1 Position at our Glendale, CA Location
Summary
Reports directly to the Contract Claims Manager for City of Los Angeles Police Department Contract. Under the direction of the Claims Manager, is responsible for compliance with the City’s contract. The scope of the work includes establishing and monitoring supervisory workflows, reports and logs to track compliance with contract requirements and time frames to avoid excess cost assessments and contract discrepancies. The QA/Assistant Manager, Resolution Supervisor and Contract Manager works with the unit supervisors to identify training needs within the claims operation and may assist the unit supervisors to develop individual training plans for claims staff.
Essential Duties and Responsibilities
- In accordance with the applicable claims handling contract with the City, provides all information, reports, records, logs to track compliance and contract discrepancies.
- Maintains diary on claims with oversight and to address disputes for resolution of any assessments and proper claims handling in accordance of the City’s Scope of Work and Service Guidelines.
- Responsible for assuring that all claims are handled in accordance with applicable statutes and company rules
- Exhibits a knowledgeable and helpful attitude and projects a professional image on behalf of the company.
- Performs random monthly audits of the open inventory of each Claims Adjuster for the purpose of evaluating compliance with the contract and company procedures.
- Schedules individual training for Claims Adjusters not familiar with City’s Procedures with the assistance of the AVP of Training.
- Coordinates group training for the claims department on all issues including changes in the law, procedures and City contract compliance.
- Requires travel to City offices for meetings and to other claims offices and events.
- Requires a thorough knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them, specifically with presumptions and 4850 benefits.
- Handles other duties and tasks as deemed appropriate by the Contract Manager and SVP of Claims.
Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Education and/or Experience:
Bachelor’s degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Five or more years of progressive technical claim experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance on complex claim cases and can negotiate settlements effectively.
Certificates and Licenses:
Attainment of the IEA Certificate, Self-Insured Certificate, and successful completion of, or active study for the WCCP designation, or the equivalent in related studies or work experience.
