Lead Case Manager, Workers' Compensation - Hybrid - 131348
Job Description
Effective 10/25/24: This position will now be hired at the ENTERPRISE RISK MGT ANL 4 level.
UCSD Layoff from Career Appointment: Apply by 08/06/24 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 08/16/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will work a hybrid schedule which includes a combination of working both onsite (quarterly) in University City and remote.
Under the direction of the Disability Management and Workers' Compensation Manager, this position provides support and guidance to employees, faculty, and departments for occupational and non-occupational injuries and illnesses by administering the insurance programs to facilitate maximum recovery, identifying risk exposures, recommending strategies to reduce or eliminate risks. This position impacts constituencies at all levels of the organization.
This role is responsible for managing the entire process, to include but not limited to: intake and scoping of requests/claims, consultation with employees and managers, communication with providers and medical professionals, interactive process, complex claim administration, and benefits coordination in accordance with federal and state law as well as organization policies and guidelines.
The position interfaces effectively with other departments in HR, Health and Safety, Payroll/Timekeeping, Risk Management, Legal, and related contacts internal and external to the University to achieve desired goals. The position also designs, develops and presents training presentations to clients, and assists in program administration by analyzing complex risk metrics to assist with program enhancements.
MINIMUM QUALIFICATIONSNine years of related experience, education/training, OR a Bachelor's degree in related area plus five years of related experience/training.
Working knowledge of medical terminology and medical reports and their respective implications for claim handling and reasonable accommodation. Ability to maintain highly confidential information in an appropriate manner while ensuring high ethical standards.
Demonstrated comprehensive knowledge of California workers' compensation claims management; ADA, FMLA, CFRA, EEOC/DFEH and other related regulations and provisions.
Ability to conduct job analyses to recommend reasonable accommodations and to compare functional capacity to job requirements in order to recommend reasonable accommodations.
Proven conceptual and oral communication skills to explain related University and location policies, procedures, and collective bargaining agreement articles.
Proven customer service orientation, active listening skills, and organizational skills while balancing significant caseloads.
Ability to explain and persuade in a concise manner and ability to communicate complex information effectively, both orally and in writing.
Demonstrate working knowledge of MS Office, Word, Excel, Outlook, and Power Point
Completion of Insurance Educational Association course WCCA 10, Foundations of California Workers' Compensation Claims, or equivalent California Workers' Compensation certificate program.
Certified Professional in Disability Management, Certified Rehabilitation Counselor, Certified ADA Coordinator.
Experience in working in higher education or a large healthcare organization.
Working knowledge of case management and payroll and benefits/leaves systems.
- Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $94,400 - $176,800 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $45.21 - $84.67
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html
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