County of Ventura
Job Title: Workers' Compensation and Disability Retirement Risk Analyst
Under supervision of the Deputy Executive Officer - Workers’ Compensation/Disability Management Division of Risk Management within the County Executive Office, this position oversees and monitors the administration of workers' compensation benefits by a third-party administrator (TPA). Recommends, implements, and administers policies, procedures and programs for workers' compensation. Assists in the 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. Assemble, analyze and disseminate data regarding insured and self-insured programs.
The candidate must have considerable experience as a worker's compensation professional, responsible for claims and benefit administration; to include experience rating permanent disability, developing case settlement recommendations and regulatory reserving practices. Must have superior analytical and strong oral, written communication skills with attention to detail, and be adept at working collaboratively in a team environment.
EDUCATION, TRAINING, and EXPERIENCE - Any combination of education, training, and experience that has led to the acquisition of the required knowledge, skills, and abilities. This can be demonstrated by a Bachelor's degree in a related field (e.g., business, labor, law, biology or science, insurance) AND two (2) years' experience as a worker's compensation claims examiner or adjustor for an insurance carrier, TPA or self-administered self-insured entity. Additional years of experience may substitute for education on a year-for-year basis.
NECESSARY SPECIAL REQUIREMENTS
Must possess and maintain a valid California Class "C" driver license.
Basic proficiency in Microsoft Office Suite products such as Word, Excel, PowerPoint, etc.
Experience rating permanent disability in California.
Experience handling COVID-19 claims.
Four (4) or more years' experience as a worker's 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.
Familiar with Labor Code provisions (such as 4850 and 3212) specific to safety members.
PHYSICAL WORK REQUIREMENTS:
Job duties are primarily within an office environment, with occasional field investigation.
Job duties require primarily alternate sitting and standing.
Job duties require occasional travel within the County and infrequent travel outside of the County.
Apply by: Mon, 05/31/2021