Workers' Compensation Analyst

Los Angeles County Metropolitan Transportation Authority • Los Angeles, CA

7d • Onsite

About The Position

The Workers Compensation Analyst position is required to evaluate claims in accordance with the California Labor Code, and WCAB procedures, ensuring timely benefits, accurate documentation, and compliance with all state-mandated requirements. This position works closely with stakeholders to deliver timely benefits, maintain audit-ready files, and support effective return-to-work outcomes.

Requirements

• A combination of education and/or experience that provides the required knowledge, skills, and abilities to perform the essential functions of the position.
• Additional experience, as outlined below, may be substituted for required education on a year-for-year basis.
• Bachelor's Degree in Business Administration, Human Resources, or a related field
• One year of relevant experience examining California Workers' Compensation indemnity claims or related experience in the workers' compensation industry
• 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
• Prior employers' designation Certificate required in claims handling

Nice To Haves

• Experience applying workers' compensation labor code laws when providing benefits or denying a claim
• Experience reviewing medical reports to explain timelines for the provision of benefits
• Experience conducting full-cycle workers' compensation claims
• Experience monitoring and/or processing provisions of workers' compensation benefits, time limitations, and benefit letters
• Experience reviewing medical reports and Whole Person Impairment calculations and rating Maximum Medical Improvement reports
• Insurance Education Association Certificate and California Workers' Compensation Self-Insured Certificate preferred

Responsibilities

• Conducts journey-level investigations upon receipt of new claims
• Reviews and responds to all incoming legal and mail on a timely manner in accordance with California Labor Code regulations
• Audits claim files to ensure all benefits have been paid appropriately
• Provides timely and quality customer service to all Metro staff as well as outside providers
• Maintains close working contact with injured employees and division personnel
• Maintains claim files on an effective diary system
• Meets with division personnel on a quarterly basis to review open Workers' Compensation cases
• Works closely with legal to strategize on appropriate handling of claims
• 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: Mid Level