Senior Workers Compensation Specialist

Job Description:

Senior Workers Compensation Specialist

Description

BASIC FUNCTION:

Under the direction of an assigned Manager,

perform a variety of specialized and analytical duties involved in Workers Compensation claims and processing; monitor, coordinate and process Workers Compensation claims; maintain case history documentation; contact and interview injured workers; serve as the expert resource to employees concerning Workers Compensation.

REPRESENTATIVE DUTIES - Distinguishing Characteristics:

The Senior Workers Compensation Specialist classification provides technical expertise and guidance to management, staff and employees.

They are the technical expert on all Workers Compensation matters.

The Workers Compensation Specialist is the journeyman level classification providing a variety of Workers Compensation information and services to employees.





ESSENTIAL DUTIES:

• Administers the Employee Bridge Program (Light Duty assignments and Return to Work)
• Analyze circumstances of claims, injury records and medical evaluations; document injuries; assure prompt delivery of medical and financial services and the return of injured workers to safe and productive employment in a timely manner
• Assist Risk Manager with facilitating and coordinating program-related training as appropriate; assist in providing training to departmental administrative personnel regarding roles in recording/reporting job-related injuries or tracking employee leave usage; file, organize and maintain manual and automated records of completed training courses
• Attend a variety of meetings, workshops and conferences; keeping up-to-date on Workers Compensation legislation and legal matters.
• Coordinate and maintain schedules for ergonomic evaluations for District employees with the ergonomic evaluator; assist the evaluator as requested; maintain related spreadsheets; submit and track work orders placed to the appropriate department for the installation of employee's ergonomic supplies
• Coordinates information between the District and third party worker compensation entities.
• Develops and recommends plans, policies, procedures and programs related to Workers Compensation
• Drive a motor vehicle in the performance of essential duties
• Ensures proper procedures and forms are used in all workers compensation matters.
• Handles complaints, concerns and questions by telephone or in person and serves as the contact person for employees, management, medical personnel and state agencies; obtains and provides information on all matters related to workers compensation.
• Interprets workers compensation laws, regulations and programs
• Liaisons with claims adjusters, insurance carriers, courts of law, attorneys involved in claims and litigation
• Monitor and record appropriate leave usage relative to Workers Compensation benefits; notify payroll and other appropriate personnel regarding adjustments
• Monitor, coordinate and process Workers Compensation claims; receive and review claim forms; maintain adequate supply of forms; provide forms to employees, supervisors and others as requested
• Monitors, maintains and reconciles workers compensation financial reports and monthly loss reports
• Operate a variety of office equipment including a computer and assigned software; drive a vehicle to sites to conduct work as necessary
• Perform a variety of specialized and analytical duties involved in Workers Compensation claims and processing; assure compliance with applicable laws, codes, rules and regulations; maintain current knowledge of current legislation regarding Workers Compensation issues
• Prepare and maintain a variety of records, logs, correspondence and files related to assigned activities; maintain OSHA records; update district policies as needed
• Provide technical guidance and advice to supervisors, managers and site representatives regarding Workers Compensation issues; provide assistance to the District's return to work third party administrator; serve as liaison between return to work program, injured employees and administrators in relation to returning injured employees back to work

ESSENTIAL DUTIES (continued)

• Receive and process information on property and liability claims; provide requesting parties appropriate documentation and forms regarding property and liability claims
• Receive billings; obtain appropriate signatures and submit to accounts payable for payment
• Receive, file and organize student accident reports; determine reportable student accidents; initiate and process claims; maintain files and correspondence regarding student accident reports; maintain communication with third party administrators; notify administrators regarding student accident reports, trends or preventative measures
• Researches, analyses, assembles and summarizes data in order to prepare a variety of reports related to work injuries
• Reviews accident and injury/illness reports to determine proper actions under workers compensation laws and regulations
• Reviews accident reports; advises departments on injury trends and proper safety procedures.
• Serve as a technical resource to employees concerning Workers Compensation; respond to inquiries and provide technical information concerning related laws, codes, rules, regulations, policies and procedures; respond to calls from employees, third party administrator, physicians, medical facilities and others
• Perform related duties as assigned

KNOWLEDGE OF:

• Applicable laws, codes, rules, regulations, policies and procedures
• Correct English usage, grammar, spelling, punctuation and vocabulary
• Data entry and retrieval techniques
• District contracts and bargaining units
• Health and safety regulations
• Human resources office functions, practices and procedures
• Interpersonal skills using tact, patience and professionalism
• Legal and medical terminology related to Workers Compensation and federal regulations
• Mathematical computations
• Modern office practices, procedures and equipmenT
• Operation of a computer and assigned software
• Oral and written communication skills
• Organizational policies and procedures relating to processing Workers Compensation claims
• Practices and procedures related to classified and/or certificated personnel
• Public speaking techniques
• Record-keeping and report preparation techniques
• Technical aspects of field of specialty
• Telephone techniques and etiquette
• Workers Compensation benefit systems

