Workers' Compensation Claims Manager jobs in Idaho

Summary Statement

The City of Boise is driven by a team of over 2000 community-serving superheroes, across 13 departments, working together to create a city for everyone. Committed to the limitless potential of our organization, we strive to recruit good people, set a standard of excellence, and develop leaders. Our Human Resources Department is recruiting an experienced and team-oriented Workers Compensation Lead Claims Administrator to support our incredible growing workforce.

We're seeking a person with excellent communication and customer service skills, who operates with tact and discretion, to keep stakeholders informed throughout the employee's recovery process. The Workers Compensation Lead Claims Administrator:

• Manages all aspects of the City of Boise's self-insured workers' compensation program.
• Develops and promotes health and safety programs to control losses resulting from on-the-job injuries and illnesses.
• Supports the city's comprehensive liability program by assisting with third-party liability claims.
• Maintains program compliance and confidentiality of private information.
• Works with dedication to get injured employees back to work safely.

Essential Functions

Coordinates day-to-day work, delegates tasks and sets deadlines for the assigned team. Provides guidance, direction and support for training and reviews work. Ensures effective collaboration with other teams and listens to team members’ input, provides feedback and resolves any issues or conflicts.

Serves as the primary point of contact and decision-maker for the city's workers' compensation program. Serves as the liaison between the city, third-party administrators (TPA), employees, in-house and contract attorneys and the State of Idaho Industrial Commission. Processes and oversees claims administered by TPAs and works with TPAs on investigations. Authorizes payment on workers’ compensation claims.

Analyzes accident statistics and formulates corrective actions. Consults with departments and legal staff regarding health and medical issues. Ensures compliance with all local, state and federal regulations. Coordinates with city departments and medical providers to ensure timely rehabilitation and work resumption of injured employees. Ensures the maintenance of accurate, up-to-date records and reports on injured employees.

Assists in handling self and commercial insurance issues and liability claims. Acts as a backup manager for the city's comprehensive liability program by assisting with third-party liability claims programs. Works closely with risk managers, attorneys and TPAs to evaluate claims and formulate appropriate responses and resolutions.

Liaises with the city's insurance carriers, insurance brokers, inspectors, underwriters, TPAs and property valuators to acquire appropriate insurance and administer claims. Manages team contracts and reviews requests for proposals (RFP), contracts and other agreements for appropriate indemnification and insurance information. Reviews special event plans for risks and works with event coordinators to mitigate unacceptable risks. Reviews and approves event insurance levels and indemnification language.

Completes investigations of incidents, workers’ compensation claims, third-party claims, issues, damages and accidents. Analyzes findings, resolves issues, provides recommendations to prevent future occurrences and writes and reviews reports identifying all pertinent facts. Identifies potential health and safety risks to determine corrective action. Develops, implements and monitors the city's health and safety programs. Researches issues, standards and legislation concerning workers’ compensation, health and safety.

Develops training for city supervisors and city employees. Consults with local healthcare professionals regarding public safety and health issues, infectious disease control and blood-borne pathogens. Serves as the designated officer to manage post-exposure programs and infectious disease tracking. Analyzes work environment hazards, identifies needs and sets standards for personal protection equipment.

Performs other duties as assigned. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this position at any time.

Requirements

Required Knowledge, Experience, And Training
A combination of education and/or experience typically achieved through:

• Bachelor's degree in industrial safety, business or a health-related field; and
• 5 years of experience administering all aspects of a self-insured workers' compensation program; or
• An equivalent combination.

• Idaho workers' compensation laws, rules, regulations and practices;
• public health policies, the Family Medical Leave Act (FMLA) and the Americans with Disabilities Act (ADA);
• confidentiality requirements of the Health Insurance Portability and Accountability Act (HIPAA);
• claims administration and handling procedures;
• computer usage including related software;
• National Council on Compensation Insurance rules and practices;
• practices of medical treatment, documentation and procedures; and
• methods of infectious disease control and blood-borne pathogens.

• conduct effective injury and accident investigations;
• prepare and present statistical and narrative reports;
• accurately interpret and apply laws, regulations, policies and procedures;
• apply the standards set forth in the Occupational Safety and Health Act (OSHA), National Institute for Occupational Safety and Health (NIOSH) and the Center for Disease Control (CDC);
• compile, develop and organize information into clear and concise reports or presentations;
• communicate effectively in the English language at a level necessary for efficient job performance; and
• perform all essential functions as assigned by an authorized employee, supervisor and/or manager with or without reasonable accommodation.

Valid state-issued driver's license.

Ability to: acquire the Idaho Industrial Commission designation Certified Idaho Workers’ Compensation Specialist- Advanced Level; and obtain certification to instruct various safety and health-related education classes, such as First Aid/CPR and AED, Defensive Driving and others within the 1st year.

Working Conditions

The physical effort characteristics and working environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Efforts
While performing the duties of this job the employee is occasionally lifting/carrying up to 10 pounds. Also, the employee is occasionally pushing/pulling up to 10 pounds. The noise level is occasionally moderate and rarely very loud. Work includes sensory ability to talk, hear, smell and touch. Work in this position also includes close vision and distance vision. Employees will sit, stand, walk, stoop, kneel, crouch, crawl, reach, grasp, climb and balance. Position requires hand/finger dexterity.

Working Environment
The work environment will include inside conditions, outdoor weather conditions, extreme temperatures, in wet and humid conditions, areas of dust, odors, mist and gases or other airborne matter. Employees will also drive a vehicle as part of this position. Work includes protected exposure to bodily fluids and chemicals. Navigates a variety of walking surfaces, including but not limited to uneven surfaces, slippery surfaces, stairs, areas under construction. At times exposed to unpleasant odors and environments, reduced air quality, hazardous chemicals and infectious substances.
This position works: normal business hours, but must respond to call-ins when accidents and injuries occur.

Top talent deserves top-notch benefits. The City is among the best in the Treasure Valley when it comes to the benefits and perks we offer our employees.

Most positions are eligible for the general benefits listed here; firefighters, police officers, senior managers, command staff, and directors may be offered other benefit plans.

Healthcare:

• ZERO premium medical coverage option for you and your family
• Low-cost dental and vision options.
• Post-employment health savings account.

• PERSI retirement benefits
• 401(k) or 457b pre-tax investment options with employer match.
• 457b Roth after-tax investment options with no match

• Up to $500 cash per year for participants.
• Alternative transportation incentives.

• 10 hours of vacation per month, and this increases the longer you stay with the City
• 12 paid holidays every year
• 8 hours of sick leave per month
• 10 weeks Parental Leave

• Basic Life insurance at no cost to you
• Long Term Disability insurance at no cost to you

• Pre-tax Flexible Spending Accounts
• Supplemental Life Insurance
• Supplemental Disability Insurance
• Tuition reimbursement
• Free local bus pass
• Corporate discount programs
• AFLAC
• Employee Assistance Program for short-term counseling on work, family, finances, and personal issues.