Risk Management Manager
6 days ago
We are seeking a highly skilled and experienced Risk Management Manager to join our team at the Los Angeles County Metropolitan Transportation Authority (CA). The successful candidate will be responsible for managing and overseeing the activities of one or more areas within Risk Management, including Workers' Compensation Claims Administration, General Liability Claims Administration, Investigations, and Risk Financing.
Key Responsibilities- Manage and conduct complex planning, implementation, funding, and analytical projects and programs for Risk Management functions.
- Support executive management in the development and implementation of strategic objectives in assigned area.
- Manage staff, consultants, and/or projects.
- Manage and oversee operational audits in assigned area.
- Recommend investigations based on claim information, circumstances, etc.
- Ensure staff's understanding and strict compliance with all confidentiality provisions under relevant State of California Insurance Code, California Government Code, Labor Code, etc.
- Develop red flag assessment protocols for injury/illness occupational and general liability claims.
- Supervise intensive data mining reviews of information related to injured workers to determine appropriateness of intensive investigation and surveillance requirements to combat workers' compensation fraud and abuse.
- Organize and provide guidance to risk management staff regarding complex investigations and case development in the area of claims management and accident collision investigations.
- Respond to accident scenes and supervise, and reports back on incidents/accidents.
- Analyze trends and develop programs and other measures to reduce claims exposure.
- Reports, summarizes, and communicates findings to appropriate area, level, or statutory reporting agency.
- Participate in assessment of claims with County Counsel for concurrence before local government and state level reporting.
- Investigate, adjust, and manages claims caseload; settles claims in collaboration with affected Division staff and Counsel.
- Work with appropriate prosecuting and law enforcement agencies including State of California Department of Insurance, State of California Fraud Division's Anti-Fraud Programs, State of California Department of Industrial Relations Division of Workers' Compensation, and local District Attorney's Offices.
- Manage and/or conducts training for personnel and all other interested personnel with respect to risk management, including fraud awareness and recognition.
- Prepare narrative, graphic, and statistical reports for executive and Board presentations, and internal review.
- Develop policies and procedures for assigned area.
- Support all internal departments with risk management needs.
- Partners and communicates with other departments to administer programs and achieve agency goals.
- Recommends corrective action to resolve problems, abuses, and deficiencies that may exist.
- Complies with Metro's bill paying standards to ensure project and cost center invoices are paid in a timely manner.
- Communicates and implements safety rules, policies, and procedures in support of the agency's safety vision and goals; and maintains accountability for the safety performance of all assigned employees.
- Contributes to ensuring that the Equal Employment Opportunity (EEO) policies and programs of Metro are carried out.
- 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.
- Experience handling claims or investigations related to general liability, property casualty, auto-accident or workers' compensation.
- Experience identifying and reporting insurance fraud and working with state or local law enforcement prosecution offices.
- Experience investigating traffic collisions, collision reconstruction, or related areas.
- Experience leading or managing projects related to risk management.
- Knowledge of the theories, principles, and practices of workers' compensation claims administration, general liability claims administration, risk financing, and investigations.
- Applicable local, state, and federal laws, rules, and regulations governing insurance code, government code, labor code, criminal investigations, and risk financing.
- Strategies and procedures of case settlements.
- California Government Code and Rules of Civil Procedure and rules and practices of the local Superior and Municipal Courts.
- Claims investigation protocols.
- Personal injury analysis and evaluations, and wrongful death claims.
- General and auto liability claims.
- Elements of tort law.
- Investigating claims and determining reasonable settlements.
- Specialized investigative techniques, intelligence gathering, and examination methods.
- Research and report preparation methods.
- EEO and Affirmative Action rules and regulations.
- Modern management theory.
- Applicable business software applications.
- Overseeing the operations of workers' compensation, general liability, investigations, or risk financing program.
- Exercising appropriate administrative recommendations and actions based on findings and developments.
- Analyzing situations and identifying problems.
- Preparing and reviewing comprehensive reports and correspondence.
- Exercising sound judgment and creativity in making decisions.
- Communicating effectively orally and in writing.
- Interacting professionally with various levels of Metro employees, Office of Inspector General, other law enforcement and prosecutorial agencies, and various outside representatives.
- Supervising, training, and motivating assigned staff.
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.
Work irregular hours, split shifts, weekends, holidays, or 24-hour-a-day on-call assignments.
Work after designated regular hours in case of special assignments or emergencies.
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.
Standing.
Walking (distance 5' to 100').
Communicating through speech in the English language required.
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