What are the responsibilities and job description for the Claims Technician position at City of Compton, CA?
The Claims Technician receives supervision from the Workers' Compensation Administrator, the Risk Manager, and the city Attorney. Technical oversight may be received from the Claims Examiner. The Claims Technician does not exercise supervisory responsibility.
The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification, only a representative summary of the primary duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties.
- Prepares and maintains workers' compensation and liability insurance claim files.
- Maintains claim records, loss and accident reports, logs the status of claims, Cal-OSHA logs, insurance logs and policies.
- Processes medical, temporary and permanent disability payments/benefits to claimants and vendors.
- Processes liability payments and scans data into claims database.
- Maintains W-9s and assists with processing them.
- Composes routine letters and reports.
- Files and maintains a variety of records, forms, and correspondence.
- Performs routine clerical duties, including but not limited to telephone coverage, processing mail, ordering office supplies, collating, copying, filing and faxing information.
- Develops system for organizing and managing files, as instructed by Risk Manager or Workers Compensation Administrator.
- Performs low exposure subrogation recovery; pays low level medical only workers' compensation claims and low level liability claims, and maintains records.
- Interfaces with attorneys, doctors, investigators, insurance brokers and various City department management and personnel.
- Assists in self-insured programs check process on Thursdays or alternate days designated by Risk Manager or Workers' Compensation Administrator.
- Operates and remains proficient in a variety of office equipment, including but not limited to a personal computer and various computer applications.
- Attends safety meetings, records and prepares minutes of meetings.
- Attends division and department meetings as required.
- Performs other related duties as assigned or required.
Education and Experience:
Completion of at least 60 semester or 90 quarter units from an accredited college or university; AND two (2) years of progressively responsible administrative experience in a Workers' Compensation program. Experience in processing municipal liability claims files is highly desirable. Two years of additional experience beyond the minimum requirements may be substituted for achievement of each 30 semester or 45 quarter units.
Required Licenses or Certifications:
- Possession of a valid California Class C Driver's License shall be required if the operation of a motor vehicle is required when carrying out the duties of the position.
Required Knowledge of:
- Modern computer technology using various software applications such as Microsoft Office computer applications and other media communicating techniques.
- Office practices and procedures including business correspondence, filing and standard office equipment operation.
- Customer service techniques.
- Principles of record keeping.
- Knowledge of medical and technical terminology related to insurance programs is preferred.
- Developing and maintaining accurate recordkeeping systems.
- Maintaining confidential information and records.
- Learning and use of computer software in use by the City of claim processing.
- Composing letters, reports, memorandums and forms using proper grammar, spelling and punctuation.
- Handling multiple tasks and shift priorities to meet deadlines as needed.
- Understanding and carrying out complex oral and written instructions.
- Communicate effectively both verbally and in writing.
- Exercising judgment and discretion and responding courteously and tactfully in a wide range of situations.
- Establishing and maintaining effective working relationships with all levels of City employees, physicians, attorneys, insurance administrators and the public with a customer service orientation exercising tact and judgment in difficult or sensitive situations.
- Work is performed indoors in an office setting.
- Work requires frequent light lifting, sorting and filing.
- Moderate finger dexterity and near vision are required.
- May be exposed to minor amounts of dust.
The purpose of this examination is to establish an eligible list from which vacant position(s) may be filled.
Phase one (1) is a written examination (weighted 50%) which will measure all or portions of the above knowledge, and skills. Phase two (2) is an oral examination (weighted 50%) that will be administered by an appraisal panel to evaluate professional qualifications, background and suitability. The oral examination may include graded simulation exercises, writing exercises, and oral presentations. A passing score for each phase is 70%. Each candidate will be notified via mail or e-mail.
The City of Compton reserves the right to utilize alternative testing methods, if deemed necessary. Failure in one phase of the examination shall be grounds for declaring the applicant as failing in the entire examination, and as disqualified for subsequent parts of an examination.
GENERAL INFORMATION TO EXAMINATION APPLICANTS
The City of Compton does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or provisions of services.
Applicants with disabilities who require special testing arrangements must give advanced notice to the Human Resources Department prior to the final filing date.
ELIGIBLE LISTS
Recruitment may be conducted on a (a) promotional basis, (b) open-competitive basis, or (c) promotional and open-competitive basis simultaneously. All candidates who attain an overall score of at least 70.00 (open-competitive) and at least 75.00 (promotional) will be placed in rank order on the relevant eligible list(s).
