Participates in an Apprenticeship program to learn the overall Workers' Compensation claims process by completing online coursework and hands-on training. Linder close supervision, performs entry-level workers' compensation functions/processes.

• Completes a variety of online courses pertaining to Workers' Compensation Claims Administration

• Receives training on Metro's Workers' Compensation Claim Administration functions, policies, and

• practices, which covers calculation of benefits, provisions for California Labor Code, benefit letter

• requirements, and timelines

• Assists in conducting entry-level investigations

• Reviews correspondence relating to claims administration, both medical and legal

• Generates correspondence, reports, and presentations

• Assists in scheduling and coordinating meetings

• Gathers and compiles data for claims administration

• Provides timely and quality customer service to all Metro staff as well as outside providers

• Maintains claim files on an effective diary system

• Provides information and referrals to Metro personnel

• Consults and coordinates efforts with the Analyst, Return-To-Work Coordinator, Medical Case

• Manager, and others as it relates to the claims file

• Reviews and determines authorization for medical treatment.

• Reviews progress of cases for return to work or closure

• Contributes to ensuring that the EEO policies and programs of Metro are carried out

Knowledge of (defined as a learned body of information that is required for and applied in the performance of job tasks)

• Theories, principles, and practices of workers' compensation claims administration

• California State Labor Code and other applicable laws, rules, and regulations of workers' compensation

• American Medical Association Guidelines

• Permanent Disability Ratings

• Applicable business software applications

Skilled in (defined as the proficient manual, verbal, or mental utilization of data, people, or things)

• Performing workers' compensation claims administration support work

• Calculating wages

• Analyzing situations, identifying problems and issues, and recommending solutions

• Exercising sound judgment when faced with issues

• Communicating effectively verbally and in writing

• Interacting professionally with various levels of Metro employees and outside representatives

Ability to (defined as a present competence to perform an observable behavior or produce an observable result)

• Read and interpret legal reports

• Review and rate medical reports

• Handle work assignments and meet time constraints and deadlines

• Organize and prioritize work

• Use good Judgment when handling highly confidential information

• Compile, analyze, and prepare comprehensive reports

• Understand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, budgets, and

• labor/management agreements

• Travel to offsite locations

• Read, write, speak, and understand English

A combination of education and/or experience that provides the required knowledge, skills, and abilities to perform the essential functions of the position. Additional experience, as outlined below, may be substituted for required education on a year-for-year basis. A typical combination includes:

Education

• Bachelor's degree in Business Administration, Human Resources, or a related field

Experience

• None

Certifications/Licenses/Special Requirements

• A valid California Class C driver license or the ability to utilize an alternative method of transportation when needed to carry out Job-related essential functions

The physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this Job. Metro provides reasonable accommodation to enable individuals with disabilities to perform the essential functions.

Working Conditions

• Typical office situation

• Close exposure to computer monitors and video screen

• Local travel

Physical Effort Required

• Sitting at a desk or table

• Operate a telephone or other telecommunications device and communicate through the medium

• Type and use a keyboard and mouse to perform necessary computer-based functions

• Intermittently sitting, standing, stooping

• Communicating through speech in the English language required