Senior Workers' Compensation Analyst (Risk Management)

Los Angeles County Metropolitan Transportation Authority • Los Angeles, CA

9d • Onsite

About The Position

Performs senior analyst-level workers' compensation functions in accordance with the California Labor Code, mentors lower level staff, and works with management and division personnel to enhance the Transitional Duty Program (TDP). Interviews are projected to be scheduled for the week of July 6, 2026. These dates are subject to change. We encourage you to monitor your governmentjobs.com profile and emails for the latest updates.

Requirements

• A combination of education and/or experience that provides the required knowledge, skills, and abilities to perform the essential functions of the position.
• Bachelor's Degree in Business or a related field
• Three years of relevant experience handling, analyzing, and resolving workers' compensation claims and caseload of varying types of employers, including California workers' compensation laws experience
• A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions
• Knowledge of theories, principles and practices of claims administration
• Knowledge of applicable local, state, and federal laws, rules, regulations, and guidelines governing workers' compensation, disability, and vocational rehabilitation
• Knowledge of State Labor Code laws
• Knowledge of strategies and procedures for case settlements
• Knowledge of research and report preparation
• Knowledge of applicable business software applications
• Skill in performing professional workers' compensation claims administration work
• Skill in calculating wages
• Skill in reviewing and rating medical reports
• Skill in analyzing situations, identifying problems and issues, and recommending solutions
• Skill in working with legal representatives to resolve matters or cases
• Skill in working aggressively to bring cases to resolution without legal actions
• Skill in preparing comprehensive reports and correspondence
• Skill in communicating effectively both orally and in writing
• Skill in operating personal computers and office equipment
• Ability to organize and prioritize work
• Ability to handle work assignments on a strict diary system to ensure deadlines are met timely
• Ability to meet time constraints and deadlines
• Ability to use good judgment when handling highly confidential material and information
• Ability to follow both oral and written instructions
• Ability to understand, interpret, and apply laws, rules, regulations, policies, procedures, guidelines, contracts, budgets, and labor/management agreements
• Ability to compile and analyze data
• Ability to prepare and report statistical information
• Ability to interact professionally with various levels of employees and outside representatives
• Ability to read, write, speak, and understand English

Nice To Haves

• California Workers' Compensation Claims Administration (WCCA) Certificate preferred
• Prior employer's Designation Certificate preferred
• California Self-Insurers Administration Certificate preferred
• Experience applying Workers' Compensation labor code laws when providing benefits or denying a claim.
• Experience in reading/comprehending medical reports to explain time-lines for the provision of benefits.
• Experience conducting full-cycle workers' compensation claims.
• Experience monitoring and/or processing provisions of workers' compensation benefits, time frames and benefit letters.
• Experience reviewing medical reports, calculating Whole Person Impairment, rating Maximum Medical Improvement reports.

Responsibilities

• Conducts senior analyst-level investigations upon receipt of new claims
• Assists employees who have been injured on the job and processes benefits due to injured employees
• Handles issues and problems regarding injured workers who have filed claims
• Processes medical bills and liens accumulated during an injured employee claim process
• Reviews and responds daily to all incoming legal and medical mail on a timely manner in accordance with California Labor Code regulations
• Handles claim files efficiently to ensure all benefits have been paid timely and appropriately
• Provides quality customer service to injured employees, division personnel, and providers
• Maintains claim files on an effective diary system to aggressively handle claims and ensure timely responses
• Works closely with legal to strategize on plans of action for appropriate resolution of claims
• Mentors and trains lower level employees
• Provides a high quantity and quality of work in accordance with departmental policies and procedures and in accordance with the California Labor Code Regulations and Requirements
• Prepares files for presentation to division personnel as required/needed
• May be required to perform other related job duties

Benefits

• Metro provides reasonable accommodation to enable individuals with disabilities to perform the essential functions
• Metro is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, ancestry, national origin, gender, marital status, sexual orientation, religion, age, veteran status, or disability.
• Metro does not deny participation in the application process to anyone with prior justice system involvement, in line with Fair Chance hiring practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior