CLAIMS TECHNICIAN (WORKERS' COMPENSATION)



Job Details

CLAIMS TECHNICIAN (WORKERS' COMPENSATION)
Employer

City of Torrance

Salary

$23.74 - $30.32 Hourly

Location

Torrance, CA

Job Type

Full-time

Job Number

17121128

Department

Finance

Division

Risk Management

Opening Date

12/01/2017

Closing Date

Continuous

DESCRIPTION

WE STRONGLY ENCOURAGE APPLICANTS TO READ THE JOB ANNOUNCEMENT IN ITS ENTIRETY BEFORE SUBMITTING AN APPLICATION FOR THIS POSITION.
____________________________________________________________________________

The City of Torrance is currently seeking a responsive and customer service oriented Claims Technician to join the team! 

The City of Torrance workers' compensation program is both self-insured and self-administered. The Workers' Compensation Division prides itself in providing excellent customer service and claims administration for all injured City employees.
 
As part of the Workers' Compensation Division, the Claims Technician performs paraprofessional duties on Workers' Compensation cases. This position requires a high degree of discretion and independent judgment and reports to the Workers' Compensation Manager.  The Claims Technician meets with departments for case updates; maintains current and accurate claim records; prepares statistical reports, establishes and manages case files, performs preliminary investigation of accidents related to claims, responds to inquiries and provides information regarding benefits; composes routine letters and correspondence.

For a detailed job description, click here.

MINIMUM QUALIFICATIONS

Education and Experience
Any combination of education and experience that provides the knowledge and skills required is qualifying.  A typical way to obtain the knowledge and skills would be:

Three years of progressively responsible clerical or administrative experience which included duties requiring the use of initiative and independent judgment.  Experience or training related to insurance, risk management or workers' compensation is preferred.

License and/or Certificates
Workers' Compensation Positions must possess and maintain certification as a Claims Adjuster through one of the following:

  • Completion of 160 hours total with a minimum of 120 hours in classroom (remaining 40 hours can be classroom or on-the-job training as determined by prior employer); OR
  • Designation by an insurer who certifies that there is  five years on-the-job adjusting experience within the past eight years; OR
  • Successfully passed the California State self-insured exam and worked continuously as an adjuster since passing the exam.

Ideal Candidate
The ideal candidate will possess:
  • Clerical or administrative experience or training related to workers' compensation and insurance;
  • Knowledge of Workers' Compensation laws, rules and regulations, jurisdiction, functions and procedures of the Workers' Compensation Appeals Board;
  • Knowledge and experience with lost time workers' compensation claims, notice requirements, and benefit calculations; 
  • Effective interpersonal and customer service skills (face to face and over the phone);
  • The ability to work autonomously and make independent decisions; and
  • The ability to handle multiple tasks with shifting priorities.

HOW TO APPLY & EXAM PROCESS

Interested candidates must submit an online application and supplemental available at www.TorranceCA.Gov/Jobs. At time of application, candidates must also submit proof of training hours, designation, or passing the self-insured exam must be submitted as an attachment with your application. Applications will be considered incomplete for failure to attach the required documents at time of application.

Application submissions will be accepted on a continuous basis until the position is filled.  

Only those candidates most qualified will be invited to participate in the examination process, which will consist of:  

Performance Exam: 30% 
Oral Exam: 70%


Examinations will be conducted on a periodic basis depending on the needs of the City and the number of applicants. 

SPECIAL NOTES

Performance of the essential duties of this position includes the following physical demands and/or working conditions:

Requires the ability to exert a small amount of physical effort in sedentary to light work involving moving from one area of the office to another; sufficient hand/eye coordination to perform skilled repetitive movements such as typing, data entry, filing and/or the use of calculators or other office equipment. May require the ability to climb a step stool and reach above shoulder level to remove or replace files, push or pull file carts, move files weighing 3 to 5 pounds from one location to another. May involve extensive VDT exposure. Tasks require visual perception and discrimination and oral communications ability. Tasks are regularly performed without exposure to adverse environmental conditions.

Applicants with disabilities who require special testing arrangements must contact Human Resources.
 
As a condition of employment, candidates must pass a background check and a pre-employment medical examination.
 
The provisions of this announcement do not constitute an expressed or implied contract, and any provisions contained in this announcement may be modified or revoked without notice.

BENEFIT SUMMARY FOR TORRANCE CITY EMPLOYEES ASSOCIATION (TCEA)
Note:  Not all benefits listed may be applicable to all positions with in the unit.  Please refer to the MOU for specifics.

