Claims Coordinator-Return-To-Work & Reasonable Accom

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.

THIS RECRUITMENT

LA Unified School District, is seeking a Claims Coordinator-

Return-to-Work/Reasonable Accommodation, with extensive

professional experience. This is a full-time management level position

currently assigned to a 12-month A-Basis) work calendar.

This position is in the Integrated Disability Management department:

https://achieve.lausd.net/Page/586

Integrated Disability Management (IDM) supports schools and offices by

centralizing various pieces of employee disability management through

the Reasonable Accommodations, Stay-at-Work/Return-to-Work,

Workers’ Compensation, State and Federal protected leaves and
Absence Management programs.

IDM staff minimizes the effects of disability and absence in the work

place by providing supportive guidance to supervisors and employees,

consistent application of complex statutes and policies, and disability

management training services.

THE IDEAL CANDIDATE

The ideal candidate for Return-to-Work/Reasonable Accommodation

Claims Coordinator will possess a thorough understanding and

application of California law as it pertains to cases of workers’
compensation, return-to-work and reasonable accommodations, and/or

liability management for a large-scale, public-sector agency with various

union bargaining units.

He/she will have experience performing research and investigative work

to analyze the complexities of disability management claims and make

recommendations that are mutually beneficial to all parties involved; this

often includes the know-how to work collaboratively with HR, general

counsel, safety, employee relations, unions, insurance companies,

and/or outside vendors to resolve pending claims.

Additionally, the ideal candidate will have experience managing complex

disability management or liability programs and claims, which involves

overseeing staff and external stakeholder groups to determine the extent

of legal obligations, developing settlement strategies, and evaluating the

financial implications of possible courses of action.

Further, he/she will have a strong customer service orientation to help

provide assistance throughout the claims process, while effectively

addressing any potential conflicts that may arise.

Finally, the ideal candidate will possess strong oral and written

communication skills to properly convey information regarding their

respective experience in the area of disability management or liability

programs and claims on behalf of LAUSD and its staff.

TYPICAL DUTIES FOR THE CLAIMS COORDINATOR

CLASSIFICATION

Typical duties for the current vacancy include organizing and supervising

the day-to-day activities and overseeing the performance of employees

within the Integrated Disability Management (IDM) Section.

• Coordinates and audits Third Party Administrator’s (TPA) files,

practices, and claims administration; and assists in maintaining on-going

oversight.

• Oversees the coordination and communication of information related to

employee, student or third party injury incidents, accident prevention,

reasonable accommodation, and return to work efforts and remedial

measures with District offices, TPA, and other agencies.

• Coordinates and assists the Office of the Inspector General (OIG) and

notifies OIG of investigative needs.

• Develops and implements District-wide workers’ compensation,

disability management, and liability management training programs.

• Establishes criteria used in the evaluation and settlement of workers’

compensation and liability claims, and oversees implementation to

ensure best practice guidelines are met.

• Reviews and evaluates claims processing and payment activity, and

reports, settlement authorization requests; and recommends the

settlement of claims within defined levels.

• Provides technical support for administrators, employees, and employee

organization representatives regarding workers’ compensation, disability
management, liability and District policies, procedures, and programs.

Performs other duties as assigned.

Benefits Insurance: District paid premiums for your choice of several medical,

dental, and vision for you and your dependents; and life insurance plans.

Retirement: Membership in the California Public Employee Retirement

System (CalPERS).

Vacation: 24 days each year.

Paid Holidays: Up to 13 days.

Minimum Requirements MIMIMUM REQUIREMENTS

Please note that the "Minimum/Entrance Qualifications" for both

Education and Experience, here and noted on the classification

specification must be met in order to move forward in our selection

process.

Education: Graduation from a recognized college or university with a

bachelor’s degree**, preferably with a major in risk management,
business administration, public administration, vocational rehabilitation or

a related field.

Qualifying experience beyond that required in a professional level staff

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

basis.

Experience: Three (3) years of experience, preferably with a public

agency, in any combination of the following areas:

Developing, implementing, or coordinating a workers compensation

program with responsibility for more than 1000 workers compensation

claims per year, which must include at least one (1) year of experience

performing duties regarding workers compensation cover by California

law.

