Customer Service Manager
Resume:
Tracy Kirkland
Tracy *************@*****.***
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Workers' Compensation Administrator/Litigat
Position Summary
Under direction, plans, organizes and directs the administration of the
Compensation program providing continuing control, supervision and m
employee injury and illness cases; and performs related work as requi
Reporting Relationships
Receives direction from the Risk Manager and provides direct supervis
and support staff.
Job Duties
Plans, organizes, and directs the activities of staff involved in investi
processing of workers' compensation claims.
Supervises staff which includes instructing, assigning, planning and
evaluating performance, allocating personnel, acting on employee prob
employees and implementing employee discipline. Provides training, a
as needed.
Coordinates the investigation of difficult, sensitive and/or complex cla
extent of liability and estimates settlement value of claims; recommend
denial of claims; makes adjustments and settles claims within assigned
level; and assesses facts and determines necessity for reporting claim
carrier.
Secures reimbursement of costs where recovery rights exist.
Conducts audits and inspections of workers' compensation claims.
Assists in reviewing employee accident and injury reports to determi
trends and recommends methods or procedures for mitigation.
Reviews and evaluates the results of pre-employment, annual and re
examinations and makes appropriate recommendations.
Develops, establishes, updates and reviews medical examination po
evaluates, interprets and applies laws regarding the physical examinat
employees in determining job suitability and fitness.
Monitors rehabilitation services and consults with physicians, service
department representatives to resolve claims including return-to-work
rehabilitation plans, and disability retirement.
Prepares and administers the annual budget for the workers' compe
Ensures compliance with rules and regulations governing Workers' C
and self-insurance administration; reviews, evaluates, interprets and a
to Workers' Compensation and Safety Disability Retirement programs.
Arranges for and provides training on workers' compensation issues
employees, supervisors and management.
Coordinates the Safety Disability Retirement program.
Coordinates Workers' Compensation program activities and services
departments and outside agencies and organizations; provides staff as
Manager; prepares and presents staff reports and other necessary cor
Stays abreast of new trends and innovations in the fields of worker's
disability retirement and pre-employment medical standards.
Performs related duties as assigned.
Knowledge, Skills And Abilities
Knowledge of:
Principles of claims' adjustment, investigation, settlement techniques
Principles and practices of supervision and training.
Principles and practices of budget preparation.
Federal, state and local laws, codes and regulations related to worke
disability retirement, including the State of California Labor and Govern
OSHA regulations.
Jurisdiction, functions and procedures of the Workers' Compensation
(WCAB).
Medical and technical terminology used in industrial injury and illnes
Research methods and resources, including use of the Internet and
Personal computers and computer software packages related to datab
word-processing applications.
City codes and ordinances, and administrative rules and regulations
operations.
Customer service techniques.
City and County Department Mission including strategic goals and o
General workers’ compensation operations including knowledge of m
products such as WORD/OFFICE/EXCEL/POWERPOINT, the ability to
wpm.
Ability to:
Supervise subordinates including training, assigning, monitoring and
counseling and disciplining staff, and processing grievances.
Research, evaluate and recommend policies and programs to comp
regulations.
Understand, interpret, apply and explain laws, codes, regulations, po
related to the Workers' Compensation program.
Communicate clearly and concisely, orally and in writing.
Conduct studies, including data collection, analysis and evaluate alte
recommendations to resolve problems or issues.
Prepare and present reports, correspondence, and agenda items for
committees and boards.
Establish and maintain effective working relationships with City emp
appointed City officials, vendors and the public.
Shift priorities as departmental workload demands require and meet
Maintain confidentiality and exercise sound
Special Requirements
Performance of the essential duties of this position includes the followi
and/or working conditions. Requires the ability to exert a small amount
sedentary to light work involving moving from one area to another; req
hand/eye coordination to perform repetitive movements, such as typing
commonly used office machines and supplies; may involve extensive V
require visual perception and discrimination as well as oral communica
Contact this candidate