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    workers' compensation analyst - Los Angeles, United States - Metro - Los Angeles County Metropolitan Transportation Authority

    Metro - Los Angeles County Metropolitan Transportation Authority
    Metro - Los Angeles County Metropolitan Transportation Authority Los Angeles, United States

    2 days ago

    Default job background
    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:
    Open Until Filled

    Salary Grade:
    H1H

    Salary Range:
    $61,069 - $76,294 - $91,562

    External/Internal:

    EXTERNAL
    Open Until Filled openings may be closed at any time without notice.
    This bulletin is posted to establish or add to a Qualified Candidate Pool(QCP)

    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 journey-level 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
    Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out
    May be required to perform other related job duties

    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
    One year of relevant experience examining California Workers' Compensation indemnity claims or related experience in the workers′ compensation industry
    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 journey-level 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
    Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out
    May be required to perform other related job duties

    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
    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 job-related 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
    Applicable business software applications


    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
    Understand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, budgets, and labor/management agreements
    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
    To apply, visit Metro's website at 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:
    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
    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.

    #J-18808-Ljbffr
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