Workers' Compensation Claims Specialist

City of Compton; Compton (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

City of Compton seeks a Workers' Compensation Claims Specialist to oversee the examination and adjustment of claims, authorize medical treatments, and compute payments per California Labor Code. The role involves advising employees on benefits, coordinating investigations, and preserving confidentiality of records.

The position reports to the Risk Manager and may supervise staff. A BA in Business Administration and 2 years’ claims experience with a public agency or TPA are required, with

Qualifications

• Bachelor’s degree in Business Administration or related field and two years of experience adjusting workers’ compensation claims with a public agency or third-party administrator.
• Two years of supervisory experience is highly desirable.

Responsibilities

• Reviews, examines and adjusts Workers' Compensation claims.
• Receives and records all claims and determines compensability.
• Authorizes medical treatment and/or change of physician under California State Workers' Compensation Law.
• Computes and authorizes payments according to California Labor Code.
• Advises employees and dependents of entitlement to Workers' Compensation benefits under state law and City policies.
• Arranges special investigations and medical examinations including return to work exams.
• Advises departments regarding procedures and reporting deadlines involving work-related injuries.
• Contacts injured employee to explain benefits and legal rights under the Labor Code.
• Prepares subrogation and litigation cases and corresponds with doctors and attorneys on litigated cases.
• Serves as custodian of records; maintains and attests to validity under the direction of the court by subpoena.
• Maintains and enforces all aspects of security and confidentiality of records and information.

Skills

Claims adjustment

Supervisory experience

Communication

Investigation

Education

Bachelor's degree in Business Administration

Tools

MS Office

Job description

City of Compton seeks a Workers' Compensation Claims Specialist to oversee the examination and adjustment of claims, authorize medical treatments, and compute payments per California Labor Code. The role involves advising employees on benefits, coordinating investigations, and preserving confidentiality of records.

The position reports to the Risk Manager and may supervise staff. A BA in Business Administration and 2 years’ claims experience with a public agency or TPA are required, with