POSITION DESCRIPTION
TITLE:
Workers Compensation Specialist
CATEGORY:
Professional
FLSA STATUS:
Exempt
GRADE:
B
JOB SUMMARY: Manages the day-to-day activities of the District’s Workers’ Compensation Program.
YEARLY
ESSENTIAL FUNCTIONS:
PERCENT OF
TIME
Manage the day-to-day activities of the District’s Workers’ Compensation
Program; responsible for filing time sensitive forms to our Third-Party
Administrator (TPA); assist injured employees in the claims process; work with
supervisors, Human Resources, and Payroll to get employees back to work
promptly and safely.
40%
Establish, maintain, and audit records/files; utilize HRIS System to verify
employment, salaries and employee information for filing workers’ compensation
claims; review work status reports, administer pay adjustments, coordinate FMLA,
investigate and process claims; work with TPA to manage large loss time claims;
arrange for modified duty and functional capacity evaluations (FCEs) for injured
worker.
25%
Serve as liaison between the injured employee and the College’s TPA, other
divisions, departments, and outside agencies; negotiate and resolve sensitive and
controversial issues; maintain and exchange information with internal and external
departments or agencies to explain policies, procedures, rules, regulations, and
guidelines concerning workers’ compensation; ensure organizational compliance
to all federal, state, and local laws for the District’s Workers’ Compensation
Program.
25%
Develop, present, and promote training that informs employees and reduces costs
associated with workplace injuries; attend and participate in professional and
group meetings, stay abreast of new trends and innovations in the field of workers’
compensation administration.
5%
Other duties as assigned.
5%
REPORTING RELATIONSHIP: Risk Manager
SUPERVISORY RESPONSIBILITIES: Provide work direction to assigned staff.
ESSENTIAL QUALIFICATIONS:
EDUCATION: 60 credit hours.
EXPERIENCE: Three (3) years directly related experience.
Effective 12/0/11
Page 1 of 4
CERTIFICATIONS/LICENSURES: Must have a valid Texas driver’s license and insurable by
the district’s auto liability insurance carrier.
SPECIAL SKILLS AND ABILITIES:
1.
Skills/Abilities:
Experience and ability to apply knowledge of federal, state and local health and
safety regulations;
Knowledge of Texas Department of Insurance, Division of Workers’ Compensation
(TDI-DWC) rules and regulations;
Working knowledge of FMLA, ADA, HIPAA, EEO, and Return-to-Work programs;
Must have understanding of investigative techniques and Root Cause Analysis
(RCA) for Workers’ Compensation claims;
Must have excellent oral and written communication and interpersonal skills;
Must maintain confidentiality of work related information and materials;
Effective time management and organizational skills.
2.
Equipment Used: Personal Computer and other equipment associated with a general office
environment (copier, telephone, fax, etc.)
3.
Software Used: A variety of word-processing, spreadsheet, database, e-mail, and presentation
software.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee
to successfully perform the essential functions of this job. While performing the duties of this Job,
the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The
employee is frequently required to reach with hands and arms. The employee is occasionally
required to stand; walk and stoop, kneel, crouch, or crawl. The employee must frequently lift
and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision
abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception and ability to adjust focus.
INTERPERSONAL SKILLS:
Alternative or combined skills in understanding, negotiating, selecting, developing, and
motivating people are important to the highest degree due to constant interaction with other
people, at any level within the organization or the community, position’s accountability for the
development, motivation, assessment, and reward of employees, and to deal with irrational
situations where the outcome is unpredictable.
WORKING CONDITIONS:
The work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. The noise level in the work
environment is usually moderate.
Effective 12/0/11
Page 2 of 4
POSITION TITLE:
WORKERS COMPENSATION SPECIALIST
PHYSICAL REQUIREMENTS & WORKING CONDITIONS: The physical demands and work
environment factors described below are representative of those that must be met by an employee to
successfully perform the essential functions of this job.
PHYSICAL ACTIVITIES:
None
Stand
Walk
Sit
Use hands to finger, handle or feel
Reach with hands and arms
Climb or balance
Stoop, kneel, crouch, or crawl
Talk
Hear
Taste
Smell
X
X
X
X
X
X
X
None
WORK ENVIRONMENT:
Wet or humid conditions(non-weather)
Work near moving mechanical parts
Work in high, precarious places
Fumes or airborne particles
Toxic or caustic chemicals
Outdoor weather conditions
Extreme cold(non-weather)
Extreme hot (non-weather)
Risk of electrical shock
Work with explosives
Risk of radiation
Vibration
Amount of Time
Under 1/3
1/3 to 2/3
X
X
Over 2/3
X
X
X
None
X
X
X
X
X
X
X
X
X
X
X
X
VISION DEMANDS:
No special vision requirements
Close vision (clear vision at 20 inches or less)
Distance vision (Clear vision at 20 feet or more)
Color vision (ability to identify and distinguish colors)
Peripheral vision
Depth perception
Ability to adjust focus
Effective 12/0/11
Over 2/3
X
X
WEIGHT and FORCE DEMANDS:
Up to 10 pounds
Up to 25 pounds
Up to 50 pounds
Up to 100 pounds
More than 100 pounds
Amount of Time
Under 1/3
1/3 to 2/3
X
X
Amount of Time
Under 1/3
1/3 to 2/3
Over 2/3
Required
X
X
X
X
X
X
Page 3 of 4
NOISE LEVEL:
Very quiet
Quiet
Moderate
Loud
Very Loud
Exposure Level
X
The intent of this job description is to provide a representative and level of the types of duties and
responsibilities that will be required of positions given this title and shall not be construed as a declaration
of the total of the specific duties and responsibilities of any particular position. Employee may be directed
to perform job-related tasks other than those specifically present in this description.
I certify that I have received a copy of this job description. I have read and understand the duties
and responsibilities of this position.
X
Employee Signature
Effective 12/0/11
Date
Page 4 of 4