Job Details

Workers Compensation Program Manager (Administrator I) - Risk Management
California State University, San Bernardino


Job No: 537458
Work type: Management (MPP)
Categories: MPP, Administrative, At-Will, Full Time, On-site (work in-person at business location) Job Summary:

Under general direction of the Executive Director of Risk Management, the Workers' Compensation & Loss Control Program Manager exercises independent judgement and manages California State University San Bernardino workers' compensation program, temporary return to work, and loss control programs under the authority of the California State University Risk Management Authority (CSURMA) Joint Powers entity and system-wide risk management and in close coordination with CSUSB's Third Party Administrator, Human Resources and the Environmental Health and Safety Office. In addition, this position works with the Office of General Counsel on the preparation of documents requested for litigation and to limit loss incurred by the University.

Responsibilities include, but are not limited to:

Workers' Compensation Program Administration

• Manages the daily operations of the CSUSB workers' compensation program in accordance with the self-insurance CSURMA program. Oversees third-party administrator files; assists with legal settlement strategies and processes. Maintains files, records, and other documents. Handles claims from inception to resolution. Responds to workers' compensation claims requests from third-party partners and attorneys. Reviews, monitors and provides recommendations and strategies to mitigate claims exposure and settle claims.
• Claims management includes: claims processing and research, medical case management, discovery coordination, legal case management, return to work programs, and loss reporting. Monitors claims activity and provides effective feedback to third party claims administrator to optimize workers' compensation program results.
• Maintains compliance with applicable laws and regulations, and technical guidance issued by the CSU Chancellor's Office.
• Develops and implements training and regular communications for campus employees, supervisors, department heads, and deans concerning the University's Workers' Compensation Program

Program Management & Reporting

• Provides guidance and advice on the development of claims services, functions, policies, programs and regulatory matters as they relate to Workers' Compensation. Gathers, analyzes, and reports complex workers' compensation data. Prepares statistical workers' compensation data and trending analysis. Creates and maintains databases for claims management and reporting as appropriate. Implements proactive solutions to current loss trends. Ensures workers' compensation claims are managed in compliance with regulatory requirements and guidelines. Informs management of large loss cases and performance of occupational health providers. Responsible for all system-wide reporting on workers' compensation program experience and trends for the campus. Develops and maintains regulatory reporting and documentation relating to occupational injuries and illnesses. Represents the University at depositions and hearings as appropriate. Provides recommendations and implement strategies to reduce costs associated with the Workers' Compensation program.
• Monitors and interprets laws and policies regarding industrial injuries, illnesses, and disability. Recommends appropriate and timely changes to ensure compliance and optimize workers' compensation program performance.

Loss Control Program Administration

• Coordinate with the Office of General Counsel, campus administrators and Human Resources to ensure information requests meet applicable policies, procedures and regulations. Assist in claim defense preparation of litigated cases including litigation holds, coordination of documents, scheduling, attorney liaison, and case preparation. Collect, file, and evaluate information to assess the University's position relative to subpoenas. Release records in compliance with applicable laws and regulations including FERPA and HIPAA.
• Develop, implement, manage and improve program initiatives as assigned in coordination with CSUSB departments and off campus entities. Monitor the performance of the programs and recommend appropriate and timely change in services, and procedures to optimize Risk Management program performance.

Collaboration

• Establishes and maintains critical relationships with key stakeholders in a diverse campus community including but not limited to, the Workers' Compensation Third Party Administrator, Office of General Counsel and outside attorneys, Medical Providers, Systemwide Office of Risk Management, Human Resources, Deans, Department heads and senior University leadership. Participates in committees, panels, and peer association activities. Collaborates with the Office of Environmental Health and Safety on research and projects to reduce claims. Participates in personal and professional development, including legal case law updates, educational seminars, and conferences. Represents the Office of Risk Management as directed or appropriate on university committees and work groups. Leads University-wide committees and work teams as directed or appropriate.

Minimum Qualifications: Required Education and Experience

• Bachelor's degree in Business Administration, Public Administration, Human Resource Management or related field from an accredited college or university and two to five (2-5) years of professional and supervisory experience.

Required Qualifications

• Three (3) years experience in benefits administration with an emphasis in workers' compensation claims handling, claims supervision, brokerage of claims services and/or risk management
• Two (2) years experience developing, analyzing, and preparing workers' compensation statistical claims data
• Skills, knowledge, and abilities required for this position. As listed in Classification Standards.
• Skill effectively managing multiple projects, priorities and deadlines; problem solving; using PC computer systems and software including Microsoft Office suite, Peoplesoft, and claims management database software.
• Knowledge in workers' compensation strategic planning and development of workers' compensation claims analysis methods. Functional knowledge of California workers' compensation law. Knowledge of principles of risk management and methodologies for risk transfer, control and financing as related to workers' compensation and return to work programs.
• Ability to establish and maintain department priorities, processes and procedures; exercise sound judgement; administer innovative plans, programs and services; communicate effectively in oral and written form; establish and maintain effective relationships; work independently and work cooperatively with a diverse campus community.