OR

Developing, implementing, or coordinating a liability program with

responsibility for more than 500 liability claims per year, which must

include at least one (1) year of experience performing duties regarding

liability claims covered by California law.

OR

Developing, implementing or coordinating a return to work or reasonable

accommodation program with responsibility for more than 100 cases per

year, which must include at least one (1) year of experience performing

duties regarding return to work or reasonable accommodations covered

by California Law.

Possession of certification as an Associate of Risk Management (ARM),

Associate in Risk Management-Public Entities (ARM-P), Associate in

Claims (AIC), State of California Self Insured Administrator Certificate,

and/or Certified Professional in Disability Management (CPDM) is

preferable.

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

**Note: To verify the education requirement an original diploma or

official, sealed transcript of coursework and high school diploma (if

required) must be UPLOADED to your Candidate Profile, under

“Attachments.”

Candidates who have completed college, university or high school

course work at an institution in a country other than the United States,

must obtain a complete evaluation of foreign transcripts and degrees.

Please make sure to request a “Detailed” evaluation report. Please be
sure to use degree evaluation service agencies from the following

approved agencies:

http://www.ctc.ca.gov/credentials/leaflets/cl635.pdf .

IMPORTANT INFORMATION ABOUT “SELECTIVE CERTIFICATON”

Some positions may require special knowledge or experience for which

selective certification may be made according to the Education Code

Section 45277, AB2125.

SELECTIVE CERTIFICATION is a tool that allows management to

interview additional candidates beyond the top three overall ranks who

possess specialized knowledge, skill, or experience in an area which is

not widely expected in the overall recruitment pool, is not readily

developed on the job, and yet is consistent with the overall concept of the

classification. Verified competence in one or more of the following areas

may be considered in filling some positions in the job classification. In

order to be considered for Selective Certification, candidates must apply

and meet one or more of the following requirements:

1) WORKERS' COMPENSATION: "Two (2) years of specialized

experience developing, implementing, or coordinating a workers’
compensation program with responsibility for more than 1,000 workers’
compensation claims per year covered by California law."

2) LIABILITY: "Two (2) years of specialized experience developing,

implementing, or coordinating a liability program with responsibility for

more than 500 liability claims per year covered by California law."

3) RETURN-TO-WORK/REASONABLE ACCOMMODATION: "Two (2)

years of specialized experience developing, implementing, or

coordinating a return-to-work or reasonable accommodation program

with responsibility for more than 100 cases per year covered by

California law."

Selective Certification will be assessed at a later time to ensure you

satisfy the requirement(s) for consideration.

All employees must be fully COVID-19 vaccinated and must be able to

provide verification of their vaccination status as part of the hiring and

onboarding process prior to an official offer of employment to any District

site; this includes current employees who are being promoted to a new

job class.

Employment Selection Process We anticipate receiving a number of well qualified applicants for this

position; therefore, there will be a competitive process.

It is highly recommended that your application materials (application,

resume and cover letter) clearly show all your relevant background and

specialized skills, knowledge, and abilities.

Application materials will be evaluated in relation to the background,

experience, and competencies identified for successful performance in

this job.

Once your application has been received, a confirmation email will be

sent to your email address to confirm receipt of your application. If you

do not receive a confirmation email; your application has not been

submitted.

For CURRENT LAUSD EMPLOYEES: Correspondence will be sent to

your WORK EMAIL account.

You may also submit/attach a resume, and cover letter, but note that you

must also complete the online application and questionnaire.

The tentative employment assessment plan for this recruitment will

include a Training and Experience (T & E) Evaluation and an interview.

Please contact Deborah Jansen at email her at

[email protected] or 213) 241-5449 for specific questions about

this recruitment and process.

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

approved sender so that messages are not accidentally placed into your

spam/junk e-mail folder.

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 DO YOU NEED TECHNICAL ASSISTANCE WITH THE ON-LINE

APPLICATION?

Email us at [email protected]

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.

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.