DEFINITION
Under general supervision, performs and provides complex professional level coordination, analyses and services of the Agency’s workers compensation claims. For workers compensation purposes, tracks attendance, reviews and processes benefits and payroll functions for employees.  The position provides responsible administrative support to higher level management staff; and to do related work as required.
 
DISTINGUISHING CHARACTERISTICS
Incumbents in this class perform entry level injuries/ claims managing for litigated and non-litigated claims/files, and related duties under the direction of the Risk Manager, Human Resources Director, or designee. Incumbents are responsible for ensuring workplace  job activities adhere to federal and state guidelines relative to job safety, disability law and claims management; provides guidance and training to supervisory staff on the rules, regulations, policies and procedures pertaining to workers’ compensation; manages and oversees injuries submitted by employees in accordance with HACLA’s workers’ compensation program; provides a safe work environment through preventive and proactive workers compensation management.

ESSENTIAL FUNCTIONS STATEMENT
Essential functions, as defined under the Americans with Disabilities Act, may include the following duties and responsibilities, knowledge, skills and other characteristics. This list of duties and responsibilities is ILLUSTRATIVE ONLY, and is not a comprehensive listing of all functions and tasks performed by positions in this class.

Essential Functions:

• Assist in the administration of Workers' Compensation injuries; coordinates, oversees and monitors all related injuries/claims activities, schedules, and deadlines; maintain and update all related claims files and records; analyzes injuries/claims data to identify root cause for corrective measures; makes recommendations for program improvements related to workplace safety;
• Receive, record, review and process all on the job injury claims, reports and forms, including reporting new injuries/claims to HACLA’s Third Party Administrators (TPA) in accordance with established policies and procedures; perform initial case set-up on all new files;
• Provide assistance to HACLA supervisors and employees on how to handle work related injuries/illnesses, procedural responsibilities, claim forms required, and general inquiries;
• Responsible for setting up and assisting employees obtain medical care through HACLA designated medical Workers Compensation clinics and facilities;
• Advise employees and dependents of entitlement to Workers' Compensation benefits under State law and HACLA policy;
• Coordinate and arrange special investigations and medical examinations related to Workers Compensation;
• Authorize treatment and/or change of physician;
• Advise departments regarding procedures and reporting deadlines involving work injuries;
• Coordinate return to work; facilitate, conduct, and document the interactive process under the Americans with Disabilities Act (ADA) and California Fair Employment and Housing Act (FEHA) with employees for both industrial and non-industrial, temporary and permanent disabilities; 
• Works closely with employees, department managers/supervisors, other Human Resources staff, and outside facilitators when necessary in documenting essential functions analysis, determining reasonable accommodations and ability to perform essential functions;
• Perform weekly review of files for purposes of reporting to TPA for payments to employees and vendors; process monthly advanced disability payments; conduct monthly review of payments to employees to ensure accuracy; review and approve monthly check register for invoice (money transfer) for claim expenses;
• Administer the Modified Duty Program, within the guidelines of HACLA policy or procedures;
• Prepare legal transmittals and other miscellaneous correspondence;
• Maintain records of division accounts and prepare requests for payment for invoices from vendors; coordinate and provide to payroll team absentee information to insure prompt payment of benefits, continuation of pay and/or reduction of hours;
• Answer phones, receive and sort mail, arrange and attend meetings;
• Perform other responsible administrative duties as required.