WORKERS' COMPENSATION ANALYST

Metro’s mission is to provide a world-class transportation system that enhances the quality of life for all who live, work, and play within LA County. DescriptionThe Workers Compensation Analyst position is required to evaluate claims in accordance with the California Labor Code, and WCAB procedures, ensuring timely benefits, accurate documentation, and compliance with all state-mandated requirements. This position works closely with stakeholders to deliver timely benefits, maintain audit-ready files, and support effective return-to-work outcomes. Recruitment Timelines: Interviews are projected to be scheduled for the week of 5/9/2026. These dates are subject to change. We encourage you to monitor your governmentjobs.com profile and emails for the latest updates. Examples of DutiesConducts journey-level investigations upon receipt of new claimsReviews and responds to all incoming legal and medical mail on a timely manner in accordance with California Labor Code regulationsAudits claim files to ensure all benefits have been paid appropriatelyProvides timely and quality customer service to all Metro staff as well as outside providersMaintains close working contact with injured employees and division personnelMaintains claim files on an effective diary systemMeets with division personnel on a quarterly basis to review open Workers' Compensation casesWorks closely with legal to strategize on appropriate handling of claimsMinimum QualificationsMay be required to perform other related job dutiesA 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:EducationBachelor's Degree in Business Administration, Human Resources, or a related fieldExperienceOne year of relevant experience examining California Workers' Compensation indemnity claims or related experience in the workers' compensation industryCertifications/Licenses/Special RequirementsA valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functionsInsurance Education Association Certificate and California Workers' Compensation Self-Insured Certificate preferredPrior employers' designation Certificate required in claims handlingPreferred QualificationsPreferred Qualifications (PQs) are used to identify relevant knowledge, skills, and abilities (KSAs) as determined by business necessity. These criteria are considered preferred qualifications and are not intended to serve as minimum requirements for the position. PQs will help support selection decisions throughout the recruitment. In addition, applicants who possess these PQs will not automatically be selected.The Following Are The Preferred QualificationsExperience applying workers' compensation labor code laws when providing benefits or denying a claimExperience reviewing medical reports to explain timelines for the provision of benefitsExperience conducting full-cycle workers' compensation claims Experience monitoring and/or processing provisions of workers' compensation benefits, time limitations, and benefit lettersExperience reviewing medical reports and Whole Person Impairment calculations and rating Maximum Medical Improvement reportsEssential KnowledgeKnowledge 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 administrationCalifornia State Labor Code and other applicable laws, rules, and regulations governing workers' compensationAmerican Medical Association GuidelinesPermanent Disability RatingsApplicable business software applicationsSkill in (defined as the proficient manual, verbal, or mental utilization of data, people, or things)Performing professional workers' compensation claims administration workCalculating wagesAnalyzing situations, identifying problems and issues, and recommending solutionsExercising sound judgment when faced with complex issuesCommunicating effectively verbally and in writingInteracting professionally with various levels of Metro employees and outside representativesConducting and reporting outcomes of roundtable sessions to discuss casesAbility to (defined as a present competence to perform an observable behavior or produce an observable result)Read and interpret legal reportsReview and rate medical reportsWork with legal representatives to resolve matters or casesWork aggressively to bring cases to resolution without legal actionsHandle work assignments and meet time constraints on a strict diary system to ensure deadlines are metOrganize and prioritize workCompile, analyze, and prepare comprehensive management reportsUse good judgment when handling highly confidential informationUnderstand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, budgets, and labor/management agreementsTravel to offsite locationsRead, write, speak, and understand EnglishSpecial ConditionsThis job specification is not to be construed as an exhaustive list of duties, responsibilities, or requirementsThe physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this jobMetro provides reasonable accommodation to enable individuals with disabilities to perform the essential functionsThis classification is at-will and the incumbent serves at the pleasure of the hiring authority when classified as an Intermittent, Emergency, Annuitant, or Temporary employee, is assigned to the Office of Inspector General (OIG) or Board Clerk's Office, and/or reporting directly to the LACMTA Board of DirectorsContributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried outWorking ConditionsTypical office situationClose exposure to computer monitors and video screenPhysical Effort RequiredSitting at a desk or tableOperate a telephone or other telecommunications device and communicate through the mediumType and use a keyboard and mouse to perform necessary computer-based functionsCommunicating through speech in the English language required(DL)Metro is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, ancestry, national origin, gender, marital status, sexual orientation, religion, age, veteran status, or disability. Learn more about Metro’s Equal Employment Opportunity Program . Metro does not deny participation in the application process to anyone with prior justice system involvement, in line with Fair Chance hiring practices.Selection ProcedureApplicants who best meet job-related qualifications will be invited to participate in the examination process that may consist of any combination of written, performance, or oral appraisal to further evaluate job-related experience, knowledge, skills and abilities.Application ProcedureTo apply, visit Metro's website at www.metro.net and complete an online Employment Application.Computers are available to complete online Employment Applications at the following Metro locations:METRO Headquarters, Employment OfficeOne Gateway PlazaLos Angeles, CA 90012Open: Monday through Friday, 8am-4pm(Closed Sat & Sun) Metro Talent Hub8501 S. Evermont PlaceLos Angeles, CA 90044Open: Monday through Friday, 9am-5pm(Closed Sat & Sun)East Los Angeles Customer Center4501 B Whittier BlvdLos Angeles, CA 90022Open: Tuesday through Saturday, 10am to 6pm(Closed Sun & Mon) Wilshire/Vermont Customer Center3183 Wilshire Blvd, Ste 174Los Angeles, CA 90010Open: Monday through Friday, 10am-6pm(Closed Sat & Sun) Rosa Parks Customer CenterWillowbrook/Rosa Parks Station11720 Wilmington AveLos Angeles, CA 90059Open: Monday through Friday, 6am to 6:30pm(Closed Sat & Sun) Telephone: (213) 922-6217 or persons with hearing or speech impairments can use California Relay Service 711 to contact Metro.All completed online Employment Applications must be received by 5:00 p.m. on the closing date. Late applications will not be considered.Open to the public and all Metro employeesThis job bulletin is not to be construed as an exhaustive list of duties, responsibilities, or requirements. Employees may be required to perform other related job duties.