Job Description
- Receive and review Workers' Compensation claims and reports and determine if occupational illness or injury is compensable; authorize and compute payment utilizing California State Workers' Compensation Law; advise employees and dependents of entitlement to Workers' Compensation benefits under state law and County policy.
- Develop documentation for claim reports by requesting substantiating reports from physicians, supervisors, and witnesses; review injury reports for completeness and consistency; resolve discrepancies in data; advise departments regarding procedures and reporting deadlines involving work injuries.
- Explain to injured workers their benefits and legal rights under Workers' Compensation Laws.
- Prepare subrogation and litigation cases and correspond with doctors and attorneys on litigated cases; attend Workers' Compensation Appeal Board Hearings and authorize settlements under $50,000 as delegated by the Risk Manager; may serve as a witness at appeal hearings; arrange special investigations and medical examinations.
- Prepare briefs of Personnel and Health Department information to Workers' Compensation attorneys for submittal to the Workers' Compensation Appeals Board; secure documentary evidence of births, deaths, marriages, and divorces in fatality cases. Serve as custodian of records; produce records and attest to validity under the direction of the court by subpoena.
- Prepare and present informational seminars or in-service training to explain the County Workers' Compensation Program.