DEFINITION:

Under the direction of the Risk Manager, this position performs complex duties in coordinating and administering the District’s risk management and workers’ compensation insurance programs for employees, requiring a high degree of independent judgment, good human-relations, and problem solving skills in the application of established procedures. This position provides technical information and assistance to District staff, injured workers, claims administrators, and medical and legal professionals; and coordinates and administers the adjudication of property and liability claims.

REPRESENTATIVE DUTIES (ILLUSTRATIVE ONLY):

Administers and coordinates the District’s workers’ compensation program; participates in the procurement of workers’ compensation insurance or self-insurance for the District.
Provides assistance and information on the workers’ compensation program to District management, staff and outside parties; follows up with appropriate manager, supervisor, and employee regarding claim status and required paperwork.
Informs injured staff about a variety of specialized and technical information, requirements and procedures of the workers’ compensation program.
Assists injured workers, supervisors and claims administrators by investigating and resolving questions, concerns and discrepancies pertaining to work injuries.
Serves as liaison among District management, staff, claims administrators, medical professionals and medical facilities; researches, obtains, verifies and provides information as necessary.
Ensures workers’ compensation benefits are provided.
Reviews claims with attorneys, other parties, and investigators as necessary.
Coordinates investigator and defense attorney meetings with claimants, witnesses, supervisors and other interested parties.
Reviews legal and medical reports for information on work status and treatment plans.
Compares and reconciles claims administrator records with District records.
In collaboration with Human Resources, supports the District’s return-to-work program; conducts meetings with supervisors, injured employees and their representatives to develop appropriate accommodations to permit early return of injured employees to work, consistent with their work restrictions.
Acts as the District’s custodian of records for workers’ compensation claims.
Coordinates the District’s property and liability insurance program.
Assists with and participates in the procurement of property and liability insurance for the District.
Serves as liaison with and among the District’s Joint Power Authority (JPA), attorneys, departments and staff in receiving, processing and adjudicating liability claims and lawsuits filed against the District.
Reviews and accepts or makes recommendations to reject liability claims.
Works with District staff, insurance adjusters, attorneys, public agencies and claimants to research and obtain information to resolve property and liability claims.
Reviews accidents involving District employees and students injured while using District facilities, equipment, etc.
Maintains, organizes and compiles information for liability claims; determines courses of action for resolution of small claims, obtains signed releases and coordinates payment documentation support; directs large claims and summons to the JPA and coordinates meetings with investigators and appraisers.
Supports District departments with the required insurance for grants, clinical sites, student film projects, District event participation, fundraisers and performances; prepares, distributes and collects student waivers and releases of liability;
Monitors accident reports for safety issues that need to be addressed and notifies appropriate department(s).
Researches and collects information for and processes a variety of risk management and workers’ compensation related reports, forms, logs, records, files and other documents, including accident reports, claim forms, public self-insurers annual reports and OSHA logs and reports.
Ensures financial and confidential records and files are properly maintained; maintains and reconciles the District’s self-insurance trust accounts and ensures adequate funding; requests additional account funding when necessary and makes deposits to accounts; reconciles account bank statements.
Keeps abreast of developments related to risk management and workers’ compensation benefits; reviews literature; attends workshops, seminars and conferences; serves on related committees.
Coordinates, workers’ compensation and industrial safety training for District staff.
Prepares regular and closed session Board items regarding workers’ compensation litigation.
Maintains a databases for workers’ compensation claims and student accidents.
Conducts basic ergonomic evaluations on employees’ work areas and makes suggestions; works with supervisors and/or directors to make modifications to employees’ work stations; as needed, makes referrals to ergonomic consultant for more comprehensive ergonomic evaluations.
Oversees, arranges and coordinates evaluation of workstations to determine employee ergonomic needs or refers to ergonomist; reviews recommendations with supervisors.

OTHER DUTIES:

Performs other duties as assigned.

EDUCATION AND EXPERIENCE:

Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be:

Completion of an Associate’s degree with coursework in business or a related field; AND
Four years of experience with workers’ compensation, risk management, benefits, reporting, accounting or other related field.

KNOWLEDGE OF:

Principles, practices, processes and laws related to workers’ compensation, school district liability, public entity property and liability insurance and general liability in the State of California.
Federal, State and local laws and regulations pertaining to risk management, claims adjustment, investigation and management.
Workers’ compensation and property and liability insurance benefits, requirements and procedures.
Applicable sections of State Labor Code, Education Code, related legislation and case law.
Research methods and data analysis techniques.
Recordkeeping practices used in the preparation of workers’ compensation and safety reports.
Oral and written communication.
Correct English usage, grammar, spelling punctuation, and vocabulary.
District organizational structure, operations, programs, policies, procedures, philosophy, mission, goals, and objectives.
Interpersonal skills, use of tact, patience, and courtesy.
Problem solving and conflict resolution in an academic environment.
Modern office practices, procedures, equipment, and software applications.

ABILITY TO:

Coordinate the District’s workers’ compensation insurance and risk management programs according to District policies and procedures, contract rules and State and federal law.
Provide a variety of technical information and assistance to employees and others regarding workers’ compensation benefits.
Travel.
Communicate effectively both orally and in writing.
Work confidentially with discretion;
Plan, organize and prioritize work;
Interpret, apply, and explain rules, regulations, policies, and procedures.
Analyze situations accurately and adopt an effective course of action.
Ensure compliance with local, state and federal guidelines, policies, rules, and regulations.
Establish and maintain effective working relationships with others.
Demonstrate clear evidence of sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, and ethnic backgrounds of community college students, faculty, staff, and community.

DESIRABLE QUALIFICATIONS:

Current, valid certification as a Workers’ Compensation Claims Professional by the Insurance Educational Association.
Current, valid designation as an Associate in Risk Management (ARM) by the American Institute for Chartered Property Casualty Underwriters and Insurance Institute of America.

PHYSICAL DEMANDS:

Must possess mobility to work in a standard office setting and use standard office equipment, including a computer; vision to read printed materials and a computer screen; and hearing and speech to communicate in person, before groups, and over the telephone. This is primarily a sedentary office classification although standing and walking between work areas may be required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate standard office equipment. Positions in this classification occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed to retrieve and file information. Employees must possess the ability to lift, carry, push, and pull materials and objects up to 25 pounds.

ENVIRONMENTAL ELEMENTS:

Employees work in an office environment with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances. Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.

PROBATION PERIOD: One year.

Pasadena City College Logo

Pasadena City College
1570 East Colorado Boulevard, Pasadena, CA 91106
(626) 585-7361 direct ⋅ (626) 525-7924 fax