Workers' Compensation Specialist I (SR-20)

County Of Maui; Wailuku (HI); On-site; USD 52,000 - 66,000; Full time

Job summary

County Of Maui seeks a qualified candidate to review and evaluate workers' compensation cases and to inspect work sites for safety compliance in accordance with Hawaii state laws. The role includes analyzing data to identify trends, assisting in safety education, and preparing reports for hearings or administrators.

Two years of related experience plus a bachelor’s degree in a relevant field are required. This is a hands-on position focusing on injury prevention, claims evaluation, and

Qualifications

• A combination of education and experience substantially equivalent to graduation from an accredited college or university with a bachelor’s degree in personnel and industrial relations, business administration, public administration, or a related field.
• Two (2) years of progressively responsible work experience in workers' compensation claims, industrial safety and accident prevention activities.

Responsibilities

• Reviews and examines workers' compensation cases for the determination of appropriate benefits, awards and settlements.
• Evaluates workers' compensation claims and recommends employer's course of action.
• Reviews and analyzes reports and data to identify accident-prone or malingering employees and those with possible impairments.
• Conducts investigation of possible abuse of workers' compensation claims and recommends action.
• Prepares cases for workers' compensation hearings and may present the case before the hearings officer.

Skills

Knowledge of workers' compensation law

Safety inspection

Investigation of accidents

Report writing

Interpersonal communication

Education

Bachelor's degree in personnel and industrial relations or related

Job description

Reviews, examines and evaluates workers' compensation cases for the determination of appropriate benefits, awards and settlements, and recommends appropriate course of action and strategy in handling the cases; inspects work projects, operations and equipment for compliance with State laws and accepted standards regarding the safety and health of workers; may assist in conducting industrial safety educational and informational programs; and performs other related duties as required.

Classes in this series are distinguished by its responsibility for the review, examination and evaluation of workers' compensation cases in the determination of appropriate action; and for conducting safety inspections of work projects, operations and equipment for compliance with safety laws and standards.

Level I

Positions allocated to this class perform simple to moderately difficult work in carrying out the County's Workers' Compensation and Safety Program.

• Reviews and examines workers' compensation cases for the determination of appropriate benefits, awards and settlements;
• Evaluates workers' compensation claims and recommends employer's course of action;
• Reviews and analyzes reports and data to assist in identifying "accident prone", "malingering" employees, and employees with possible physical impairments;
• Conducts investigation of possible abuse of workers' compensation claims and recommends appropriate action;
• Prepares cases for workers' compensation hearing and may present the case before the hearings officer of the Department of Labor and Industrial Relations;
• Provides guidance and advice to operating agencies in workers' compensation matters;
• Assists in preparation of statistical and activity reports;
• Keeps records of industrial accidents and injuries;
• Inspects work projects and operations and other places of work to detect and eliminate safety, health and fire hazards;
• Inspects equipment, tools, machinery and other devices in use for compliance with State's safety laws, codes and other accepted safety standards and assures that proper protective accessories and apparel are worn by workers;
• Reports violation, recommends correction of unacceptable and hazardous conditions, and refers cases of non-compliance to superior;
• Investigates industrial accident injuries, determines causative factors and circumstances, and submits report recommending corrective actions;
• May assist Risk Management Officer with contract administration;
• Acts as a liaison between the departments and the Third Party Administrator;
• Provides information and attends meetings with the Third Party Administrator;
• Monitors the activities of the Third Party Administrator to ensure thoroughness and timeliness of claims handling;
• Performs other related duties as required.

Training and Experience:

A combination of education and experience substantially equivalent to graduation from an accredited college or university with a bachelor's degree in personnel and industrial relations, business administration, public administration, or a related field, and for:

Level I

Two (2) years of progressively responsible work experience in workers' compensation claims, industrial safety and accident prevention activities;

License Requirement: Possession of a valid motor vehicle driver's license (equivalent to State of Hawaii, Type 3).

Knowledge of:

The State Workers' Compensation law, safety laws, and other accepted standards applicable to industrial safety and accident prevention; industrial and construction accident hazards and methods of correction and prevention; common industrial safety devices and equipment; safety inspection principles, practices and procedures; safety education principles and procedures.

Ability to:

Investigate and determine causes of accidents; make safety inspections and detect unsafe conditions and practices; interpret and enforce pertinent workers' compensation and safety laws, codes, rules and regulations; conduct safety education and instruction courses; deal tactfully with others; prepare clear and concise reports.

Health and Physical Condition:

Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper to perform the essential functions of the position with or without reasonable accommodations.

Physical Effort Grouping:

Light