WORKERS' COMPENSATION CONSULTANT
About The Position
Under the general direction of the Supervising Workers' Compensation Consultant, the Workers' Compensation Consultant (WCC) performs tasks related to Independent Medical Review (IMR) and Independent Bill Review (IBR) of applications received that include vital component of the review process from communicating with all parties involved using the case management system; responding to written and verbal inquiries received that require thorough knowledge of various laws and statutes; and tracking information in an independent capacity and/or in consultation with appropriate authorities that will result in the timely resolution of claims thereby meeting the Department's needs in the most cost effective manner. Effective July 1, 2025, specific Bargaining Units and associated Excluded State employees are subject to a salary reduction between 2% - 4.62% in exchange for hours in the Personal Leave Program 2025 (PLP 2025) per month. For more details, please click here to visit the California Department of Human Resources (CalHR) website. This posting may be used to fill future vacancies in accordance with 2 CCR §249.3. To be considered for this Workers Compensation Consultant job opportunity, applicants must be either reachable on an employment list, have transfer eligibility or have reinstatement eligibility. To take the exam and gain employment list eligibility, please click here to access the exam bulletin: https://calcareers.ca.gov/CalHrPublic/Exams/ExamBulletin.aspx?ExamControlId=2962 You will find additional information about the job in the Duty Statement.
Requirements
- applicants must be either reachable on an employment list, have transfer eligibility or have reinstatement eligibility
- Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
Nice To Haves
- Knowledge of applicable State and Federal laws, regulations, and codes relative to workers' compensation.
- Knowledge of the California Workers' Compensation system.
- Knowledge of workers' compensation case management, investigation and statistics.
- Excellent writing skills to prepare comprehensive reports and summaries.
- Ability to interpret and apply policies and procedures.
- Analyzing claims to make recommendations or develop strategies to bring them to resolution.
- Intermediate computer skills.
- Experience researching, analyzing, and implementing applicable statutes, regulations, and policy.
- Experience communicating effectively with all levels of the organization.
- Experience working collaboratively with stakeholders.
- Experience effectively working on multiple priorities.
Responsibilities
- performs tasks related to Independent Medical Review (IMR) and Independent Bill Review (IBR) of applications received
- communicating with all parties involved using the case management system
- responding to written and verbal inquiries received that require thorough knowledge of various laws and statutes
- tracking information in an independent capacity and/or in consultation with appropriate authorities that will result in the timely resolution of claims thereby meeting the Department's needs in the most cost effective manner
Benefits
- Health, dental, and vision benefits
- Paid sick and vacation
- California State holiday pay
- 401 (k) and 457 plans
- Retirement (CalPERS)
- Employee Assistance Program (EAP)
- Public Transit Subsidy
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What This Job Offers
Job Type
Full-time
Industry
Executive, Legislative, and Other General Government Support
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
