WORKERS' COMPENSATION ASSISTANT (CONFIDENTIAL), Riverside, California

Created 11/25/2021
Employer CITY OF RIVERSIDE, CA
Reference 479769
Job Type Full Time
Country United States
State California
City Riverside
Salary $39,084.00 Annually
The Position

The City of Riverside is accepting applications for the position of WORKERS' COMPENSATAION ASSISTANT (Confidential) to fill one (1) current vacancy in the Workers' Compensation Division of the Human Resources Department. The eligibility list established may be utilized to fill the current and/or upcoming vacancies within this classification for up to six (6) months.

The Workers' Compensation Assistant works under general supervision, to perform specialized clerical support assistance in City's self-insured and self-administered Workers' Compensation Program; to monitor and process claims for Workers' Compensation benefits, to provide responsible administrative support to higher level staff; and to perform related duties as required. Incumbents in this class perform entry level claims handling and examining and related duties.

The ideal candidate will possess State of California certification as as Workers' Compensation Claims Administrator, Municipal Government workers' compensation claims processing experience; sworn safety personnel workers' compensation claims experience, and experience using Laserfiche or other electronic archiving software.
Work Performed

Typical duties may include, but are not limited to, the following:
  • Review, investigate and process Medical only claims and review lifetime medical claims with the assistance of the Workers' Compensation Supervisor.
  • Receive, record, and review industrial injury claims, perform initial case set-up of claim by completing appropriate paperwork, contacting physician offices, setting up medical appointments, calculate temporary disability benefits, review, and pay medical related bills and complete check run process.
  • Review and authorize treatment utilizing California State Workers' Compensation law.
  • Advise employees and dependents of entitlement to Workers' Compensation benefits under State law and City policy.
  • Arrange special investigations and medical examinations.
  • Authorize treatment and/or change of physician.
  • Advise departments regarding procedures and reporting deadlines involving work injuries.
  • Coordinate return to work and absentee information with payroll to insure prompt payment of benefits.
  • Perform weekly processing of payments to employees and vendors; process monthly advanced disability payments; conduct reconciliation process to ensure accuracy.
  • Prepare annual computerized reporting and processing of earnings (1099's).
  • Administer the Modified Duty Program, within the guidelines of City policy.
  • Prepare legal transmittals and other miscellaneous correspondence.
  • Maintain records of division accounts and prepare requests for payment for invoices from vendors.
  • Provide excellent customer service, office back-up, and team support.
  • Complete assignments from the Claims Administrator and Supervisor in a timely manner.
  • Scan, file medical reports, answer phones, receive and sort mail, arrange meetings, and perform other responsible administrative duties as required.

Qualifications

Minimum Requirements:

Education: High school graduation or satisfactory equivalent.

Experience: Three years of experience processing workers' compensation claims or performing administrative/office work in a workers' compensation related environment or completed at least 80 hours of training, with 50 hours conducted in a classroom with an instructor from an accredited college or the Insurance Education Association (IEA). Experience with computers and word processing software is required.

Highly Desirable Qualifications:
  • Possession of a Workers' Compensation Claims Administration Certificate (WCCA) from the Insurance Educational Association (IEA) or equivalent certification from a recognized certifying agency is desirable.

  • Possession of State of California certification as as Workers' Compensation Claims Administrator.
  • Municipal Government workers' compensation claims processing experience.
  • Sworn safety personnel workers' compensation claims experience.
  • Experience using Laserfiche or other electronic archiving software.


Necessary Special Requirement:
  • Medical-only claims adjuster to take at least 20 hours of post-designation training. (10 Cal Code Regs. 2592.02 (d}). A
  • Twenty (20) hours of post-designation training is required every two years.
  • Possession of an appropriate, valid class "C" California Motor Vehicle Operator's License.

Selection Process

DOCUMENTS REQUIRED AT THE TIME OF APPLICATION:
1) Completed Employment Application
2) Completed Supplemental Questionnaire
3) Resume

4) Certificates, if applicable.

The selection process will begin with an employment application package screening, with the best qualified candidates being invited to participate further in the assessment process. This process may include any combination of written, performance, and oral assessments to evaluate job-related education, experience, knowledge, skills, and abilities. Those who successfully complete the selection process will be placed on the eligibility list for this classification.

It is the responsibility of candidates with a disability requiring accommodation in the assessment process to contact the Human Resources Department in writing to request such accommodation prior to the closing date of this recruitment.

Appointment may be subject to the successful completion of a pre-employment background investigation, medical/physical examination, drug and alcohol test.

NOTE: The City reserves the right to modify selection devices and test instruments in accordance with accepted legal, ethical, and professional standards. Candidates may reapply when there is a posting to establish an eligibility list.

EDUCATION REQUIREMENTS:

Proof of education listed in your application will be requested at the time of conditional offer. Acceptable documentation consists of transcripts or degree, if applicable, by the accredited U.S. college or university.

Education obtained outside the United States (US) require one of the following options:

A. An equivalency statement from an evaluation company certified by the National Association of Credential Evaluation Services (NACES) at http://www.naces.org/members.html or the Association of International Credential Evaluators Inc. (AICE) at http://aice-eval.org/members/ .

B. An advanced-level degree from an accredited US college or university. All applicants will be notified via e-mail or telephone of their application status and the assessment dates/times/locations after the closing date of this announcement.

All applicants will be notified via e-mail or telephone of their application status and the assessment dates/times/locations after the closing date of this announcement.

THE PROVISIONS OF THIS JOB ANNOUNCEMENT DO NOT CONSTITUTE AN EXPRESSED OR IMPLIED CONTRACT.

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