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City of Torrance
Class Code: 1314
Class Designation: Non-Civil Service/At-Will
Representation Unit: Executive and Management Employees
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Worker' Compensation Manager
Under direction, 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 related work as required.
Receives direction from the Risk Manager and supervises professional and support staff.
Plans, organizes, and directs the activities of staff involved in investigating, adjusting and processing of workers' compensation claims.
Supervises staff which includes instructing, assigning, planning and reviewing work, evaluating performance, allocating personnel, acting on employee problems, selecting new employees and implementing employee discipline. Provides training, advice and assistance as needed.
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.
Prepares and administers the annual budget for the workers' compensation program.
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.
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.
Arranges for and provides training on workers' compensation issues to staff, employees, supervisors and management.
Develops, establishes, updates and reviews medical examination policy standards; evaluates, interprets and applies laws as related to industrial injuries.
Coordinates the Safety Disability Retirement process.
Provides counsel to managers and employees on matters related to City policies, procedures and practices, contractual provisions, and other applicable laws, rules and regulations and prepares written reports/responses.
Consults with department representatives and assists Human Resources staff regarding exploration of permanent accommodation issues related to industrial injuries.
Consults with physicians, service providers and department representatives to resolve industrially related return-to-work and accommodation issues and to resolve temporary return-to-work issues.
Reviews and evaluates the results of industrial return-to-work medical examinations and makes appropriate recommendations.
Ensures that all mandated reporting required annual reporting to the Excess insurance carrier is submitted timely in a timely manner.
Confirms the annual assessment is received and processes payment within required timeframes.
Certifies the Claims Examiners with the State on an annual basis.
Monitors the OSHA log to establish if current and to ensure it is posted annually pursuant to mandated requirements.
Stays abreast of new trends and innovations in the fields of workers' compensation and safety related industrial disability retirements and keeps current on legislative and regulatory issues at the state level.
Attends City Council and Commission meetings, as needed.
Attends and conducts meetings as required.
Performs related duties as assigned.
Knowledge and Abilities
Principles of claims adjustment, investigation, settlement techniques and practices.
Principles and practices of supervision and training.
Principles and practices of budget preparation.
Federal, state and local laws, codes and regulations related to workers' compensation and industrial disability retirement for safety personnel.
State of California Labor and Government Codes, Americans with Disability Act, Fair Employment and Housing Act, Cal-OSHA regulations as related to the workers' compensation program.
Jurisdiction, functions and procedures of the Workers' Compensation Appeals Board (WCAB).
Medical and technical terminology used in industrial injury and illness cases.
Research methods and resources, including use of the Internet and report writing.
Personal computers and computer software packages related to database, spreadsheet and word-processing applications.
City codes and ordinances, and administrative rules and regulations affecting departmental operations.
Computer applications and systems utilized for workers' compensation claims management.
Customer service and conflict resolution techniques.
City and Department Mission including strategic goals and objectives.
General City operations.
Supervise subordinates including training, assigning, monitoring and evaluating work, counseling and disciplining staff, and processing grievances.
Plan, organize and manage all aspects of a Workers' Compensation Program.
Foster a collaborative/teamwork environment; handle conflicts and confrontations effectively.
Research, evaluate and recommend policies and programs to comply with state laws and regulations.
Understand, interpret, apply and explain laws, codes, regulations, policies and procedures related to the Workers' Compensation program.
Understand, evaluate and utilize computer applications and systems utilized for workers' compensation claims management.
Manage and administer computer applications and systems utilized for workers' compensation claims management.
Maintain confidentiality and exercise sound judgment.
Communicate clearly and concisely, orally and in writing.
Handle stressful or sensitive situation with tact and diplomacy.
Conduct studies, including data collection, analysis and evaluate alternatives and develop recommendations to resolve problems or issues.
Prepare and present reports, correspondence, and agenda items for the City Council, City committees and boards.
Establish and maintain effective working relationships with City employees, elected and appointed City officials, vendors and the public.
Shift priorities as departmental workload demands to meet deadlines.
Learn and utilize new skills and information to improve job performance and efficiency.
Education and Experience
Any combination of education and experience that provides the required knowledge and skills is qualifying. A typical way of obtaining the necessary knowledge and abilities is:
Five (5) years of progressively responsible professional experience in the administration of Workers' Compensation claims; and Bachelor's degree in Public or Business Administration, Human Resources Management or a related field. Directly related work experience may be substituted for the required education.
Public sector and/or self-insured employer workers' compensation claims experience and supervisory experience are desirable.
License or Certificate
Possession of a State of California Self-Insurance Plans Administrator Certificate is required.
Must possess and maintain designation as a lost time Claims Adjuster with the State of California and be current on mandated educational hours..
Performance of the essential duties of this position includes the following physical demands and/or working conditions:
Requires the ability to exert a small amount of physical effort in sedentary to light work involving moving from one area to another; requires sufficient hand/eye coordination to perform repetitive movements, such as keyboarding, filing and the use of commonly used office machines and supplies; may involve extensive VDT exposure. Tasks require visual perception and discrimination as well as oral communication ability. May be required to move boxes, paper and files weighing up to 30 pounds.