Risk Management Specialist (Benefits & Workers Compensation)

Description

Current Vacancy for Immediate Hire:

1 - Risk Management Specialist position for 8 hours/day, 12 months This eligibility list will be valid for one year and will be used to fill any future vacancies during the time this list is active.

SUMMARY OF DUTIES

Under the direction of the Risk Manager, performs a variety of technical duties related to the District's comprehensive health benefits, workers' compensation and liability programs; serves as the District's resource person in the area of employee benefits programs including insurance, enrollment, eligibility, billing and record-keeping functions; provides information and assistance to employees regarding health benefits and workers' compensation coverage, claims and related procedures; assists in the coordination, processing, and resolution of workers' compensation claims; and performs a variety of duties relative to assigned area of responsibility.

Please refer to the "Employment Standards" section of this bulletin to make sure you meet all requirements before applying.

Examples of Duties

Processes Human Resources benefit status changes; determines benefits eligibility and premium contributions according to bargaining unit agreements, District policy, insurance company or trust rules and regulations, and state and federal laws;

Enroll, add and delete employees in health benefit plans, makes dependent and other status changes to benefit coverage; calculates cost associated with benefit changes and creates summary reports of changes and associated cost; reviews enrollment and change forms and other documents for accuracy and forwards to appropriate carriers;

Assists beneficiaries with life insurance claims and forwards to insurance carrier;

Assists and conducts employee health benefits orientation for the purpose of informing employees about benefit plans, enrollment options, and policies and procedures for filing claims;

Provides routine and specialized employee benefits information and responds to inquiries from employees, retirees, insurance companies and agents regarding benefits coverage, enrollment options eligibility, claims procedures, work-related injuries, medical leave, liability/property claims and disability status;

Audits and reconciles the monthly billing and premiums; determines, requests and remits premium payments for health benefits programs and life insurance plan;

Organizes and coordinates District health benefit fairs and annual open enrollment;

Serves as District liaison to insurance company and benefits trust administrators in resolving claim problems, issues, and contract compliance;

Manages and balances various benefit accounts related to health benefits; calculates pro-rated premiums for part time employees eligible for benefits;

Verifies benefits coverage as requested by health care providers as well as coordination of benefits with other businesses;

Compiles statistical data and reports required in the administration of the various fringe benefit programs; monitors carrier compliance with contract provisions and District policies; tracks employee eligibility regarding leaves of absence;

Assist injured employee with initiating and filing Workers' Compensation claim; monitor and keeps employee current concerning claim status, progress; assists in facilitating the return-to-work program; acts as a liaison between claims administrator, associated firms and the District in managing claims; gathers information, completes, maintains and processes a variety of forms and reports related to workers' compensation;

Receives and processes salary continuation payments for disabled employees; audits open workers compensation claims; verifies industrial accident leave on employee timesheets and advises the payroll department how to charge time appropriately;

Accurately processes Workers' Compensations forms within twenty-four hours of knowledge using established procedures; forwards completed reports to claims administrator and affected job sites;

Audits county reports for District safety credit expenditures; researches files for purchase orders, prepares and submits claims for reimbursement to Ventura County School Self-Funding Authority;

Independently prepares and responds to correspondence and memoranda pertaining to various employee benefits and worker's compensation related problems, issues, and concerns;

Develop, prepare and disseminate forms for the District's health benefits and workers' compensation programs;

Prepare and distributes a variety of reports including workers' compensation carrier reports, CAL/OSHA, data summaries, and related reports; completes annual Department of Labor Report as required.

Establishes and maintains employee benefits and workers' compensation files for all eligible employees;

Compiles information and completes state benefit surveys.Other Related Duties

Attends and participates in Board meetings of the Benefits Trust as needed;

Assists in receiving calls, logging and mailing employee workers' compensation claim forms for reported injuries; receives completed employee claims and forwards documents to claims administrator as needed;

Assist in the updating and creation of department forms related to employee benefits and workers' compensation;

Updates Risk Management department information on District webpage as needed;

Performs related duties and responsibilities as required.

Employment Standards

Education: Graduation from high school supplemented by college-level coursework in business administration, human resources, accounting, benefits, insurance or a closely related field.

Experience: Two years of experience in benefits administration, workers' compensation, or a closely related area of human resources.

Supplemental Information

This is a Dual Certification recruitment: Candidates who attain a passing score on each examination part will be placed in rank order on an eligibility list after promotional credits are added to the composite test scores of promotional candidates. These examinations are open to permanent employees and the public.

Click on the Classification below for the full job description and duties

Risk Management Specialist

EQUAL OPPORTUNITY: The Board of Education is committed to providing equal opportunity for all individuals in district programs and activities. District programs, activities, and practices shall be free from unlawful discrimination, including discrimination against an individual or group based on race, color, ancestry, nationality, national origin, immigration status, ethnic group identification, ethnicity, age, religion, marital, pregnancy, parental status, reproductive health, decision making, physical or mental disability, medical condition, sex, sexual orientation, gender, gender identity, gender expression, veteran or military status, or genetic information; a perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived characteristics.

NONDISCRIMINATION NOTICE: The Oxnard School District does not discriminate on the basis of race, color, national origin, sex, or disability or affiliation with the Boy Scouts of America and other designated youth groups or any other basis protected by law or regulation, in its educational program(s) or employment. The following employees have been designated to handle questions and complaints of alleged discrimination: Dr. Scott Carroll, Acting Assistant Superintendent of Human Resources, Title IX Coordinator, 1051 South A Street, Oxnard, CA 93030,,