Details
Posted: 22-Mar-22
Location: La Jolla, California
Salary: Open
This position will remain open until filled. Initial application deadline: 4/1/2022.
UCSD Layoff from Career Appointment: Apply by 03/23/2022 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 04/01/2022. Eligible Special Selection clients should contact their Disability Counselor for assistance.
DESCRIPTION
The University of California, San Diego, Environment, Health & Safety (EHS) Enterprise Risk Analyst 3 (Workers' Compensation Case Manager) works under the general supervision of the Enterprise Risk Manager 2. This position is independently responsible for the administration and management of more than 500 (of approximately 1000 total claims) incident reports, claims case management for more than 175 (of approximately 350 total open claims) workers' compensation claims and the proper identification and administration of CAL-OSHA recordable and reportable injuries for the UC San Diego campus. Incumbent is also a critical component of injury prevention initiatives and Transitional Return to Work Program coordination. This position impacts campus wide constituencies at all levels of the organization.
The incumbent is responsible for remaining current on related Federal, State and local regulations. Provide Federal and State labor codes, State insurance regulations, UCOP workers' compensation and supplemental benefit policy interpretations, and ensure compliance with all. Assist EHS staff with interfacing and coordinating Federal, State and local regulatory enforcement agency inspections. The primary focus of the Incident Reporting Program is tri-fold: 1) ensure accurate and timely reporting of workers' compensation claims per Title 8, California Code of Regulations, Subdivision 14001, 2) ensure accurate and timely recording and reporting of CAL-OSHA injury claims per CAL-OSHA regulations, and 3) assist in the operation of loss prevention initiatives by identifying, trending and analyzing work-related injuries and illnesses.
The primary focus of UCSD's workers' compensation claims case management is to design, develop and implement loss control initiatives. Loss control initiatives are intended to minimize adverse physical and financial effects of accidents. Incumbent is responsible for the oversight of severity coding by Third Party Administrator (TPA), appropriate delay, denial, or acceptance by TPA, appropriate medical case management, benefit provision and payments; as well as, appropriate provision and payment of UC supplement benefits by departments, Payroll Department and Office of the President.
Another primary focus of the CAL-OSHA/Federal OSHA Reporting Program is to ensure UC San Diego's compliance with State labor code 6410 and Federal OSHA codes. These labor codes and regulations detail the legal specifications of what, how, and when an employer is required by law to record and report regarding work-related injuries, illnesses and fatalities, or face fines and penalties.
QUALIFICATIONS
Bachelor's degree in related field and progressive experience, or equivalent combination of education and experience. Thorough knowledge in the following areas: risk management, insurance, forecasting and analysis, and accounting. Knowledge and understanding of organizational processes, procedures, rules and regulations.
Proven knowledge of CAL-OSHA Regulations as demonstrated through experience. Knowledge of American Disabilities Act (ADA) and other California disability laws. Proven knowledge of medical terminology in association with worker's compensation claims management.
Ability to analyze policy issues, procedures, and laws or other directives and form solid recommendations or actions to be taken. Ability to develop creative solutions for complex cases that are sensitive in nature and where the existing laws and policies are in conflict. Ability to maintain confidentiality at all times.
Proven ability to use critical thinking and analytical skills to solve problems. Skill in analyzing information, problems, situations, or procedures to identify relevant concerns, identify patterns, or tendencies and form logical and objective conclusions.
Strong skills required to develop course materials and deliver content effectively to diverse populations. Proven experience providing and delivering training courses to diverse backgrounds, job classifications, and varying levels of education.
Proven knowledge of common computer application programs.
Understanding of customer service techniques and procedures and the ability to apply them in achieving quality and customer service goals.
Superior interperso
