Workers' Comp Claims Analyst – Return-to-Work Focus

Los Angeles Metro; Los Angeles (CA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical/Dental/Vision Plan

Group Life Insurance

Disability Insurance

Holidays

Job summary

Los Angeles Metro is seeking a Workers' Compensation Analyst to evaluate claims under the California Labor Code and WCAB procedures. You will ensure timely benefits, maintain audit-ready files, and support effective return-to-work outcomes.

Responsibilities include investigating new claims, reviewing legal/medical correspondence, auditing files, and coordinating with division staff and legal teams. A driver license and applicable certifications are preferred.

Qualifications

• Bachelor's degree in Business Administration, Human Resources, or related field.
• One year of relevant experience examining California Workers' Compensation indemnity claims or related workers' compensation experience.
• A valid California Class C Driver License or ability to use transportation
• Insurance Education Association Certificate and California Workers' Compensation Self-Insured Certificate preferred
• Prior employers' designation Certificate required in claims handling

Responsibilities

• Conduct journey-level investigations on new claims.
• Review and respond to legal and medical mail per California Labor Code.
• Audit claim files to ensure benefits are paid.
• Provide timely and quality customer service to Metro staff and outside providers.
• Maintain diary system for claim files.
• Meet with division personnel quarterly to review open cases.
• Collaborate with legal to strategize claim handling.

Skills

Investigations

Claims processing

Legal review

Diary management

Communication

Education

Bachelor's degree

Tools

Diary system

Job description

Los Angeles Metro is seeking a Workers' Compensation Analyst to evaluate claims under the California Labor Code and WCAB procedures. You will ensure timely benefits, maintain audit-ready files, and support effective return-to-work outcomes.

Responsibilities include investigating new claims, reviewing legal/medical correspondence, auditing files, and coordinating with division staff and legal teams. A driver license and applicable certifications are preferred.