Workers’ Compensation Claims Examiner
City of Torrance
OPENING DATE: 10/27/16
CLOSING DATE: Continuous
The City of Torrance workers’ compensation program is both self-insured and self-administered by the Workers’ Compensation Division. The Division prides itself in providing case management and claims administration for all injured City employees.
As part of the Workers’ Compensation Division, the Claims Examiner explains benefits and legal rights under applicable codes, City policies and Memoranda of Understanding provisions to employees. This individual reviews, examines and adjusts complex, sensitive and/or catastrophic claims; facilitates the return of injured workers; reviews, processes and prepares a variety of claim file documents, identifies issues and ensures adherence to California Labor Code and regulatory requirements; and assists in the negotiation of settlements for controversial and high cost claims.
This position requires a high degree of discretion and independent judgment. This individual must be able to handle multiple tasks with shifting priorities; work with minimal supervision; and balance a high volume caseload while being responsive to customers (claimants and managers/supervisors) and treatment providers.
Any combination of education and experience that provides the required knowledge and skills is qualifying. A typical way to obtain the knowledge and skills would be:
Graduation from high school or equivalent supplemented by college level coursework in workers’ compensation, insurance, business or public administration, or a related field that included a permanent disability rating course; and two years of recent progressively responsible experience adjusting workers’ compensation claims.
License and/or Certificates
- Must possess and maintain a valid California Class C driver’s license.
- Incumbents appointed after January 2005 must possess and maintain a State of California Self-Insurance Plan Certificate and the appropriate certification of competency as required by the State of California
In addition to the above requirements, the most successful candidate will possess the following:
- Knowledge of current State of California Workers’ Compensation laws, administrative regulations, and claims adjusting procedures;
- Ability to independently and effectively manage complex or technically difficult claims;
- Self-insured employer workers’ compensation claims experience;
- Public sector claims management experience and handling claims for safety employees;
- Knowledge of safety and health standards and regulations;
- Business acumen;
- Excellent written and verbal communication and interpersonal skills;
- Strong customer service orientation;
- Flexible and adaptable;
- Analytical and resourceful problem-solving skills; and
- Familiar with Americans with Disabilities Act (ADA) regulations and Fair Employment and Housing Administration (FEHA);
HOW TO APPLY & EXAM PROCESS:
Interested candidates must submit an online application and supplemental questionnaire at TorranceCA.Gov/Jobs. Application submissions will be accepted on a continuous basis until the position is filled. First review of applications will be those received by November 10, 2016 at 5:30 p.m.
Only those candidates who best meet the City and Department’s needs will be invited to participate in the examination process, which will consist of the following components:
Performance Test: 30% (Tentatively Scheduled on December 6, 2016)
Oral Interview: 70% (Tentatively Scheduled on December 6, 2016)
Applicants with disabilities who require special testing arrangements must contact Human Resources prior to the final filing date.
As a condition of employment, candidates must pass a background check and a pre-employment medical examination.
The provisions of this announcement do not constitute an expressed or implied contract and any provisions contained in this announcement may be modified or revoked without notice.