Reviews, examines and adjusts workers’ compensation claims filed by City employees for job related injuries and illnesses and develops appropriate plans of action.   Establishes and monitors claims reserve levels.  Reviews claim documentation for compensability and subrogation issues or potential fraud or abuse.  Coordinates authorization of medical treatments. Computes indemnity benefits and related payments. Supervises, assigns and reviews the work of professional, technical, and clerical support staff.

Minimum Qualifications:

Option A:

Education: Graduation from an accredited college or university with an associate degree or 60 semester units or the equivalent of college-level coursework. 

Experience: Four years of recent, paid progressively responsible journey-level workers’ compensations work experience, including two years of experience leading and coordinating the work of others. One year of leading and coordinating the work of others and successful completion of the City of Santa Monica’s Pre-Supervisory Academy may substitute for the two years of leading and coordinating experience. 

Public sector and/or self-insured employer workers’ compensation claims experience is desirable.  

Option B:

Education: Graduation from an accredited college or university with a bachelor’s degree. 

Experience: Two years of recent, paid progressively responsible journey-level workers’ compensations work experience and leading and coordinating the work of others. One year of leading and coordinating the work of others and successful completion of the City of Santa Monica’s Pre-Supervisory Academy may substitute for the two years of leading and coordinating experience. 

Public sector and/or self-insured employer workers’ compensation claims experience is desirable.  

Licenses and Certificates:

Possession of a valid class C driver license or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

Must possess or successfully obtain the California Self-Insurance Plans Administrator Certificate within 6 months from the date of hire.

Apply via the City's website at https://www.smgov.net/hr no later than 5:30 p.m. on 2/23/23.