PLEASE NOTE:
All permanent City employees that attain an overall score of at least 75.00 will be placed on both the promotional eligible list and the open-competitive eligible list. All City employees that attain a score of 70.00 on EACH PHASE of the examination but an overall score of less than 75.00 will be placed on the open-competitive eligible list only.
Each eligible list shall remain in effect one (1) year from the date of its establishment unless it is extended, abolished or exhausted. Whenever possible, three (3) names are certified to fill any one (1) vacant position. No candidate may be certified more than three (3) times for any one classified position. When certifying eligible lists to appointing powers, the promotional eligible list takes precedence over the open-competitive eligible list. A department manager's recommendation for employment is subject to the City Manager's approval.
EXAMINATION APPEAL PROCEDURE
A candidate may, within five (5) days after taking the written examination, file in writing with the City Manager an appeal against any part of the test, citing the item or items against which the appeal is directed, and the reason(s) for such appeal. The Personnel Board will consider appeals from the decisions and ratings of qualifications appraisals (interview) boards if such appeals meet the conditions described in the Personnel Rules and Regulations (Section 6.8).
EXAMINATION RECORDS
All examination papers, including the employment application, resume, and other attachments submitted by candidates are the property of the Personnel Board and are confidential records which may be open to inspection only for purposes and under conditions established by the Personnel Board.
VETERAN’S PREFERENCE
In all entrance examinations (open-competitive only) for positions in the Classified Service, veterans who served in the armed forces of the United States during time(s) of war, and who attain an overall passing score in the examination are allowed additional preferential credit in accordance with the Personnel Rules and Regulations. In order to claim veterans' credit, the applicant must submit proof of service and honorable discharge (showing specific dates of service) on a U.S. Military form (DD-214) at the time of application or not later than the final filing date for the examination.
FRINGE BENEFITS
The City's comprehensive fringe benefits program includes: retirement (Public Employees' Retirement System), medical, dental, life and vision insurances, deferred compensation, sick and vacation leaves, after-hours education reimbursement, ride share program, uniform allowance and other provisions.
The City of Compton offers an excellent benefits program which includes membership in the California Public Employees' Retirement System (PERS); family-covered insurances: dental, health, vision; life insurance (for employee only); Employee Assistance Program; auto allowance; seven personal leave days; 15 holidays (including birthday); vacation; sick leave; bereavement leave; educational reimbursement; personal development; deferred compensation; 4/10 work week. The City also pays the employee's 8% share (9% for Fire personnel only) of contribution towards retirement.
Retirement:
Employees hired after January 1, 2013, who are new to CalPERS, or are returning members with a break in service greater than six months, will be enrolled in the 2% @ 62 retirement plan and will be required to pay up to 50% (currently 6.5%) of the normal PERS cost.
Dental:
The City pays 100% of the full family monthly premium towards the HMO dental insurance plan.
Health:
The City pays 100% of the full family monthly premium based at Kaiser's Los Angeles area rates. Employees selecting health plans with higher monthly premiums than Kaiser Los Angeles area will incur out-of-pocket costs.
Vision:
The City offers a voluntary vision insurance plan.
Life:
The City pays 100% of the monthly premium for employee only towards $45,000 life insurance coverage.
Employee Assistance Program:
Provides confidential counseling, education and referral for work and life issues at no cost to the employee; subject to program provisions.
Personal Leave Days:
Employees are allowed to designate up to three (3) days or 24 hours of accrued sick leave as personal leave per calendar year.
Holidays:
Fifteen (15) per fiscal year which include: Independence Day, Labor Day, Admissions Day, Veteran's Day, Thanksgiving Day, Thanksgiving Day (day following), Christmas Day, New Year's Day, Dr. Martin Luther King Jr.'s Birthday, Lincoln's Birthday, Washington's Birthday, Cinco de Mayo, Memorial Day, Employee's Birthday, Cesar Chavez Day
Sick:
Employees accrue eight hours of sick leave per month.
Bereavement:
Three working days (or five working days for out of State services) per incident for the death of an immediate family member: spouse, father, current father-in-law, mother, current mother-in-law, grandfather, grandmother, son, daughter, brother, sister, step-mother, step-father, step-son and step-daughter).
Educational Reimbursement:
Employees receive up to $2,000 per fiscal year for job-related courses.
Deferred Compensation:
4/10 Work Week: The City of Compton observes a 4/10 work week schedule: Monday – Thursday: 7:00 a. m. – 6:00 p. m. We are closed each Friday.
205 South Willowbrook Ave
Compton, California, 90220
Salary : $45,000