Workers' Compensation Claims Processing Specialist

Please note: Internal employees who are attempting to submit an

application from an external facility, please login through Global Connect.

For help, please contact our IT Support team at (213) 241-5200 available

Mondays through Fridays from 7:30AM to 5:00PM.

We are LAUSD. We are at the forefront of innovation in public education,

focused on a clear and inspiring vision of the future for all of our students

as they venture forward on their journey as lifelong learners. Here, you

will have the opportunity to exercise your potential in a role supporting

the business of education. Our work directly contributes toward the goal

of ensuring that our students graduate ready for the world – ready to
thrive in college, career and life.

LAUSD is the second largest school district in the nation with an

enrollment of nearly 575,000 students. We serve an area totaling 710

square miles, with over 1,190 schools and educational centers, and we

employ over 74,000 individuals, making us one of the largest employers

in our city.

Department or School Site LAUSD is currently seeking well-qualified candidates to fill a Workers'

Compensation Claims Processing Specialist position.

THE POSITION:

A Workers' Compensation Claims Processing Specialist participates in

the Claims Processing activities of the Workers’ Compensation Section of

the Division of Risk Management and Insurance Services.

At LAUSD, we are committed to providing a safe and supportive work

environment for our employees, and the Workers' Compensation

Processing Specialist plays a vital role in ensuring that injured

employees receive the care and support they need to recover and return

to work. If you are passionate about making a difference and have the

skills and experience to excel in this role, we encourage you to apply.

THE IDEAL CANDIDATE WILL:

• Demonstrate proficiency in utilizing office technology for data analysis

• Exhibit a firm grasp of California Workers' Compensation laws, adept at

• Excel in time management and problem-solving, managing claims

• Embody a strong work ethic, showcasing unwavering commitment to

• Have a collaborative mindset with a demonstrated ability to work

colleagues and stakeholders

• Maintain composure during challenging interactions, effectively

• Ideally, poses completed coursework in medical terminology and

college education.

Benefits Insurance: Paid premiums for your choice of several medical, dental,

vision, and life insurance plans. Retirement: Membership in the California

Public Employee Retirement System (CalPERS).

Vacation: Two weeks of paid vacation to start. Three weeks after five

years of year-round paid service.

Paid Holidays: Up to 13 days.

Job Duties/Responsibilities TYPICAL DUTIES DOR THIS POSITION:

• Assists in the processing of Workers’ Compensation claims, including

employees' work history.

• Evaluates information and reports relative to claims payments.
• Addresses questions about Workers’ Compensation programs, informs

• Compiles and analyzes claims data and makes recommendations for

• Gathers information on accident causes and reports on hazardous or

the Office of Environmental Health and Safety to abate the hazards.

• Assists in maintaining on-going oversight of the third-party administrator

activities to verify suspicious claims, questioning and resolving

discrepancies, monitoring of medical treatment, and reviewing case

reserves for adequacy.

• Provides courteous and expeditious customer service to administrators,

• Reviews and evaluates settlement authority requests and makes

• Acts as a Liaison to the Early Return to Work Unit as required.

For a complete class description, please visit https://lausdjobs.org/,

under *Employee Resources* and selecting *Job Descriptions.*Entrance

requirements are representative of the minimum level of knowledge, skill,

and/or abilities.

Minimum Requirements Please note the "Minimum Entrance Qualifications" for both the

Education and Experience listed below and on the class description must

be met in order to move forward in our selection process.

ENTRANCE REQUIREMENTS:

• Education: Two (2) years of college, preferably supplemented by

required may be substituted for the required education on a year-for-year

basis.

Satisfactory completion of at least one course in each of the following

areas: Medical Terminology,

Workers’ Compensation Law, and Permanent Disability Rating is
desirable.

• Experience: Two (2) years of experience as a Workers' Compensation

regarding workers’ Compensation Claims covered by California law.
OR

Two (2) years of experience performing duties that required

interpretation, explanation, and application of rules and regulations

applicable to Workers' Compensation, which must include at least one (1)

year of experience regarding workers’ Compensation Claims covered by
California law.

A Self-Insurance Administrator’s Certificate issued by the State of
California is desirable.

Special: A valid California Driver License. Use of an automobile.

• IMPORTANT NOTE: In order to qualify you need to meet the

educational requirements. As such, you MUST upload your official proof

of highest level of education achieved as it relates to this position (e.g.,

bachelor's degree, official transcripts, etc.) to your candidate profile,

under "Attachments." We screen applications based on the minimum

requirements and need to verify the educational requirement is met.