Health, Dental, Vision and Life Insurance (sec. 4.9)         
The City's monthly contribution for health insurance is as follows:
                                        Employee Only                 Employee +1                    Employee +2 or more
Full Time                            392.68                              785.36                             1020.96
Part-Time
(hired prior to 1/1/08)         345.79                              674.48                             871.66
Part-Time
(hired after 1/1/08)             248.84                              445.18                             562.98
 
The City's monthly contribution for vision insurance is $3.23
The City's monthly contribution for dental insurance is $38.22/EE only and $76.44/EE +1 or more
City provides a $50,000 life insurance policy

Permanent Part-Time Employees (Sec. 2.8)
Permanent part-time employees working 20 hours per week are entitled to all benefits.  Accrual of time and money shall be ½ the amount received by full-time employees.
 
 
Premium Pay (sec. 3.1)
Designated Assignments:  Varies (see Sec 3.1.E)
Bilingual Pay:  $50/month (max 20 employees)
Certification Pay:  5% of base with certification (Legal Secretaries at steps 6 -9)
 
Minutes (Sec. 3.5)
Clerical employees assigned to take minutes at evening City Council meetings, paid overtime rate (minimum of 2 hours)
 
Night Shift Differential (sec. 3.4)
Swing Shift:  5% over base pay when ½ or more of the shift is worked after 4:00 p.m.
Graveyard Shift: 7 ½% when ½ or more of the shift is worked after midnight
 
Disability Insurance (sec. 4.9)
Employee receives 2/3 base pay after elimination period (14 consecutive days for STD and 180 consecutive days for LTD)
*(See Sec 4.9.B.1a for details on coverage for employees who don't qualify for commercial policy).
 
Retirement (sec. 4.10)
PERS 2@55, single highest year and military buy-back and supplemented by Social Security.
Employees hired prior to 2/1/2011, City pays 7% EPMC 
Employees hired on or after 2/1/2011, pay 7% employee contribution.  
"Classic members" hired on or after 2/1/2011, pay 7% employee contribution.  Three year average.
PERS 2@62 for "new members" hired on or after 1/1/2013, pay (50%) of normal cost with three year average final compensation.             
 
Holidays (sec. 4.1)
13 paid holidays (New Year's Day, Martin Luther King Jr. Day, Lincoln's Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day, The day after Thanksgiving, Christmas Eve, Christmas Day & New Year's Eve). 
 
Sick Leave/Personal Leave (sec. 4.3)
Accrue 6 hours per month; maximum accrual of 500 hours.
*Eight (8) hours per month for employees hired before 7/1/75 (except for those not covered by LTD).
**Two work shifts of sick leave may be used for personal leave
 
Vacation Leave (sec. 4.2)
Vacation accrual rate per month:
Years 1 -2 : 8.67 hours; Year 3: 9.33 hours; Year 4: 10 hours; Years 5 – 9: 12.hours; Years 10 – 20: 15.35 hours; Years 21 – 24: 16.67 hours; Year 25+: 17.33 hours 
Maximum Accrual 500 hours
 
Bereavement Leave (sec. 4.6)
Three (3) work shifts (up to two additional work shifts for travel 300 miles or more)
 
Family Leave (Sec. 9.8)
40 hours unpaid participation per calendar year
 

01
How many years of progressively responsible experience do you have in maintaining workers' compensation claim records?
  • None
  • Less than 1 year
  • More than 1 year, but less than 3 years
  • More than 3 years
02
Do you possess and maintain certification as a Claims Adjuster by one of the following ways? (please check all that apply)
  • Completion of 160 hours total with a minimum of 120 hours in classroom (remaining 40 hours can be classroom or on-the-job training as determined by prior employer).
  • Designation by an insurer who certifies that there is five years on-the-job adjusting experience within the past eight (8) years.
  • Successfully passed the California State self-insured exam and worked continuously as an adjuster since passing the exam.
  • Not applicable
03
Do you have three years or more experience in: (please check all that apply)
  • Establishing and managing workers compensation case files
  • Processing lost time workers' compensation claims, notice requirements, and benefit calculations
  • Monitoring, logging and providing information on the status of claims
  • Performing investigations of accidents related to claims
  • Respond to inquiries and provide information regarding workers compensation benefits
  • Preparing statistical reports regarding claims
  • Not applicable
04
Do you have experience handling and processing workers compensation claims for a self-insured employer?
  • Yes
  • No
05
Describe your experience and responsibilities handling these types of claims. If no experience, please type N/A.
06
Do you have experience handling and processing workers' compensation claims in a public sector environment?
  • Yes
  • No
07
Describe your experience and responsibilities handling these types of claims. If no experience, please type N/A.
08
Do you have experience handling and processing workers' compensation for safety employees?
  • Yes
  • No
09
Describe your experience and responsibilities handling these types of claims. If no experience, please type N/A.

* Required Question

Employer
City of Torrance
Address
3231 Torrance Blvd.

Torrance, California, 90503
Phone
310-618-2915

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