ABILITY TO:

• Analyze facts, information and data
• Answer telephones and greet the public courteously
• Communicate effectively both orally and in writing
• Complete work with many interruptions
• Compose correspondence and written materials independently
• Determine appropriate action within clearly defined guidelines
• Establish and maintain comprehensive records and prepare reports
• Establish and maintain cooperative and effective working relationships with others
• Interpret, apply and explain applicable laws, codes, rules and regulations
• Interpret, apply and explain Workers Compensation coverage and benefits to employees
• Keyboard or input data at an acceptable rate of speed
• Learn other processes of the Department including ergonomic evaluations, billing, student incident reporting and other areas as assigned
• Maintain discretion when handling sensitive and privileged information
• Make mathematical computations with speed and accuracy
• Meet schedules and timelines
• Operate a motor vehicle in the performance of day-to-day activities
• Operate a variety of office equipment including a computer and assigned software
• Plan and organize work
• Prepare and maintain a variety of manual and automated files, records and reports
• Type or input data at an acceptable rate of speed
• Understand and follow oral and written instructions
• Work independently with little direction

MINIMUM QUALIFICATIONS

The requirements listed below are representative of knowledge skills and abilities required to satisfactorily perform the essential duties and responsibilities.





Education and Experience:

Any combination equivalent to:

Graduation from high school.

Bachelor's degree in Human Resources or a related field.

Five (5) years' experience in Human Resources or Benefits with four (4) years' experience processing workers compensation claims.





LICENSES AND OTHER REQUIREMENTS:

Valid California Driver's License and vehicle insurability to comply with District requirements.

Employment eligibility that includes fingerprint, tuberculosis and/or other employment clearance.

WORKING CONDITIONS:



ENVIRONMENT:

• District Office environment
• Interactions with dissatisfied, hostile and irate individuals
• Subject to demanding time lines and constant interruptions

PHYSICAL ABILITIES:

• Bending at the waist or kneeling to file and retrieve materials
• Dexterity of hands and fingers to operate a computer keyboard
• Drive a motor vehicle
• Hearing and speaking to exchange information in person and on the telephone
• Operating a computer keyboard for extended periods of time
• Seeing to read and compose a variety of written or digital materials
• Sitting or standing for extended periods of time

HAZARDS:

• Contact with dissatisfied or abusive individuals.
• Extended viewing of computer monitor.
• Sitting for an extended period of time

EXAMINATION INFORMATION:

The first step in the examination process is the application screening and whether or not the candidate meets the minimum qualifications listed.

The testing process may consist of a written exam; an oral exam; a performance exam; a structured interview (SI); a qualification appraisal interview (QAI); an evaluation of training & experience/education (T&E) and/or any combination thereof.

All tests will have a passing score set between 50 and 99 depending of a variety of factors affecting that specific recruitment.

All candidates must pass the first examination process to be invited to the next step/test in the process.

As the testing process consists of a minimum of two examination processes; the weight of each those processes may be determined at any step in the processes.

Qualified candidates will be notified of the date, time, and place of the examination(s)/test(s).

Candidates will be notified of the minimum pass points/test score for each examination and/or test in the examination process.

OTHER:

Proof of identification for completion of Form I-9, Employment Eligibility Verification, must be submitted at the time of processing for employment.

SALARIES:

All salaries as stated are based on present information and are subject to change.

Appointments are made at the minimum salary shown in the posting and increases are granted at intervals based on anniversary date.

Notification of Non-Discrimination Policy

The Berkeley Unified School District is committed to fostering a positive working environment for its employees. Accordingly, BUSD practices shall be free from discrimination, harassment, intimidation and bullying of any employee based on an employee's actual race, color, ancestry, national origin, ethnic group identification, age, religion, marital status, physical or mental disability, sex, sexual orientation, gender, gender identity, or gender expression; the perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived

characteristics.

The Board also prohibits retaliation against any district employee or job applicant who complains, testifies or in any way participates in the district's complaint procedures instituted pursuant to this policy.

The following employee has been designated to handle questions and complaints of alleged discrimination regarding Board Policy 4030:

Compliance Officer and Title IX Coordinator

2020 Bonar Street, Room 116

Berkeley, CA 94702

Phone: 510-486-9338

Email:

nondiscrimination@berkeley.net

Closing Date/Time: Tue, 13 May 2025

Salary:

6254.21 - 7616.31 Monthly