SENIOR WORKERS' COMPENSATION ANALYST (RISK MANAGEMENT)

Overview Performs senior analyst-level workers' compensation functions in accordance with the California Labor Code, mentors lower level staff, and works with management and division personnel to enhance the Transitional Duty Program (TDP). Recruitment Timelines Interviews are projected to be scheduled for the week of July 6, 2026. These dates are subject to change. We encourage you to monitor your governmentjobs.com profile and emails for the latest updates. Responsibilities Conduct senior analyst-level investigations upon receipt of new claims. Assist employees who have been injured on the job and process benefits due to injured employees. Handle issues and problems regarding injured workers who have filed claims. Process medical bills and liens accumulated during an injured employee claim process. Review and respond daily to all incoming legal and medical mail in a timely manner in accordance with California Labor Code regulations. Handle claim files efficiently to ensure all benefits are paid in a timely and appropriate manner. Provide quality customer service to injured employees, division personnel, and providers. Maintain claim files on an effective diary system to aggressively handle claims and ensure timely responses. Work closely with legal to strategize on plans of action for appropriate resolution of claims. Mentor and train lower level employees. Provide a high quantity and quality of work in accordance with departmental policies and procedures and California Labor Code regulations. Prepare files for presentation to division personnel as required. Perform other related job duties as needed. Education Bachelor's Degree in Business or a related field. Experience Three years of relevant experience handling, analyzing, and resolving workers' compensation claims and a caseload of varying types of employers, including California workers' compensation laws experience. Certifications/Licenses/Special Requirements A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. California Workers' Compensation Claims Administration (WCCA) Certificate preferred. Prior employer's Designation Certificate preferred. California Self-Insurers Administration Certificate preferred. Preferred Qualifications Experience applying Workers' Compensation labor code laws when providing benefits or denying a claim. Experience in reading/comprehending medical reports to explain timelines for the provision of benefits. Experience conducting full-cycle workers' compensation claims. Experience monitoring and/or processing provisions of workers' compensation benefits, time frames and benefit letters. Experience reviewing medical reports, calculating Whole Person Impairment, and rating Maximum Medical Improvement reports. Knowledge Theories, principles and practices of claims administration. Applicable local, state, and federal laws, rules, regulations, and guidelines governing workers' compensation, disability, and vocational rehabilitation. State Labor Code laws. Strategies and procedures for case settlements. Research and report preparation. Applicable business software applications. Skill Perform professional workers' compensation claims administration work. Calculate wages. Review and rate medical reports. Analyze situations, identify problems and issues, and recommend solutions. Work with legal representatives to resolve matters or cases. Work aggressively to bring cases to resolution without legal actions. Prepare comprehensive reports and correspondence. Communicate effectively both orally and in writing. Operate personal computers and office equipment. Ability Organize and prioritize work. Handle work assignments on a strict diary system to ensure deadlines are met in a timely manner. Meet time constraints and deadlines. Use good judgment when handling highly confidential material and information. Follow both oral and written instructions. Understand, interpret, and apply laws, rules, regulations, policies, procedures, guidelines, contracts, budgets, and labor/management agreements. Compile and analyze data. Prepare and report statistical information. Interact professionally with various levels of employees and outside representatives. Read, write, speak, and understand English. Special Conditions This job specification is not to be construed as an exhaustive list of duties, responsibilities, or requirements. The physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this job. Metro provides reasonable accommodation to enable individuals with disabilities to perform the essential functions. This classification is at-will and the incumbent serves at the pleasure of the hiring authority when classified as an Intermittent, Emergency, Annuitant, or Temporary employee, is assigned to the Office of Inspector General (OIG) or Board Clerk's Office, and/or reporting directly to the LACMTA Board of Directors. Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out. Working Conditions Typical office situation. Close exposure to computer monitors and video screen. Physical Effort Required Sitting at a desk or table. Operate a telephone or other telecommunications device and communicate through the medium. Type and use a keyboard and mouse to perform necessary computer-based functions. Communicating through speech in the English language required. #J-18808-Ljbffr Los Angeles County Metropolitan Transportation Authority (CA)