Workers' Compensation Specialist I (SR-20)

About the role

Reviews and examines workers' compensation cases for the determination of appropriate benefits, awards and settlements; evaluates workers' compensation claims and recommends employer's course of action; conducts investigation of possible abuse of workers' compensation claims and recommends appropriate action; prepares cases for workers' compensation hearing and may present the case before the hearings officer of the Department of Labor and Industrial Relations; provides guidance and advice to operating agencies in workers' compensation matters; assists in preparation of statistical and activity reports; keeps records of industrial accidents and injuries; inspects work projects and operations and other places of work to detect and eliminate safety, health and fire hazards; inspects equipment, tools, machinery and other devices in use for compliance with State's safety laws, codes and other accepted safety standards and assures that proper protective accessories and apparel are worn by workers; reports violation, recommends correction of unacceptable and hazardous conditions, and refers cases of non-compliance to superior; investigates industrial accident injuries, determines causative factors and circumstances, and submits report recommending corrective actions; acts as a liaison between the departments and the Third Party Administrator; provides information and attends meetings with the Third Party Administrator; monitors the activities of the Third Party Administrator to ensure thoroughness and timeliness of claims handling.

Responsibilities

• Reviews and examines workers' compensation cases for the determination of appropriate benefits, awards and settlements;
• Evaluates workers' compensation claims and recommends employer's course of action;
• Reviews and analyzes reports and data to assist in identifying "accident prone", "malingering" employees, and employees with possible physical impairments;
• Conducts investigation of possible abuse of workers' compensation claims and recommends appropriate action;
• Prepares cases for workers' compensation hearing and may present the case before the hearings officer of the Department of Labor and Industrial Relations;
• Provides guidance and advice to operating agencies in workers' compensation matters;
• Assists in preparation of statistical and activity reports;
• Keeps records of industrial accidents and injuries;
• Inspects work projects and operations and other places of work to detect and eliminate safety, health and fire hazards;
• Inspects equipment, tools, machinery and other devices in use for compliance with State's safety laws, codes and other accepted safety standards and assures that proper protective accessories and apparel are worn by workers;
• Reports violation, recommends correction of unacceptable and hazardous conditions, and refers cases of non-compliance to superior;
• Investigates industrial accident injuries, determines causative factors and circumstances, and submits report recommending corrective actions;
• May assist Risk Management Officer with contract administration;
• Acts as a liaison between the departments and the Third Party Administrator;
• Provides information and attends meetings with the Third Party Administrator;
• Makes sure the Third Party Administrator's activities are thorough and timely in claims handling.

Requirements

• Possession of a valid motor vehicle driver's license (equivalent to State of Hawaii, Type 3).

Qualifications

A combination of education and experience substantially equivalent to graduation from an accredited college or university with a bachelor's degree in personnel and industrial relations, business administration, public administration, or a related field, and for: Two (2) years of progressively responsible work experience in workers' compensation claims, industrial safety and accident prevention activities.

Skills

Knowledge of: The State Workers' Compensation law, safety laws, and other accepted standards applicable to industrial safety and accident prevention; industrial and construction accident hazards and methods of correction and prevention; common industrial safety devices and equipment; safety inspection principles, practices and procedures; safety education principles and procedures.

Benefits

Not specified.

Pay

Not specified.

Schedule

Not specified.