Workers’ Compensation Program Manager

2 weeks ago

San Bernardino, United States California State University Full time

**Job no**: 537458

**Work type**: Management (MPP)

**Location**: San Bernardino - San Bernardino Campus

**Categories**: MPP, Administrative, At-Will, Full Time, On-site (work in-person at business location)

**Job Summary**:
Under general direction of the Executive Director of Risk Management, the Workers’ Compensation & Loss Control Program Manager exercises independent judgement and manages California State University San Bernardino workers’ compensation program, temporary return to work, and loss control programs under the authority of the California State University Risk Management Authority (CSURMA) Joint Powers entity and system-wide risk management and in close coordination with CSUSB’s Third Party Administrator, Human Resources and the Environmental Health and Safety Office. In addition, this position works with the Office of General Counsel on the preparation of documents requested for litigation and to limit loss incurred by the University.

**Responsibilities include, but are not limited to**:
Workers’ Compensation Program Administration
- Manages the daily operations of the CSUSB workers’ compensation program in accordance with the self-insurance CSURMA program. Oversees third-party administrator files; assists with legal settlement strategies and processes. Maintains files, records, and other documents. Handles claims from inception to resolution. Responds to workers’ compensation claims requests from third-party partners and attorneys. Reviews, monitors and provides recommendations and strategies to mitigate claims exposure and settle claims.
- Claims management includes: claims processing and research, medical case management, discovery coordination, legal case management, return to work programs, and loss reporting. Monitors claims activity and provides effective feedback to third party claims administrator to optimize workers’ compensation program results.
- Maintains compliance with applicable laws and regulations, and technical guidance issued by the CSU Chancellor’s Office.
- Develops and implements training and regular communications for campus employees, supervisors, department heads, and deans concerning the University’s Workers’ Compensation Program

Program Management & Reporting
- Provides guidance and advice on the development of claims services, functions, policies, programs and regulatory matters as they relate to Workers’ Compensation. Gathers, analyzes, and reports complex workers’ compensation data. Prepares statistical workers’ compensation data and trending analysis. Creates and maintains databases for claims management and reporting as appropriate. Implements proactive solutions to current loss trends. Ensures workers’ compensation claims are managed in compliance with regulatory requirements and guidelines. Informs management of large loss cases and performance of occupational health providers. Responsible for all system-wide reporting on workers’ compensation program experience and trends for the campus. Develops and maintains regulatory reporting and documentation relating to occupational injuries and illnesses. Represents the University at depositions and hearings as appropriate. Provides recommendations and implement strategies to reduce costs associated with the Workers’ Compensation program.
- Monitors and interprets laws and policies regarding industrial injuries, illnesses, and disability. Recommends appropriate and timely changes to ensure compliance and optimize workers’ compensation program performance.

Loss Control Program Administration
- Coordinate with the Office of General Counsel, campus administrators and Human Resources to ensure information requests meet applicable policies, procedures and regulations. Assist in claim defense preparation of litigated cases including litigation holds, coordination of documents, scheduling, attorney liaison, and case preparation. Collect, file, and evaluate information to assess the University’s position relative to subpoenas. Release records in compliance with applicable laws and regulations including FERPA and HIPAA.
- Develop, implement, manage and improve program initiatives as assigned in coordination with CSUSB departments and off campus entities. Monitor the performance of the programs and recommend appropriate and timely change in services, and procedures to optimize Risk Management program performance.

Collaboration
- Establishes and maintains critical relationships with key stakeholders in a diverse campus community including but not limited to, the Workers’ Compensation Third Party Administrator, Office of General Counsel and outside attorneys, Medical Providers, Systemwide Office of Risk Management, Human Resources, Deans, Department heads and senior University leadership. Participates in committees, panels, and peer association activities. Collaborates with the Office of Environmental Health and Safety on research and projects to reduce claims. Participates in perso

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