Workers' Compensation Administrator

Posting expires: January 1, 2025

Workers Compensation Administration

Under general direction, ensures timely processing of workers’ compensation claims; evaluates accident reports to determine accuracy and completeness and to ensure adequate investigation(s); ensures that the Department of Public Works follows applicable laws and regulations; provides training and guidance to claims coordinators in the department. Supervision Received This position will report directly to the Department of Public Works Deputy Commissioner. May work independently or as part of a team that meets to discuss issues related to learning methodologies, safety, emergency mitigation, policy, and operations. Direction received is very general, focuses on strategic objectives and is typically collaborative in nature.

Essential Duties & Responsibilities:

These are typical responsibilities for this position and should not be construed as exclusive or all inclusive. May perform other duties as assigned.

Evaluates accident reports, ensuring the timely processing of medical bills and temporary total disability benefits, reviews medical reports, witness statements, department investigation results, and other documentation.

Maintains subrogation records and files for those incidents involving third parties.

Sends subrogation letters to third parties to obtain reimbursement of monies spent by the city for medical treatment, time loss, and awards and settlements paid; submits amounts paid for medical treatment and/or temporary total disability benefits to the State Attorney’s Office to seek reimbursement in cases where criminal charges have been filed.

Compiles facts and data regarding accident reports and filed cases.

Reviews documentation to determine whether medical bills and temporary total disability benefits should be continued; authorizes payment of medical bills and temporary total disability benefits upon receipt of proper documentation Advises and/or assists departments in conducting investigation of accident reports, including interviewing of witnesses and procurement of relevant documentation.

Reviews accident reports to identify patterns of injury and to determine whether unsafe conditions contributed to the accident; advises departments of trends in injuries and proper safety procedures that may result in reduction of injuries; provides department with information that will aid in reducing accidents and improve safety.

Documents telephone conversations, witness statements, medical reports, accident investigation results, and payment of medical bills; prepares summaries of medical reports; ensures that state Industrial Commission forms are properly prepared and filed.

Attends seminars, conducts research, and maintains liaison with individuals in the medical community and health care fields to keep abreast of current medical procedures and medications.

Qualifications and Experience:

Bachelor’s Degree in Occupational Safety, Risk Management, Industrial Hygiene, Emergency Management or related field 3 years of progressively responsible experience Strong computer skills (Word, Excel, PowerPoint, Outlook, Internet) Valid Driver’s Licenses Requires knowledge, skills, and mental development equivalent to the completion of four (4) years of college with courses in medical terminology or anatomy and three (3) years’ experience in medical claims analysis or any equivalent combination of training and experience Working knowledge of the Workers’ Compensation Act and other applicable state/federal statutes and regulations Working knowledge of medical terminology, body systems, and/or impairments and their disabling effects Ability to evaluate all medical and time-loss claims information to make determinations regarding payment of temporary total disability benefits and medical bills Good judgment in interpreting medical facts presented by a physician and applying these facts in determining an individual’s capacity to engage in gainful occupation