Insurance claims Jobs in Burbank, CA

Claims Coordinator

The Claims Coordinator manages, coordinates, and oversees the claims processing and claims management activities of a workers' compensation, disability management (return to work or reasonable accommodation), or liability unit in the Division of Risk Management and Insurance Services; recommends and administers policies and procedures; oversees the processing of requests for reasonable accommodation or return to work, claims for payment of workers' compensation or liability benefits; and coordinates activities with the third party administrator and other District departments.

The Claims Coordinator receives general direction from the Director of Insurance or the Director of Integrated Disability Management.

The ideal candidate for Claims Coordinator will bring a strong background in the application of California workers' compensation law, including experience supporting return-to-work and reasonable accommodation processes and navigating claims administration within a large-scale, public-sector organization with multiple union bargaining units.

The ideal candidate will have prior experience overseeing or supporting workers' compensation programs or complex claims operations, including providing leadership or guidance to staff, coordinating with third-party administrators, medical providers, and legal counsel, and participating in legal proceedings such as depositions or hearings. Experience evaluating the financial and operational impact of claim strategies, reserves, or settlement decisions is highly desirable.

In addition, the ideal candidate will have demonstrated experience conducting research and investigative work related to disability or employee claims, analyzing complex issues, and developing recommendations that balance legal compliance, operational needs, and employee considerations. This work typically involves close collaboration with internal and external stakeholders such as human resources, safety, employee relations, unions, school administrators, work site managers, claims examiners, outside counsel, and vendors to support effective claim resolution.

Further, the ideal candidate will bring a strong customer service orientation and proven ability to communicate with a wide range of stakeholders, address concerns professionally, and proactively mitigate potential conflicts throughout the claims process.

Finally, the ideal candidate will possess strong oral and written communication skills, with the ability to clearly articulate complex workers' compensationrelated concepts, recommendations, and programmatic considerations on behalf of LAUSD and its staff.

Job Duties / Responsibilities

• Plans, organizes, and supervises the day-to-day activities and oversees the performance of employees in a unit within the Division of Risk Management and Insurance Services.
• 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.

Minimum Requirements

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 years of experience, preferably with a public agency, in any combination of the following areas :

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 driver's license to legally operate a motor vehicle in the State of California and the use of a motor vehicle, or the ability to utilize an alternative method of transportation.

Important Information About "Selective Certification"

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 :

Selective Certification will be assessed at a later time to ensure you satisfy the requirement(s) for consideration.

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.

Application Process

After application materials (questionnaire(s), application, resume, and cover letter) are reviewed and determined to meet the minimum qualifications, qualified candidates will move on to the next phases of our selection process.

The tentative selection process may consist of one or more of the following : Training and Experience Evaluation (T&E), a Technical Project, and / or a Technical Interview.

This is a competitive process and 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 your application. You may include a professional resume, but it will NOT be in lieu of a detailed application and the required questionnaire. 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. We encourage you to visit our website 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