificate in Workers' Compensation

·         A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions

·         May require local travel

Preferred Qualifications

·         Experience handling a high volume of workers' compensation files to ensure the timely provision of benefits

·         Experience interacting professionally with various levels of employees from other departments and/or union representatives

·         Possess California Workers' Compensation Claims Administration (WCCA) certificate and/or proof of required educational hours

·         Possess State of California Self Insurance Certificate

·         Demonstrated knowledge of supervisory principles including the delegation of work, training, motivating, and supervision of staff

Knowledge:

·         Theories, principles, and practices of California workers' compensation claims administration

·         Applicable local, state, and federal laws, rules, and regulations of workers' compensation administration, including time limits in the provisions of benefits

·         Strategies and procedures for case settlements

·         Research and report preparation methods

·         Principles of supervision

Skills:

·         Planning, organizing, and monitoring the work of a workers' compensation unit

·         Prioritizing competing work loads

·         Investigating claims and determining reasonable settlements

·         Analyzing situations, identifying problems, and recommending solutions

·         Preparing reports and correspondence

·         Communicating effectively verbally and writing with internal staff and external parties

Abilities:

·         Compile and analyze complex data

·         Understand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, and labor/ management agreements

·         Delegate work, train, motivate, and manage staff

·         Travel to offsite locations

·         Interact professionally with various levels of employees and outside representatives

·         Read, write, speak, and understand English

Selection Procedure

Applicants who best meet job-related qualifications will be invited to participate in the examination process that may consist of any combination of written, performance, or oral appraisal to further evaluate job-related experience, knowledge, skills and abilities.

Application Procedure

To apply, visit Metro's website at www.metro.net and complete an online Employment Application.

Computers are available to complete online Employment Applications at the following Metro location:

METRO Headquarters, Employment Office

One Gateway Plaza

Los Angeles, CA 90012

Telephone:(213) 922-6217 or persons with hearing or speech impairments can use California Relay Service 711 to contact Metro.

All completed online Employment Applications must be received by 5:00 p.m. on the closing date. (KP)

*Open to the public and all Metro employees

This job bulletin is not to be construed as an exhaustive list of duties, responsibilities, or requirements. Employees may be required to perform other related job duties.