Riverside City Jobs – CLAIMS ADMINISTRATOR

Overview

Position Title: CLAIMS ADMINISTRATOR

Company: City Of Riverside

Location: Riverside, California, US

Job Description:

The City of Riverside is accepting applications for the position of CLAIMS ADMINISTRATOR to fill one (1) vacancy with the Workers’ Compensation Division in the Human Resources Department.  The eligibility list established may be used to fill the current and/or upcoming vacancies in this classification for up to six (6) months

Responsibilities:

• Review, investigate, examine, and adjust Workers’ Compensation insurance benefit claims.
• Receive and record all claims and determine compensability.
• Authorize medical treatment and/or change of physician utilizing California State Workers’ Compensation Law.
• Compute and authorize payments according to California Labor Code.
• Set appropriate reserves.
• Advise employees and dependents of entitlement to Workers’ Compensation benefits under state law and City policy.
• Arrange special investigations and medical examinations.
• Advise departments regarding procedures and reporting deadlines involving work related injuries.
• Contacts injured employee to explain benefits and legal rights under the Labor Code.
• Prepare subrogation and litigation cases and correspond with doctors and attorneys on litigated cases.
• Attend WCAB hearings and authorize settlements as directed by the Workers’ Compensation Supervisor.
• Serve as custodian of records; produce record and attest to validity under the direction of the court by subpoena.
• Develop documentation for claims reports by requesting substantiating reports from physicians, supervisors and witnesses.
• Compile pertinent facts, make thorough analyses, and arrive at sound decisions.

Requirements:

• Two years of experience managing Current Planning projects.
• Experience in composing concise staff reports and letters.
• Experience conducting presentations for boards and/or commissions.