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Workers' Compensation and Disability Retirement Risk Analyst

Company: County of Ventura
Location: Ventura
Posted on: May 3, 2021

Job Description:

Description

What We Offer

The County of Ventura offers an attractive compensation and benefits package in addition to the base salary that includes:

  • A general salary increase of 2% effective December 26, 2021.
  • Educational Incentive for completion of: 2.5% for an Associate's degree, 3.5% for a Bachelor's degree, or 5% for a Master's degree.
  • Annual Leave Redemption: The option to cash out up to 100 hours of total 208 hours of Annual Leave accrued per year.
  • Deferred Compensation: Section 457 Plan and/or 401(k) Shared Savings Plan with up to a 3% match on your 401(k) contributions.
  • Health Plans:You are afforded a flexible credit allowance of up to $16,692 annually for purchasing medical, dental, and/or vision insurance from a group of authorized plans.
  • Flexible Spending Accounts: Pre-tax benefit towards eligible medical, dental, and vision care expenses.
  • Pension Plan: Participation in the County's defined benefit plan which has reciprocity with CalPERS.
  • Holidays: 11 paid days per year which includes a scheduled floating holiday.

THE POSITION

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.

THE IDEAL CANDIDATE

The ideal candidate will possess a self-insurance certificate, and familiarity with Labor Code provisions specific to safety members. Additionally, the ideal candidate will possess the proven ability to work independently to manage multiple projects and prioritize customers' competing needs; will demonstrate the ability to harness the power of computer technology; and will understand the multidisciplinary role of Risk Management in a County-wide setting.

PAYROLL TITLE: Risk Analyst

EDUCATIONAL INCENTIVE: Incumbents may be eligible for an educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree not required by the classification.

AGENCY/DEPARTMENT: County Executive Office/Risk Management - Worker's Compensation

Risk Analyst is a Management classification and is not eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MU4 level.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and extra Help vacancies for this position and similar positions only. There is currently one (1) Regular, full-time vacancy.

TENTATIVE SCHEDULE

OPENING DATE: Monday, April 26, 2021

CLOSING DATE: Continuous and will remain open until business needs have been met.

FIRST REVIEW OF APPLICATIONS: Week of May 3, 2021 and on a weekly basis thereafter. Examples Of Duties

Duties may include but are not limited to the following:

  • Audit and oversee TPA claims staff to ensure adherence to law, regulations, contractual obligations and claims management best practices.
  • Assist third part administrator (TPA) to facilitate review and decision making on claims.
  • Independently rate permanent disability to evaluate settlement recommendations of TPA claims staff and defense counsel.
  • Act as ombudsman between agencies, claimants, TPA, insurance carriers and regulatory agencies.
  • Conduct periodic reviews and audits with County agencies, TPA staff and insurance carriers.
  • Oversee the provision of benefits and compensation by the County, TPA and insurance carriers.
  • Assist TPA, defense counsel and agencies in investigation and litigation management of worker's compensation and disability retirement cases.
  • Perform and coordinate investigations, audits and evaluations of incidents, complaints and claims.
  • Prepare reports for agency directors and managers.
  • Monitor TPA and insurance carrier claim systems for accuracy.
  • Review, revise, design, coordinate, implement and administer policies and procedures.
  • Assemble, analyze, validate and correlate loss information from a variety of sources, including loss runs from the insurance carriers, County resources and agency records.
  • Provide information and training to County personnel.
  • Assist unit manager and Risk Manager as required.

Typical Qualifications

NOTE: The following are minimum requirements necessary to qualify for the examination process. Due to the competitive nature of the applicant pool, possession of the minimum qualifications assures neither continuance in the process nor placement on an eligible list. Application material may be reviewed on a competitive and comparative basis against materials received from all other applicants for this recruitment.

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.

DESIRED:

  • 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.

Knowledge, Skills, &Abilities:

Working knowledge of:

  • Applicable State laws, case law, and regulations including California Labor Code;
  • Workers' Compensation Appeals Board proceedings;
  • California Government Code;

Knowledge and proficiency in:

  • Worker's compensation claims administration law, regulations and best practices.

Working ability to:

  • Read, analyze and interpret applicable law, regulations, and procedures;
  • Rate permanent disability based on the interpretation of medical reports and applicable law and regulations;
  • Understand and analyze investigative, medical and legal reports;
  • Plan, organize and maintain a variety of Risk Management projects and tasks;
  • Research and organize data to prepare and present reports as directed

Recruitment Process

FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested in it. Your application must be received by County of Ventura Human Resources no later than 5:00 p.m. on the closing date.

To apply on-line, please refer to our web site at www.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submitthem 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.

INFORMATION FOR TRANSFER CANDIDATES -

NOTE:If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

EXAMINATION PROCESS

SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this examination AT THE TIME OF FILING. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

NOTE: If there is a high number of qualified applicants, a comparative screening will be conducted to determine which of the applicants will be selected for invitation to the oral examination. Applications will be evaluated and ranked according to criteria that most closely meets the needs of the department, so it is essential that applicants provide as much detail as possible and answer all parts of the application and supplemental questions.

WRITTEN EXAMINATION - weighted at 60%: A job-related written exam will be administered to test applicants' knowledge of workers' compensation.

ORAL EXAMINATION - weighted at 40%: A job-related oral examination will be conducted to evaluate and compare participating candidates' knowledge, skills, and abilities in relation to those factors which the job analysis has determined to be essential for successful performance of the job.

The combination of scores from the written examination and oral examination will determine the candidate's final score based on the percentage weights. Candidates must earn a 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.

BACKGROUND INVESTIGATION -A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.

CONTACT INFORMATION -For further information about this recruitment, please contact Monika Maineby e-mailat Monika.Maine@ventura.org or by telephone at (805) 654-2629.

Keywords: County of Ventura, Ventura , Workers' Compensation and Disability Retirement Risk Analyst, Other , Ventura, California

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