Senior Workers’ Compensation Compliance Auditor

California Department of Industrial Relations; Los Angeles (CA); Hybrid; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

The California Department of Industrial Relations (DIR) is seeking a Senior Workers' Compensation Compliance Officer to lead audits of claim files for insurance companies, self-insured employers, and third‑party administrators to verify compliance with the Labor Code and California Regulations.

This field position requires occasional travel to audit locations, and duties may be performed remotely and on-site.

Qualifikationen

• Ability to establish cooperative working relationships with staff at all levels.
• Ability to independently make decisions with broad implications.
• Ability to lead and facilitate work groups to accomplish goals.
• Ability to use Internet, email, desktop applications and presentation software.
• Knowledge to apply the California Code of Regulations and the Labor Code to audits.

Aufgaben

• Perform workers' compensation claim file audits for insurers, self-insured employers and TPAs.
• Ensure compliance with Labor Code and California Regulations through audits.

Kenntnisse

Cooperation with staff

Independent decision making

Leadership of work groups

Analytical problem solving

Internet

Office apps

Tools

Presentation software

Desktop applications

Email

Jobbeschreibung

Job Description And Duties Under the general direction of a Supervising Workers' Compensation Compliance Officer within the DWC Audit and Enforcement Unit of the Division of Workers' Compensation, The Senior Workers' Compensation Compliance Officer performs workers' compensation claim file audits on insurance companies, self-insured employers, and third-party administrators to ensure that they have met their obligations under the Labor Code and the California Code of Regulations. This posting may be used to fill future vacancies in accordance with 2 CCR.

Working Conditions This position is located at: 320 West 4th Street, 9th floor Los Angeles, CA 90013-1105. This is a field position. The employee are required to perform their duties remotely and on-site at audit locations. The duties of this job are performed indoors most of the time. Travel by air and vehicle, some overnight travel required. The employee works in the Audit Unit of the Division of Workers' Compensation. The employee’s home office is a laptop, printer, and standard office equipment. Attend meetings in designated conference rooms and be willing to travel for off-site meetings.

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Special Requirements The incumbent must demonstrate the ability to establish and maintain cooperative working relationships with staff at all levels both within and outside of DIR to complete work assignments related to overseeing and completing claim file audits. The incumbent must exercise the ability to independently make decisions and perform actions having broad implications on various aspects of DWC Audit Unit processes. The incumbent must demonstrate the ability to lead and facilitate work groups to accomplish goals. In addition, the incumbent must demonstrate the ability to use Internet, email, desktop applications and presentation software to complete assignments. The incumbent must also exercise knowledge to apply the California Code of Regulations and the Labor Code to claim file audits and use analytical and problem-solving skills.

Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.