Los Angeles Community College District

Plans, coordinates, and administers the District’s risk management areas related to a workers’ compensation program and insurance claims program, which includes property, liability, and student insurance claims.

Plans, assigns, supervises the work of and provides training to assigned staff engaged in processing insurance and workers’ compensation claims for the District.

Performs a variety of complex professional technical and advisory work involving the administration of the District’s risk management areas related to a workers’ compensation program and insurance claims program, which includes property, liability, and student insurance claims.

Recommends and implements policies, regulations, rules, and practices involving the administration of risk management areas related to insurance and workers compensation programs.

Supervises and participates in the investigation of District insurance and workers’ compensation claims and approves or denies payments in accordance with established limits.

Serves as an expert source when providing guidance, advice, and policy interpretation to District administrators and employees on risk management areas related to insurance and workers compensation.

Identifies and evaluates all District programs, projects, and facilities to identify liabilities and exposure and to develop loss-control programs.

Supervises and participates in the audit of outside insurance and workers’ compensation claims administration firms and outside vendors such as insurance brokers, defense counsels, investigation firms, vocational rehabilitation firms, medical clinics, and certificate tracking firms.

Makes recommendations regarding settlement and disposition of insurance and workers’ compensation cases.

Researches, interviews, and makes recommendations regarding the use and selection of outside vendors such as insurance brokers, defense counsels, claims administration firms, investigation firms, and certificate tracking firms.

Coordinates and participates in the review of insurance and indemnification language on contracts and recommends amendments to ensure the protection of the District.

Represents the District in consultation and negotiations with employee organizations, insurance companies, and consultants regarding liability, workers’ compensation, and property and casualty coverage.

Coordinates the development of specifications for the procurement of insurance.

Effectively utilizes the capabilities of management information systems involving risk management areas related to insurance and workers’ compensation programs.

Prepares and reviews reports related to insurance activities for submission to the Board of Trustees.

Coordinates the preparation of a variety of reports and correspondences related to the District’s insurance and workers’ compensation claim programs.

Monitors budget allocations for premiums and claims adjudication.

Coordinates the planning and scheduling in-service workshops on risk management areas related to insurance and workers compensation.

Coordinates the development of information packages, instructions, and brochures involving risk management areas related to insurance and workers’ compensation.

Attends meetings, depositions, settlement conferences, mediations, hearings, and trials.

Performs related duties as assigned.

A Risk Management Coordinator plans, coordinates, and administers the District’s risk management areas related to a workers’ compensation program and insurance claims program, which includes property, liability, and student insurance claims.

An Insurance Claims Specialist performs a variety of professional-level staff work related to the administration of the District’s insurance claims program.

A Workers’ Compensation Claims Specialist performs a variety of professional-level staff work related to the administration of the District’s workers’ compensation claims program.

General supervision is received from the Director of Business Services. Immediate supervision is exercised over professional, technical, and clerical staff.

Knowledge of:

Principles of underwriting, claims management, safety, and risk management

Principles and practices of property, casualty, liability, and industrial injury insurance

Practices and procedures pertinent to insurance claims administration

Policies and business practices of the insurance and workers’ compensation industry

Sections of the California Education and Government Code pertaining to liability and self-insurance and workers’ compensation

Sections of the California Labor Code pertinent to workers compensation

Rules and regulations of the California Division of Industrial Accidents, Workers’ Compensation Appeals Board, and Unemployment Insurance Appeals Board

California OSHA laws, rules, and regulations

Current trends in risk management areas related to insurance and workers’ compensation programs

Principles of supervision and training

Principles and procedures of budgeting

Basic principles and methods of statistical analysis, prediction and presentation

Organization and management of records

Principles and practices of business and public administration

Capabilities of computer systems, software, and hardware used in risk management areas related to insurance and workers’ compensation programs

Ability to:

Plan and perform complex professional staff work involving risk management areas related to insurance and workers compensation claim programs

Interpret and apply laws, rules, regulations and policies pertinent to assigned areas

Collect, analyze, interpret, and evaluate data, draw sound conclusions, and make recommendations

Work effectively and tactfully with all levels of staff in the District and representatives of contractors and other public agencies

Develop methods and procedures that improve efficiency of assigned functions

Prepare clear, comprehensive, and concise reports and correspondence

Present complex and difficult technical information effectively, both orally and in writing

Identify insurance program needs and alternatives, and makes recommendations on modifications and improvements as needed

Secure confidence, respect, and cooperation of individuals and organizations contacted in the course of work

Plan and organize work to meet deadlines

Adapt to changing priorities and work demands

Complete complex assignments independently

Effectively utilize computer equipment, software, and management information systems in the performance of duties

Deal with novel and difficult problems

Exercise creativity and critical judgement

Evaluate work methods and procedures

Plan, schedule, coordinate, and conduct in-service workshops, seminars and conferences related to assigned areas

Train, motivate, and supervise assigned staff

Travel to on and offsite meetings

Learn specialized computer applications

Education:

A bachelor’s degree from a recognized college or university, preferably with a major in risk management, insurance management, public administration, business administration, or a related field.

Experience:

Four years of recent, full-time, paid, professional-level experience related to the administration of a risk management program involving an insurance or workers’ compensation claims program for an organization employing 500 or more employees. Supervisory experience is desirable.

Possession of a valid Chartered Property and Casualty Underwriter (CPCU) designation issued by the American Institute for Chartered Property Casualty Underwriters, a valid California Workers’ Compensation Claims Administration Certificate (WCCA) and California Workers’ Compensation Claims Professional (WCCP) designation issued by the Insurance Educational Association are desirable.

Special:

A valid Class “C” California driver’s license.

Travel to locations throughout the District is required.

Reasonable Accommodation

Our class specification generally describes the duties, responsibilities, and requirements characteristic of the position(s) within this job class. The duties, responsibilities, and requirements of a particular position within this class may vary from the duties of other positions within the class.

In accordance with the Americans with Disabilities Act (ADA), the Los Angeles Community College District provides reasonable accommodation to qualified individuals with covered disabilities on a case-by-case basis throughout the application, examination, and hiring processes and throughout employment. If an individual is in doubt about their ability to perform the duties and responsibilities of a position or possession of any other requirement noted in a class specification or job announcement, they should always apply for a position and request reasonable accommodation at the appropriate time.