What are the responsibilities and job description for the DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) position at Los Angeles County Metropolitan Transportation Authority (CA)?
Directs and manages the performance of one of the following functions within Risk Management: Workers' Compensation Claims Administration; General Liability Claims Administration; Investigations; and Risk Financing.
Metro's Workers' Compensation Program averages 1,700 annual claims. The Director, Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County Counsel, the Director, Risk Management will oversee a defense panel comprised of up to 20 law firms who work closely with adjusters on litigated files. The department utilizes various vendors that provide services such as bill review and utilization review. They also work closely with the Return to Work program and Operations.Recruitment Timelines: Interviews are projected to be scheduled for the week of November 17th and December 1st. These dates are subject to change. We encourage you to monitor your governmentjobs.com profile and emails for the latest updates.
- Develops, establishes, and directs a function within Risk Management
- Directs and oversees operational audits in assigned area
- Establishes departmental policies, procedures, and guidelines for assigned area
- Develops and delivers quality projects from inception to close-out, on time, and within scope and budget
- Partners and communicates with other departments to administer programs and achieve agency goals
- Investigates, adjusts, and settles claims in collaboration with affected Division staff and Counsel
- Analyzes trends and develops programs and other measures to reduce costly claims
- Represents Metro before regulatory agencies
- Provides briefings to the Board of Directors and Executive Staff
- Coordinates and facilitates meetings; Participates in various internal decision-making groups
- Develops, oversees, monitors and adheres to department/unit budget, goals, and schedules which comply with agency-wide fiscal responsibility
- Negotiates contracts, serves as contract manager and liaison, and monitors contractors' performance to ensure compliance with contract terms and conditions of the contracts, including achievement of DBE/SBE contractual goals
- Supervises, guides, and motivates assigned staff
- Implements of staff development programs to ensure employees' training goals are met
- Communicates and implements safety rules, policies, and procedures in support of the agency's safety vision and goals; and maintains accountability for the safety performance of all assigned employees
May be required to perform other related job duties
A combination of education and/or experience that provides the required knowledge, skills, and abilities to perform the essential functions of the position. Additional experience, as outlined below, may be substituted for required education on a year-for-year basis. A typical combination includes:
Education
- Bachelor's Degree in Business Administration or a related field
- Five years of relevant management-level experience overseeing one or more risk management function such as workers' compensation administration, risk financing, actuarial analysis, and/or investigations programs; some positions in this class may require specialized experience in area of assignment
- A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions
Preferred Qualifications (PQs) are used to identify relevant knowledge, skills, and abilities (KSAs) as determined by business necessity. These criteria are considered preferred qualifications and are not intended to serve as minimum requirements for the position. PQs will help support selection decisions throughout the recruitment. In addition, applicants who possess these PQs will not automatically be selected.
The following are the preferred qualifications:
- Experience managing a large workers' compensation program for a public entity
- Experience applying the CA Labor Code and WC state regulations, including case law
- Experience managing claims staff, including managers and supervisors
- Experience managing an extensive defense panel
- Experience managing service contracts such a bill review, utilization review, and medical provider network, including experience developing and issuing RFPs
Knowledge of (defined as a learned body of information that is required for and applied in the performance of job tasks)
- Theories, principles, and practices of workers' compensation, multi-line claims administration, risk financing, and investigations
- Applicable local, state, and federal, laws, rules, and regulations of workers' compensation, disability, and vocational rehabilitation; insurance code regulations; criminal investigations; and risk financing
- Fundamentals of owner-controlled insurance
- Strategies and procedures of case settlements
- California Government Code and Rules of Civil Procedure and rules and practices of the local Superior and Municipal Courts
- Claims investigation protocols
- Personal injury analysis and evaluations, and wrongful death claims
- General and auto liability claims
- Elements of tort law
- Modern management theory
- Overseeing the work of a claims' administration, general liability, investigations, or risk financing program
- Investigating claims and determining reasonable settlements
- Determining strategies to achieve goals
- Preparing comprehensive reports and correspondence
- Establishing department policies and procedures
- Analyzing situations, identifying problems, recommending solutions, and evaluating outcomes
- Exercising sound judgment and creativity in making decisions
- Communicating effectively orally and in writing
- Interacting professionally with various levels of Metro employees and outside representatives
- Supervising, training, and motivating assigned staff
- Recognize sensitive issues and manage/supervise activities of assigned staff accordingly
- Develop and promote positive working relations within the office, as well as with outside law enforcement agencies
- Meet tight time constraints and deadlines
- Think and act independently
- Understand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, budgets, and labor/management agreements
- Compile and analyze complex data
- Plan financial and staffing needs
- Represent Metro before regulatory agencies
- Represent the agency in court and at mediations and argue Metro's position on a case
- Travel to offsite locations
- Read, write, speak, and understand English
- This job specification is not to be construed as an exhaustive list of duties, responsibilities, or requirements
- The physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this job
- Metro provides reasonable accommodation to enable individuals with disabilities to perform the essential functions
- This classification is at-will and the incumbent serves at the pleasure of the hiring authority
- Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out
- Typical office situation
- Close exposure to computer monitors and video screen
- Sitting at a desk or table
- Operate a telephone or other telecommunications device and communicate through the medium
- Type and use a keyboard and mouse to perform necessary computer-based functions
Salary : $127,046 - $190,528
