Workers' Compensation Claims Administrator

Overview

Under the general direction of the Risk Manager, plans, organizes and directs the administration of the Workers' Compensation program providing continuing control, supervision and management of employee injury and illness cases; and performs other related duties. Works under the general direction of the Risk Manager, serves as Risk Manager in his / her absence, and exercises supervision over subordinate professional, technical and support personnel.

Essential Functions

• Plans, organizes, and directs the activities of staff involved in investigating, adjusting and processing of workers' compensation claims.
• Coordinates the investigation of difficult, sensitive and / or complex claims, determines extent of liability and estimates settlement value of claims; recommends the settlement or denial of claims; makes adjustments and settles claims within assigned monetary authority level; and assesses facts and determines necessity for reporting claims to excess insurance carrier.
• Secures reimbursement of costs where recovery rights exist.
• Conducts audits and inspections of workers' compensation claims.
• Assists in reviewing employee accident and injury reports to determine frequency and loss trends and recommends methods or procedures for mitigation.
• Reviews and evaluates the results of pre-employment, annual and return-to-work medical examinations and makes appropriate recommendations.
• Develops, establishes, updates and reviews medical examination policy standards; evaluates, interprets and applies laws regarding the physical examinations of potential employees in determining job suitability and fitness.
• Monitors rehabilitation services and consults with physicians, service providers and department representatives to resolve claims including return-to-work and vocational rehabilitation plans, and disability retirement.
• Prepares and administers the annual budget for the workers' compensation program.
• Ensures compliance with rules and regulations governing Workers' Compensation benefits and self-insurance administration; reviews, evaluates, interprets and applies established law to Workers' Compensation and Safety Disability Retirement programs.
• Coordinates Workers' Compensation program activities and services with those of other departments and outside agencies and organizations; provides staff assistance to the Risk Manager; prepares and presents staff reports and other necessary correspondence.
• Keeps abreast of new trends and innovations in the fields of worker's compensation, disability retirement and pre-employment medical standards.
• Represents the Department to other City departments, elected officials and outside agencies; explains and interprets departmental programs, policies and activities; investigates and resolves sensitive, significant, and controversial issues.
• Prepares, reviews and approves the formal performance evaluation of department staff, and coaches staff for improvement and development; initiates disciplinary action up to and including dismissal as required to correct behavior.
• Composes, reviews, edits and approves all reports including requests for Council action and weekly or monthly reports of departmental activity.
• Attends and participates in professional group meetings; stays abreast of new trends and innovations in the field of risk management.
• Performs related duties and responsibilities as assigned.

Education and Experience

Possession of a Bachelor's degree from an accredited college or university in Business Administration, Public Administration or a related field; AND five (5) years progressively responsible experience in the administration of workers' compensation claims; OR an equivalent combination of training and experience. Public sector and / or self-insured employer workers' compensation claims experience and supervisory experience are preferred.

Required Licenses or Certifications

Required Knowledge of

Required Skills in

Physical Demands / Work Environment

Internal applicants must use their personal email to apply, as City of Compton work emails will not be accepted for job applications. While we cannot prevent applicants from using their work email, the City is not responsible for missed communications due to system outages, firewall restrictions, employee leave, or any other technical or accessibility issues affecting City email accounts.

All applicants must meet the minimum qualifications for the position and submit all required documents — such as licenses, certifications, and proof of education — outlined in the job posting. Incomplete applications, including those missing any required documentation, will not be considered.

Examination and Appointment Information

The City of Compton uses a written and oral examination process to establish an eligible list for vacancies. Phase one (written, 50%) and phase two (oral, 50%) assess knowledge, skills and professional qualifications. A passing score for each phase is 70%. The City reserves the right to modify testing methods as needed.

General Information to Examination Applicants The City of Compton does not discriminate in employment. Applicants with disabilities requiring special testing arrangements must notify the Human Resources Department in advance of the final filing date.

Eligible Lists Recruitment may be conducted on promotional, open-competitive, or both bases. Eligibility lists remain in effect for one year unless extended or exhausted.

Examination Appeal Procedure Candidates may appeal within five days after testing. Appeals are handled per Personnel Rules and Regulations.

Examination Records Examination papers and applicant materials are confidential records of the Personnel Board.

Veteran's Preference Veterans may receive additional preferential credit in accordance with Personnel Rules and Regulations; proof of service (DD-214) must be provided with the application or by the final filing date.

Fringe Benefits The City offers a comprehensive fringe benefits program including retirement, medical, dental, life and vision insurances, deferred compensation, sick and vacation leaves, education reimbursement, ride share program, and uniform allowance.

J-18808-Ljbffr