Workers' Compensation Analyst - Los Angeles, United States - Los Angeles County Metropolitan Transportation Authority
4 days ago
Description
Public Transportation Services Corporation (PTSC)PTSC is an equal employment opportunity employer
Non-Represented EMPLOYMENT OPPORTUNITY
Bulletin No:
Job Title:
WORKERS' COMPENSATION ANALYST
Closing Date:15-MAY-24
Salary Grade:
H1H
Salary Range:
$61,069 - $76,294 - $91,562
External/Internal:
EXTERNAL
Basic Function
Performs journey-level workers′ compensation functions in accordance with the California Labor Code and assists employees with work-related injuries return to work and assume their customary duties or to Transitional Duty.
Example Of Duties
- Conducts journeylevel investigations upon receipt of new claims
- Reviews and responds to all incoming legal and medical mail on a timely manner in accordance with California Labor Code regulations
- Audits claim files to ensure all benefits have been paid appropriately
- Provides timely and quality customer service to all Metro staff as well as outside providers
- Maintains close working contact with injured employees and division personnel
- Maintains claim files on an effective diary system
- Meets with division personnel on a quarterly basis to review open Workers′ Compensation cases
- Works closely with legal to strategize on appropriate handling of claims
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.
A typical combination includes:
Education
- Bachelor's Degree in Business Administration, Human Resources, or a related field
Experience
- One year of relevant experience examining California Workers' Compensation indemnity claims or related experience in the workers′ compensation industry
Certifications/Licenses/Special Requirements
- A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out jobrelated essential functions
- Insurance Education Association Certificate and California Workers' Compensation Self-Insured Certificate preferred
- Prior employers′ designation Certificate required in claims handling
Knowledge:
- Theories, principles, and practices of workers' compensation claims administration
- California State Labor Code and other applicable laws, rules, and regulations governing workers' compensation
- American Medical Association Guidelines
- Permanent Disability Ratings
Skills:
- Performing professional workers' compensation claims administration work
- Calculating wages
- Analyzing situations, identifying problems and issues, and recommending solutions
- Exercising sound judgment when faced with complex issues
- Communicating effectively verbally and in writing
- Interacting professionally with various levels of Metro employees and outside representatives
- Conducting and reporting outcomes of roundtable sessions to discuss cases
Abilities:
- Read and interpret legal reports
- Review and rate medical reports
- Work with legal representatives to resolve matters or cases
- Work aggressively to bring cases to resolution without legal actions
- Handle work assignments and meet time constraints on a strict diary system to ensure deadlines are met
- Organize and prioritize work
- Compile, analyze, and prepare comprehensive management reports
- Use good judgment when handling highly confidential information
- Travel to offsite locations
- 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
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:
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. (AW)
- Open to the public and all Metro employees
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