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Risk Management Technician

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Risk Management Technician

Salary

$65,592.00 - $80,976.00 Annually

Location

City of Santa Monica, CA

Job Type

Full-Time Regular

Remote Employment

Flexible/Hybrid

Job Number

244136-02

Department

Finance

Opening Date

08/26/2024

Closing Date

9/19/2024 5:30 PM Pacific

• Description

• Benefits

• Questions

Job Summary

This position performs technical work adjusting, analyzing, investigating, and resolving Workers’ Compensation claims cases. The division provides medical and indemnity benefits to injured employees covered by the City’s Self Insured and Self-Administered Workers’ Compensation Program.

The current Risk Management Technician vacancy is on the Workers Compensation team and will administer benefits in accordance with statutory and case law as well as pertinent regulations for an inventory comprised of minor injuries with no lost time.

JOB SUMMARY: Performs a variety of technical and administrative duties in support of the City's Risk Management Programs. Recovers costs from responsible parties for damage to City property. Examines and adjusts property damage, low value liability claims and certain workers' compensation claims. Assists with the implementation of special projects. Tracks insurance certificates. Assists with safety and American with Disability Act (ADA) training and inspection efforts.

Representative Duties

(Note: Duties may vary dependent upon assignment.)

Investigates all reports of damage to City property and recovers costs from responsible parties (e.g., the public, insurance carriers, and other entities). Tracks recovery efforts to ensure the City receives all recovery payments.

Processes Small Claims Court actions, which includes filing court documents, serving court documents, executing subpoenas, and defending the City's interests in Small Claims Court proceedings.

Adjusts property damage and small liability damage claims, as assigned. Investigates claims in accordance with industry standards, negotiates and recommends claim settlements, and prepares and secures release documents from claimants. Ensures that claim files are properly documented and all appropriate data has been entered into the claims management system.

Reviews, examines and adjusts medical only and future medical workers' compensation claims in accordance with division policies and industry standards. Establishes and

monitors claim reserves. Authorizes workers' compensation benefits within established authorization limits. Ensures that claim files are properly documented, and all appropriate data has been entered into the claims management system.

Documents first aid and exposure to various pathogens cases in accordance with division policies and industry standards.

Tracks insurance certificates for purchase orders and Council approved agreements. Ensures insurance certificates and associated endorsements are current and in compliance with purchase order/agreement requirements.

Coordinates issuance of insurance certificates and appropriate endorsements requested by outside entities or individuals.

Coordinates with the Workers' Compensation unit and other City Departments to return injured workers to modified duty assignments while recovering from injuries. Prepares and tracks forms necessary to manage program. Clarifies injured employees' work restrictions with doctors. Tracks injured employees' medical appointments and provides status information to departments.

Reviews and processes workers' compensation bills in accordance with established fee schedules and service provider contractual agreements. Processes claims payments, including banking transactions.

Assists with implementation of division special projects.

Responds to questions and inquiries from the public and other City Departments.

Provides administrative support to the City's Accommodations Committee.

Provides administrative support to professional staff.

Assists with training and conducting facility inspections in connection with safety and ADA requirements.

Performs other related duties, as assigned.

Requirements

Knowledge, Ability and Skills:

Knowledge of:

Principles, practices and methods of Risk Management administration.

Records management practices and procedures.

Business English, spelling, grammar and punctuation.

Basic mathematics.

Modern office practices, procedures and equipment.

Effective customer service techniques.

Ability to:

Organize and coordinate claims in accordance with municipal processes and procedures.

Analyze information.

Reconcile figures.

Prepare and present clear and concise recommendations and reports.

Organize and manage accurate files and records.

Learn and utilize computerized spreadsheet and database applications.

Maintain confidentiality of information.

Work independently with minimal supervision and frequent interruptions.

Respond to public inquiries and customer complaints in a tactful and courteous manner.

Communicate effectively, both orally and in writing.

Provide effective customer service.

Establish and maintain effective and cooperative working relationships with City employees and the general public.

Skill in:

Reading, writing, and communicating at an appropriate level.

Dealing effectively with the public with tact and discretion.

Using a personal computer and applicable software applications.

Education, Training and Experience:

Graduation from high school or the equivalent. Successful completion of 30 semester units of college level or vocational school coursework in Business Administration, Social Science, or a closely related field. Completion of relevant and current professional training or coursework in Risk Management Administration is desirable.

Two years of recent, paid work experience performing administrative support duties, at least one year of which must have been in a risk management environment. Additional relevant work experience may be substituted for the required education on a year for year basis.

Licenses and Certificates:

Possession of a valid Class C driver license or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

Depending on assignment, may be required to obtain a California Workers' Compensation Claims Administration (WCCA) certification within one year from date of hire.

Supplemental Information

How to Apply:

Applicants must submit a completed on-line City Application along with any required supplemental application materials with the Human Resources Department by the filing deadline. If you do not submit your on-line application by the filing deadline, you will not be considered for this position. Please note, applications may be rejected if incomplete. Resumes, CVs and cover letters are not reviewed as part of the application screening process.

If you would like for your certifications to be considered, you must attach a copy of your certifications to your online application. All materials must be received in the Human Resources Department no later than the filing deadline. Failure to do so may result in your application being evaluated without the education being considered.

Selection Process:

All applicants must submit clear, concise and complete information regarding your work history and qualifications for the position. All applicants will be reviewed and only those applicants determined to be most qualified on the basis of experience, training and education, as submitted, will be invited to participate further in the selection process.

Testing may consist of a combination of any of the following and is subject to change as needs dictate:

Training and Experience Evaluation

Oral Interview

If three or more qualified City employees apply and pass the examination, a promotional list will be established in addition to an open-competitive list. If fewer than three qualified City employees pass the examination, the appointing authority, in accordance with the City's civil service rules and regulations, can decline to use a promotional list, in which case a promotional list will not be established for this position.

Background Investigation:

Candidates who have successfully completed all prior phases of the selection process will be subject to a thorough background investigation.

Inclusion & Diversity Statement

The City of Santa Monica is a progressive, inclusive and culturally rich community. As leaders in public service, we strive to be an employer of choice by attracting and retaining a highly talented workforce where people of diverse races, religions, cultures and lifestyles thrive. Our goal is to create a welcoming and inclusive environment where our staff are empowered to perform at their highest level and where their differences make a positive impact.

The City is an equal opportunity employer and strives to build balanced teams from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, marital status, ancestry, disability, genetic information, veteran status, or any other status protected under federal, state and/or local law. We aim to create a workplace that celebrates and embraces the diversity of our employees. Join us!

Special assistance with the application and examination process is available, upon request, for persons with disabilities. Call (310) 458-8246, TDD (310) 458-8696 (Hearing Impaired Only).

Please note the request for reasonable accommodations must be made to Human Resources at least three work days prior to the examination.