Preferred Qualifications

• Professional designations such as Certified Workers' Compensation Professional (CWCP), and/or Workers' Compensation Claims Professional (WCCP) or Worker's Compensation Claims Administration (WCCA) certification, and/or Associate In Claims (AIC), and/or Associate in Risk Management (ARM) preferred.

Compensation and Benefits:

Anticipated Hiring Range: $6,667 - $7,408 per month

Classification Salary Range: $3,750 - $11,146 per month

The salary offered will take into account internal equity and experience among other factors.

The CSU system provides a comprehensive benefit package that includes medical, dental and vision plans, membership in the California Public Employees Retirement System (CalPERS), sick and vacation time, and 15 paid holidays a year. Eligible employees are also able to participate in the fee waiver education program. A summary of benefit information can be found here.

Position Information:

Work status: Full-time/Exempt/At-will

Academic year schedule: Monday through Friday (8:00 am - 5:00 pm), some evenings/weekends.

Summer schedule: Monday through Thursday (7:00 am - 5:30 pm), some evenings/weekends.

This is a full-time management (MPP) position. MPP employees serve at the pleasure of the campus President. MPPs do not serve a probationary period and never receive permanent status.

This position is a "designated position" in the California State University's Conflict of Interest Code. The successful candidate accepting this position is required to file Conflict of Interest forms subject to the regulations of the Fair Political Practices Commission.

MPP: First considerations will be given to candidates who apply by Sunday, May 19, 2024 and will continue until the position is filled; however, the position may close when an adequate number of qualified applications are received.

As of January 1, 2022, the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California.

California State University, San Bernardino in not a sponsoring agency for staff or management positions (i.e. H1-B Visas).

Conditions of Employment

Background Check

Satisfactory completion of a background check (including a criminal records check) is required for employment. CSU will make a conditional offer of employment, which may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. Failure to satisfactorily complete the background check may affect the continued employment of a current CSU employee who was conditionally offered the position.

Mandated Reporter

The person holding this position is considered a `mandated reporter' under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment.

Campus Security Authority

This position is designated as a Campus Security Authority (CSA) position under the federal Jeanne Cleary Disclosure of Campus Security Policy and Campus Crime Statistics Act. CSAs are responsible for reporting allegations of Clery Act Crimes reported to them or that they witness. CSA training is required.

I-9

CSUSB hires only individuals lawfully authorized to work in the United States. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. See Form I-9 Acceptable Documents at https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents.

Statement of Commitment to Diversity

In our commitment to the furthering of knowledge and fulfilling our educational mission, California State University, San Bernardino seeks a campus climate that welcomes, celebrates, and promotes respect for the entire variety of human experience. We welcome people from all backgrounds, and we seek to include knowledge and values from many cultures in the curriculum and extra-curricular life of the campus community. We will create, promote, and maintain activities and programs that further our understanding of individual and group diversity. We will also develop and communicate policies and promote values that discourage intolerance and discrimination.

California State University, San Bernardino is proud to be an Affirmative Action/Equal Opportunity Employer. We recruit, hire, train, and administer all personnel actions without regard to race, ethnicity, religion, color, caste, national origin, ancestry, age, sex, gender, gender identity, gender expression, sexual orientation, socioeconomic status, genetic information, medical condition, disability, marital status, protected military or veteran status, or any other status protected by applicable law. This position adheres to CSU policies against Sex Discrimination, Sexual Harassment, and Sexual Violence, including Domestic Violence, Dating Violence, and Stalking. This requires completion of Sexual Violence Prevention Training within 6 months of assuming employment and on a two-year basis thereafter. (Executive Order 1096) For more information about Diversity & Inclusion at CSUSB, please visit https://www.csusb.edu/human-resources/diversity-inclusion

Closing Statement:

Reasonable Accommodation

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact CSUSB Benefits at benefits@csusb.edu.

Smoking

CSUSB is a smoke and tobacco-free campus. See policy at https://calstate.policystat.com/policy/6591951/latest/.

Clery Act

In compliance with state and federal crime awareness and campus security legislation, including The Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act, California Education Code section 67380, and the Higher Education Opportunity Act (HEOA), the Cal State San Bernardino Annual Security and Fire Safety Report is available at: https://www.csusb.edu/clery-act


To view full description and to apply, visit: https://www.csusb.edu








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