General Information
| Job Description | ENTERPRISE RISK MGR 1 | Working Title | Workers' Compensation & Disability Management Program Manager |
|---|---|---|---|
| Job Code | 000327 | Grade | 25 |
| Department Name | Environmental Health & Safety - D01122 | Department Head | Sheila Hedayati |
| Supervisor | Sheila Hedayati | Effective Date | 08/29/2022 |
Position(s) Directly Supervised
| Job Code | Title | FTE |
|---|---|---|
| 007720 | BENEFITS ANL 3 | 2.0 |
| 007373 | ADMIN AST 3 | 1.0 |
Generic Scope
| Spends the majority of time (50% or more) achieving organizational objectives through the coordinated achievements of subordinate staff. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and organizational goals and objectives. Ensures subordinate supervisors and professionals adhere to defined internal controls. Manages systems and procedures to protect departmental assets. |
Custom Scope
| Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals. Has responsibility for organization-wide program management and compliance activities designed to promote health and safety of employees and reduce financial risks. Oversees program management and coordination, loss prevention, analysis communications, training, reporting, and financial outcomes. Erroneous decisions or failure to achieve goals results in additional costs and personnel, and-risk to organization. |
Department Custom Scope
| The Worker's Compensation and Disability Management Program Manager plans, organizes, administers and supervises the campus Workers' Compensation and Disability Management Program, including reviewing and processing claims, participating in settlement negotiations, recommending loss control strategies, ensuring program conformance to applicable laws and regulations, preparing required reports, and monitoring and evaluating the program activities to ensure the delivery of quality services. This position is also responsible for the design, development, overall management and implementation of the University-wide Worker's Compensation program and disability management programs which encompasses: Worker's Compensation, disability management programs, Transitional Return to Work (TRTW) programs, and Work Strong. The position will liaise with Sedgwick CMS (Workers' Compensation Third Party Administrator), Occupational Health, Central Human Resources, EH&S, Risk Management, UC Office of the President Risk and Safety as well as with physicians, nurses, attorneys and state and federal representatives. The incumbent is responsible to stay current on relevant federal and state laws and regulations, such as Americans with Disabilities Act (ADA), CA Labor Codes and CA FEHA, and ensures campus compliance with such laws, as well as campus and system-wide policies governing workers' compensation and disability management. This position is responsible for promoting the health, wellness and safety of of employees while reducing the financial risks associated with injuries and illness. Provides guidance to campus administration regarding development of integrated disability management programs. Will analyze disability data to identify trends in order to implement loss control and loss prevention measures. Oversees case management, through subordinates in assisting employees, managers and supervisors regarding disability matters, including reasonable accommodation and the interactive process. Creates and recommends to campus leadership policy and process improvements regarding University disability issues. Oversees training and education of managers and supervisors regarding disability issues. Coordinates programs and services with other faculty and staff programs. |
Education & Experience Requirements
Education Requirements
| Degree | Requirement |
|---|---|
| Bachelor's degree in related area and/or equivalent experience/training. | Required |
Experience Requirements
| Experience | Requirement |
|---|---|
| 8 - 13 years of related experience. | Required |
| Previous supervisory/managerial experience. | Preferred |
License Requirements
Certification Requirements
| Certification | Requirement |
|---|---|
| Professional certification. | Preferred |
| Certified Rehabilitation Counselor Certification (CRC) or Certified Case Management Certification (CCM) or Certified Disability Management Certificate (CDMS) or Certified Professional Disability Management (CDPM). | Preferred |
Educational Condition Requirements
| Condition | Requirement |
|---|
Key Responsibilities
| Description | % Time |
|---|---|
Oversees daily coordination and management of a comprehensive loss control program (Vocational Rehabilitation, Workers' Compensation, General Liability, Professional Liability, et cetera).
|
25 |
| Defines, implements and assists in the operation of effective loss prevention and control programs that meet departmental needs and result in effective cost controls and reduction of claims. | 10 |
Fulfills management and oversight responsibility for organization's claims administration.
|
10 |
| Identifies critical areas of legal and technical compliance, develops management interventions and implements strategic initiatives to improve overall program financial and claims management performance. | 10 |
Promotes teamwork and coordination with and between departments involved in managing claims.
|
10 |
| Develops and monitors operational and budget processes, staff FTE, finance, human resources and space planning. | 5 |
| Establishes and recommends changes to policies which affect a large organization or the campus/medical center/OP. | 5 |
| Manages, through subordinate supervisors, the coordination of activities of a department with responsibility for results in terms of costs, methods, and employees. | 5 |
Analyzes data, identifies trends, makes recommendations and implements required changes to risk management programs.
|
5 |
| Provides oversight of programmatic direction. | 5 |
| Consults with managers on issues of risk or case management, providing technical advice and action planning to reduce risk. | 5 |
Oversees training and education of managers and employees regarding risk management and related compliance issues.
|
5 |
Knowledge, Skills & Abilities
| Knowledge/Skill/Ability | Requirement |
|---|---|
| Specialized knowledge and experience in affected program area (workers' compensation, vocational rehabilitation, general liability, professional liability, disability management, et cetera.) and applicable laws. | Required |
| Broad understanding of costs, benchmarking and best practices as they relate to risk management activities. | Required |
| Ability to multi-task. | Required |
| Strong ability to establish and maintain effective working relationships with all levels across the organization, outside vendors and administrators. | Required |
| Strong management experience and ability to administer complex office that supports services to faculty and staff. | Required |
| Client services orientation - good listening, critical thinking and analytical skills. | Required |
| Strong collaborative and communication skills to interface departmental services with other faculty, staff, student and community programs. | Required |
| Ability to analyze complex issues and provide solutions prior to the escalation of the issue. Will analyze complex issues, evaluate alternatives, problem solve and implement solutions. | Required |
| Ability to utilize and access computer and appropriate software (e.g. Microsoft Office; Word, Excel, PowerPoint) and job-specific systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. | Required |
| Ability to speak publicly and make presentations to employees, leaders and other stakeholders. | Preferred |
| Working knowledge of medical terminology and medical reports and their respective implications for claimant participation in transitional return-to-work assignment(s). | Preferred |
| Ability to interpret and apply applicable laws and regulations and to establish and maintain effective working relationships with individuals and groups at all levels of the organization; resolve conflict constructively and develop consensus. | Preferred |
Special Requirements & Conditions
| Special Condition | Requirement |
|---|---|
| Must successfully pass a background check through the DOJ and FBI. | Required |
Other Special Requirements & Conditions
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Level of Supervision Received
| General Direction |
Environment
Working Environment
| Campus |
Other Requirements
Items Used
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Physical Requirements
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Mental Requirements
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Environmental Requirements
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Critical Position
| Is Critical Position: Yes |