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Mgr-Workers' Compensation

Company: Disneyland Resort
Location: Riverside
Posted on: May 12, 2022

Job Description:

Protect the magic by preventing and mitigating risk at the Disneyland Resort. The Risk Management Services team is comprised of Guest Claims and Workers' Compensation, and strives to create a world where there are no incidents or claims. As the leader of the holistic Workers' Compensation team, you'll play a critical role in supporting that work.

The Workers' Compensation Team Manager leads a team of salaried Claims Administrators and hourly Technical Claims Assistants with varying levels of experience, oversees all aspects of the administration of claims assigned to their Unit. This is a highly dynamic and collaborative role that requires outstanding customer service and communication skills with an understanding of the importance of brand management. Candidates must be multi-faceted and willing to have periodic on-call responsibilities, which in some cases will necessitate responding to incidents after hours.

Responsibilities :

  • Lead, support, and coach Workers Compensation Claims Cast Members.
  • Oversight of investigations of occupational injuries and illness, litigation and case resolution and subrogation claims.
  • Review of claim files in accordance with the rules and regulations set by the State of California and department operating guidelines and ensure reserving practices per Self-Insured Plans.
  • Escalate incidents with potential excess coverage exposure.
  • Help set, implement and achieve department goals and strategies.
  • Review claim files for timeliness, accuracy, and action-planning that will bring files to successful and cost-effective resolution.
  • Partner with the Claims Examiner and Hearing Representatives on matters moving through the litigation process.
  • Partner with Vendors and Service Providers as assigned by the Manager of Workers' Compensation, acting as liaison and point of contact to ensure service standards are met, improvements and adjustments are timely and relevant.
  • Responsible for the daily administration and production of the Technical Claims Assistants including payments, notices, scanning, etc.

    Basic Qualifications :
    • California Self Insurance Plans Certificate for Administration of Occupational Claims.
    • Proven experience and strong understanding of California Labor Code, laws and regulations case resolution and litigation procedures.
    • Ability to work under deadline pressures and handling multiple priorities.
    • Demonstrated familiarity with automated claims administration systems and ability to work in multiple computer programs.
    • Computer proficiency within a Windows environment, including Outlook, Word, Excel, and PowerPoint.
    • Strong oral and written communication and listening skills.
    • Strong relationship-building, partnering, negotiating and influencing abilities.
    • Excellent time management skills.
    • Proven ability to deliver concise and informative written summaries in memo and presentation format, with appropriate business writing and usage of professional grammar.
    • Strong organizational skills with attention to detail.
    • Ability to handle confidential information.
    • Ability to effectively prioritize multiple tasks in a fast-paced environment.
    • Understanding of medical and legal terminology.
    • Ability to deliver effective presentations to various levels of leaders, including executives
    • Ability to effectively solve problems and make decisions.
    • Ability to communicate effectively allowing for the diversity of the audience.
    • Maintain "Continued Education" Certification hours as required by the State of California.
      Preferred Qualifications:
      • Bachelor's Degree, preferred.
      • Knowledge and familiarity with Business Objects or related reporting software.
      • Minimum 10 years of experience administering California Workers' Compensation claims.
      • Bilingual/Spanish preferred.
        Additional Information :
        #LegalAffairs #Corp_media

Keywords: Disneyland Resort, Riverside , Mgr-Workers' Compensation, Other , Riverside, California

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