Workers' Compensation Specialist I
The Human Resources Department is seeking to fill one (1) full-time vacancy as a Workers' Compensation Specialist. This vacancy may be filled at either the Workers' Compensation Specialist I or Workers' Compensation Specialist II level. Note: If you are interested in applying at the II level, you will need to apply to the separate, concurrent recruitment being conducted for that classification.
Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits* including:
- A hybrid telework schedule that meets the needs of our staff, department operations, and the communities we serve
- County paid 100% premium contribution for the majority of employee-only and employee + family health plan options
- Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
- Eligibility for a salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range
- Annual Staff Development/Wellness Benefit allowance up to $1,700 and ongoing education/training opportunities
- May be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment
- Deferred compensation with eligibility for a matching program
- County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits
- Retirement fully integrated with Social Security
The County of Sonoma is seeking a collaborative, customer service-oriented professional to serve as the primary liaison between departments, employees, and the County’s Worker’ Compensation third party administrator (TPA) in the Disability Management Unit. Reporting to the Disability Programs Manager, the Workers’ Compensation Specialist will monitor claims handling practices to ensure timely action and resolution of workers’ compensation claims. In addition, the position will:
- Supervise workers’ compensation claims administration and ensure compliance with workers’ compensation claims administration best practices
- Perform loss and trend analysis of workers’ compensation claims and work with the Safety Unit to evaluate loss control opportunities
- Coordinate claims reviews with departments and TPA
- Review settlement requests, seek authority as needed, and recommend a plan of action; schedule settlements for Board action/approval and review required documentation
- Liaise with departments to identify reasonable accommodations, temporary transitional duty assignments, and/or county-wide job placement options for injured workers
- Work closely with Disability Management Analysts to transition cases between workers’ compensation and non-occupational status, as needed
- Understand and provide direction on leave and accommodation laws and County policies to client departments; participate in and advise on Interactive Process meetings, as needed
- Engage with employees in an interactive process to determine reasonable accommodations and advise on access to leave and disability benefits available to the employee
What You Bring
The ideal candidate for this position will have:
- Passion for risk management
- Some workers’ compensation claims administration experience
- Proficiency with data and claims systems
- Working knowledge of California workers’ compensation laws and ADA/FEHA, FMLA/CRFA accommodation requirements
- The ability analyze data and identify trends
- Experience with case management
- Solid oral, written, and presentation communication skills
- A collaborative working style focused on problem-solving and an ability to build strong relationships with departments, vendors, HR peers, and management staff
- Independent judgment, tact, and diplomacy
- California Insurance Adjuster License and/or California Workers' Compensation Claims Administration Certificate is desirable
About the Department
The Human Resources Department has 65 positions and is responsible for managing and administering a variety of programs and services through its' two divisions, Human Resources and Risk Management. The Human Resource Services Division is responsible for employee relations, recruitment and classification, workforce development, employee recognition and commissions, and the human resources management system. The Risk Management/Administration Division is responsible for employee benefits, liability and insurance, workers compensation, disability management, and safety.
Under the guidance and leadership of the Human Resources Director, the Department's mission is to provide comprehensive human resources and risk management services, leadership, and guidance that supports organizational effectiveness for an outstanding workforce. Human Resources values collaboration, integrity, customer service, creativity, transparency, and work-life balance.
*Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can be found in the Salary Resolution (SalRes) and our Employee Benefits Directory.
The Civil Service Title for this position is Risk Management Analyst I. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment.
Any combination of course work, training, and/or work experience which clearly demonstrates possession of the knowledge and abilities listed. Normally, this would include the following:
Education: Academic course work in public administration, business administration, accounting, law, economics, safety, industrial engineering, risk management, and/or other related courses. A bachelor's degree related to one of these fields is highly desirable.
Experience: One year of experience working with occupational safety and health programs, workers' compensation, disability management, employee benefits and insurance, casualty insurance, or loss control programs, preferably with a public agency and/or in a risk management program.
License: Possession of a valid driver's license at the appropriate level including necessary special endorsements, as required by the State of California to perform the essential job functions of the position.
Knowledge, Skills, and Abilities
Working knowledge of: principles and practices, legal statutes, civil procedures, and administrative regulations relating to occupational health and safety, workers' compensation, disability management, liability, employee benefits and insurance, or related programs, and related non-monetary compensation; medical and technical terminology used in individual injury cases; claims adjusting, investigation, and administrative techniques necessary to carry management of claims from initial report to settlement or closure; operations and functions of County government, including budget methods, program analysis, employee relations, and group dynamics; written and oral communications, including language mechanics, syntax and English composition; research methodology, report writing, basic statistics, and actuarial principles and appropriate applications; modern office methods, procedures, and computer applications related to work, including methods of graphical presentation and management of electronic database systems.
Ability to: use judgment and discretion to integrate technical knowledge with interpersonal and communication skills dealing with the public, County management personnel, employees, attorneys, medical providers, and others in a manner consistent with the policies, practices, and procedures of the organization; research, understand, interpret, and apply specific rules, laws, ordinances, and policies to applicable risk management areas such as disability, safety, liability, and benefits; plan and organize research and statistical reports relating to various aspects of risk management, budget, general management matters, accident causation, safety conditions or benefits; evaluate results and recommend corrective measures using principles of inductive and deductive reasoning; and where applicable, effectively present conclusions before advisory and policy bodies; organize, develop, and prepare claims for assignment to counsel, trial and pretrial conferences; prepare informational materials, brochures, and newsletters to relate complex regulations and data to employees and officials; organize and develop effective programs for the reduction of occupational hazards and accident prevention; facilitate consensus and negotiate resolution of complex problems involving a variety of claimants, individuals, employee groups, consultants, carriers and service providers; analyze situations and adopt effective courses of action working independently and with either oral or written direction.