**Candidates who have completed college or university course work at

an institution in a country other than the United States, must obtain a

complete evaluation of foreign transcripts and degrees. Please be sure

to request a “Detailed” evaluation report. The original of this degree
evaluation must be presented.

For more information on Foreign Transcript Evaluation please visit

https://achieve.lausd.net/Page/7876

Employment Selection Process The selection process may consist of one or more of the following: A

computerized assessment and/or a Technical Interview. After

applications are reviewed and determined to meet the minimum

qualifications, qualified candidates will move on to the next phases of our

selection process.

This is a competitive process as we anticipate a number of well qualified

candidates for this recruitment. Please make sure that you describe in

DETAIL, your experience, education, and training that most closely

relates to this position in the on-line application.

In your application you may include a professional resume, but it will

NOT be in lieu of a detailed application.

It is imperative that your application reflects your true and accurate

background.

Furthermore, if you have assisted in an interim or other temporary

assignment or worked out-of-class for a significant and specified duration

of time, include the contact information of your immediate supervisor

during that assignment and be prepared to present verification from the

official (local district superintendent, department administrator, or

supervisor) validating your claim.

PLEASE NOTE: Qualified Candidates will be required to present an

unexpired government identification at the time of the test. If you are

unable to attend the scheduled test date, rescheduling is NOT

guaranteed.

Please be sure to include correspondence from @lausd.net as an

approved sender so that messages aren't accidentally placed into your

spam/junk e-mail folder.

Please make sure to check your email on a regular basis as all

notifications regarding this recruitment will be sent via email

We encourage you to visit our website, http://www.lausdjobs.org

periodically to check for the next recruitment and we encourage you to

apply to any positions for which you believe you meet the minimum

qualifications.

For more information about the LAUSD employment assessment

process, visit the 'My LAUSD Career' section of our website at

http://www.lausdjobs.org .

Application Process PLEASE NOTE: Our application system is only compatible with Chrome,

Internet Explorer and FireFox, on a desktop/laptop computer.

DO YOU NEED TECHNICAL ASSISTANCE WITH THE ON-LINE

APPLICATION?

Email us at helpmeapply@lausd.net

To find out whether the application deadline has been extended, visit the

website at: http://www.lausdjobs.org .

The Los Angeles Unified School District intends that all qualified persons

shall have equal opportunities for employment and promotion.

Reasonable accommodations in completing an application and testing

are available to individuals with disabilities. Please call (213) 241-3455

for more information.

If you have any questions regarding this recruitment, please contact

Jessica Carrera at jessica.carrera@lausd.net

Additional Posting Information Selection and promotion are based on a competitive employment

assessment process. Candidates who pass all parts of the assessment

process are placed on a hiring (eligibility) list based on their assessment

score. Hiring departments may make job offers to candidates on the top

three ranks of the hiring list. Eligibility typically lasts for 12 months. The

hiring list resulting from this assessment process may be used to fill open

positions in related job classifications.

An eligibility list is typically active for a minimum of 12 months and/or has

fewer than three (3) ranks. As such, please register for job alerts in the

event that the list expires prior to the list’s expiration date.

The eligibility list/hiring list resulting from this employment

assessment/testing process may be used to fill open positions in related

job classifications

The Los Angeles Unified School District is committed to providing a

working and learning environment free from discrimination, harassment,

intimidation, abusive conduct, or bullying. The District prohibits

discrimination, harassment, intimidation, abusive conduct or bullying

based on actual or perceived race or ethnicity, gender/sex (including

gender identity, gender expression, pregnancy, childbirth,

breastfeeding/lactation status and related medical conditions), sexual

orientation, religion, color, national origin (including language use

restrictions and possession of a driver’s license issued under Vehicle
Code), ancestry, immigration status, physical or mental disability

(including clinical depression and bipolar disorder, HIV/AIDS, hepatitis,

epilepsy, seizure disorder, diabetes, multiple sclerosis, and heart

disease), medical condition (cancer related and genetic characteristics),

military and veteran status, marital status, registered domestic partner

status, age (40 and above), genetic information, political belief or

affiliation (unless union related), a person's association with a person or

group with one or more of these actual or perceived characteristics, or

any other basis protected by federal, state or local law, ordinance, or

regulation in any program or activity it conducts or to which it provides

significant assistance.

For inquiries or complaints contact our Equal Opportunity Section, (213)

241-7685.

Selection and promotion are based on a competitive employment

assessment process. Candidates who pass all parts of the assessment

process are placed on a hiring (eligibility) list based on their assessment

score. Hiring departments may make job offers to candidates on the top

three ranks of the hiring list. Eligibility typically lasts for 12 months. The

hiring list resulting from this assessment process may be used to fill open

positions in related job classifications.