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Ventura County is located on California's "Gold Coast," approximately 35 miles northwest of Los Angeles and 20 miles southeast of Santa Barbara. Residents enjoy rolling hills and sweeping ocean views. The beauty and weather are among the many reasons our residents choose to call Ventura County "home."
THE POSITION
Under the supervision of the Workers' Compensation Manager within the County Executive Office, this position oversees and monitors the administration of workers' compensation benefits by a third-party administrator (TPA) and recommends, implements, and administers policies, procedures, and programs for workers' compensation. Assists in the County's investigation and evaluation of applications for disability retirement. Provides assistance, information, and intervention to employees, departments, and the TPA in the administration of the County's workers' compensation program. Reviews and conducts audits of TPA claim files to ensure compliance with law, regulations, best practices, and contractual terms. Analyzes settlement requests to ensure accurate permanent disability rating, future liability, and value assessment. Assembles, analyzes, and disseminates data regarding insured and self-insured programs.
The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations, and managing regulatory reserving practices. They must demonstrate exceptional analytical abilities, excellent verbal and written communication skills, and meticulous attention to detail. Additionally, they should thrive in collaborative team settings and contribute effectively to group objectives.
THE IDEAL CANDIDATE
The ideal candidate will have proven expertise in claims and benefit administration for self-insured entities and hold a valid self-insurance certificate. They will have a thorough understanding of Labor Code provisions relevant to safety members. They will demonstrate a proven ability to work independently, effectively managing multiple projects while prioritizing competing customer needs. Additionally, the candidate will be proficient in leveraging computer technology and possess a comprehensive understanding of the multidisciplinary role of Risk Management within a county-wide environment.
PAYROLL TITLE: Risk Analyst
AGENCY/DEPARTMENT: County Executive Office/Risk Management - Workers' Compensation
EDUCATION, TRAINING, and EXPERIENCE - Any combination of education, training, and experience that has led to the acquisition of the required knowledge, skills, and abilities. The required knowledge, skills, and abilities can best be demonstrated by the equivalent of a Bachelor's degree in a related field (e.g., business administration, public administration, legal studies, occupational safety, industrial relations, or human resources management) AND two (2) years' experience handling workers' compensation claims, including experience with claim evaluation, management, or adjustment, obtained in insurance companies, TPAs, self-insured organizations, government agencies, or other relevant employers. Additional years of experience may substitute for education on a year-for-year basis.
NECESSARY SPECIAL REQUIREMENTS
- Basic proficiency in Microsoft Excel and Word.
- Experience rating permanent disability in California.
- Must be willing and able to occasionally travel within the County and infrequently travel outside of the County.
DESIRED:
- Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or self-administered self-insured entity.
- Possession of a self-insured workers' compensation claims administration certification.
- Certified Workers' Compensation Claims Professional (W.C.C.P.) or equivalent.
- Experience in developing and utilizing information technology solutions and analytical tools for risk management issues.
- Familiarity with Labor Code provisions (such as 4850 and 3212) specific to safety members.
- Experience developing and utilizing information technology solutions and analytical tools used for risk management issues.
HOW TO APPLY:
To apply online, please refer to our website at www.venturacounty.gov/hr. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura CA 93009.
Applicants must provide sufficient information under the Education/Work Experience portion of the application and supplemental questionnaire in order to determine eligibility. A resume may be attached to supplement your responses in the above-referenced sections; however, it may not be submitted in lieu of the application.
NOTE: The selection process will likely consist of an oral examination, which may be preceded or replaced with the score from a T&E, contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questionnaire within the application be completed with care and diligence.
Candidates must earn a total score of seventy percent (70%) or higher to qualify for placement on the eligible list. Candidates successfully completing the examination process may be placed on an eligible list for a period of one (1) year.
EQUAL EMPLOYMENT OPPORTUNITY
The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.
CONTACT INFORMATION:
For further information about this recruitment, please contact Michelle Antonetty by e-mail at Michelle.Antonetty@venturacounty.gov or by telephone at (805) 477-7260.
