SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR

Houston Dose; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

City of Houston is seeking a Senior Workers' Compensation Claims Coordinator to manage payroll-related reviews and wage-replacement payments for disabled employees. The role supports RCAs and analyzes payroll data to resolve WC concerns, working closely with the WC Coordinator.

Requires a Bachelor's degree in business/finance/accounting and at least two years of workers’ compensation experience, plus a Texas WC Adjuster License or ability to obtain within six months. On-site position in Houston.

Qualifications

• Bachelor's degree in Business Administration, Finance, Accounting, or a related field.
• Two years of workers’ compensation experience required.
• License: Texas Workers' Compensation Adjuster License or ability to obtain within six months.

Responsibilities

• Confirm and finalize payroll-related reviews to support Salary Continuation for disabled municipal and classified employees.
• Analyze payroll information and resolve workers' compensation concerns before forwarding to the WC Coordinator.
• Review qualifying disability periods for wage replacement payments and finalize work status entries.
• Support RCAs for extension of injury leave pay under Local Government Code 143.
• Create, format and analyze financial reports for controls and inter-departmental processes.

Skills

Workers' compensation experience

Education

Bachelor's degree in Business Administration, Finance, Accounting, or related field

Texas Workers' Compensation Adjuster License

Job description

Position Overview

Applications Accepted From: All Persons Interested

Classification: SENIOR WORKERS' COMPENSATION CLAIMS COORDINATOR

Division: Worker's Compensation

Reporting Location: 611 Walker St. *This is not a remote position* * Subject to Change

Workdays & Hours: Mon-Fri, 8:00AM – 5:00 PM. *Subject to Change*

Description Of Duties/Essential Functions

This position is responsible for confirming and finalizing payroll-related reviews to support the City’s Salary Continuation process for disabled municipal and classified injured employees. The position is also responsible for analyzing payroll information and identifying solutions to resolve Workers' Compensation concerns before forwarding to the assigned Workers' Compensation Coordinator. Additional duties include the below:

• Reviews and confirms qualifying disability periods for accurate payment of wage replacement benefits.
• Finalizes workers’ compensation work status entries and reviews payroll time entry codes for accuracy.
• Supports the Requests for Council Action (RCAs) process for the extension of injury leave pay for those covered under Local Government Code 143.
• Receives overpayment information from payroll and third-party administrator (TPA) to validate the data.
• Communicates benefit overpayments to injured employees and supports recoupment efforts.
• Resolves payroll discrepancies with the support of the Workers’ Compensation Coordinator.
• Reviews legal offsets and reductions pertaining to Temporary Income Benefit payments issued by the TPA.
• Creates, formats, and analyzes financial reports for various controls and other inter- and intra-departmental processes.
• Supports the subrogation process by supplying indemnity payment ledgers for liens and demands.
• Supports with training efforts by updating Salary Continuation process documents.
• Attends and/or facilitates bi-weekly and monthly inter- and intra-departmental meetings.
• Other duties as assigned.

WORKING CONDITIONS

This position is physically comfortable; the individual has discretion about walking, standing, etc. There are no major sources of discomfort, i.e., essentially normal office environment with acceptable lighting, temperature and air conditions.

Minimum Requirements

EDUCATIONAL REQUIREMENTS

A Bachelor's degree in Business Administration, Finance, Accounting, or a related field.

Experience Requirements

Two years of experience in workers’ compensation is required.

SUBSTITUTIONS : Workers’ Compensation related experience at the professional level may be substituted for the education requirement on a year-for-year basis.

License Requirements

LICENSE: A Texas Workers Compensation Adjuster License is required OR the ability to obtain the Texas Workers Compensation Adjuster License in the first six months of employment.

PREFERENCES

Preferences shall be given to candidates that have a background working in Human Resources and Worker's Compensation knowledge.

• Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.**

GENERAL INFORMATION

Selection/Skills Test Required

The selection process will involve application review and/or interview.

SAFETY IMPACT POSITION – NO

If yes, this position is subject to random drug testing if a promotional position; candidate must pass an assignment drug test.

SALARY INFORMATION

Factors used in determining the salary offered include the candidate's qualifications as well as the pay rates of other employees in this classification.

Pay Grade - 21

EOE Equal Opportunity Employer-

The City of Houston is committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, genetic information, veter an status, gender identity, or pregnancy. genetic information, veteran status, gender identity, or pregnancy.

All new and rehires must pass a pre-employment drug test and are subject to a physical examination and verification of information provided.