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Return to Work/Workers Compensation Administrator

Location: Livermore, CA
Category: Administrative/Management
Job ID: 102039
Job Code: 
Date Posted: 

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Science and Technology on a Mission!

For more than 60 years, the Lawrence Livermore National Laboratory (LLNL) has applied science and technology to make the world a safer place.

We have an opening in the Health Services Department for a Return to Work/Workers’ Compensation (WC) Administrator to work independently and in collaboration with the Site Occupational Medical Director (SOMD) and the Health Information Manager on the day-to-day operations of the departmental disability management programs involving occupational injury and illness.  This position will be in ES&H Directorate.
 
 
Essential Duties
- Advance disability management programs and participate in the development of policies, procedures and information systems, in collaboration with the SOMD.
- Investigate, mitigate and resolve employee health issues. Facilitate case management goals, in consultation regularly with individuals within and outside the department in formal case management meetings and other forums, Interacting with other ES&H professionals.
- Provide guidance and assistance on various benefits available to employees with medical issues.  Coordinate appointments in HSD and outside referrals.
- Maintain the timely upkeep and availability of workers’ compensation records and correspondence, including the status of workers’ compensation cases. Responsible for ensuring employee workers’ compensation claim forms, injury reports, Doctor’s First Report of Injury, physician progress notes, and correspondence are completed, filed and/or distributed as required.
- Provide information as appropriate to employees, supervisors, third party administrators and health care providers.
-  Responsible for ensuring accurate ICD-10-CM and CPT coding of all workers’ compensation services including treatment, supplies and medications. Generate and reconcile invoices and payments for services rendered and process bi-weekly billing. 
- Verify timely electronic notification of all medical restrictions to supervisors and return to work liaisons.
- Perform other duties as assigned.
 
Qualifications
- Experience coordinating multiple work activities, and multi-faceted internal processes in functional area.
 - Experience with workers’ compensation case management including interactions with clinicians, insurers, patients and employer representatives to facilitate timely and appropriate medical care and rapid return to work.
- Demonstrated understanding of applicable sections of the California Labor code dealing with workers’ compensation.
- Experience and understanding of the institutional injury and illness analysis process (e.g., Case Analysis Reporting) and OSHA 300 Log recording.
- Experience providing clinical administrative support to workers’ including processing state forms and working with insurance carriers or third party administrators.
- Demonstrated interpersonal skills and ability to work in a collaborative and supportive manner in a multidisciplinary team, developing positive day to day working relationships with multiple stakeholders, and meeting customer needs.
- Ability to adapt to diverse groups and work situations and to shift among competing tasks while maintaining consistent high quality standards. 
- Experience interacting with all levels of personnel exercising a high degree of discretion, mature judgment, and tact in handling issues of a sensitive nature; adhering to HIPAA and the Privacy Act requirements; and demonstrated effective verbal, written and interpersonal communication skills necessary to effectively explain, present, direct, negotiate and influence others.
- Experience leading and working on organizational projects and experience researching, interpreting, and applying related policies and procedures.
 
Desired Qualifications
- Associate of Arts Degree (AA) in a related field. 
- Certified as a Workers’ Compensation Claims Administrator (WCCA) or Workers’ Compensation Claims Professional (WCCP). Or at a minimum training towards earning the certification.
- Experience working in an Occupational Medicine Setting.

 

Anticipated Clearance Level:  L (Position will be cleared to this level). Applicants selected will be subject to a Federal background investigation and must meet eligibility requirements for access to classified information or matter.  In addition, all L or Q cleared employees are subject to random drug testing.  If you hold multiple citizenships (U.S. and another country), you may be required to renounce your non-U.S. citizenship before a DOE L or Q clearance will be processed/granted.

 

Note:  This is a Career Indefinite or At Will appointment.  Only Laboratory employees with Career Indefinite or At Will status may apply for this position.  If final candidate is an At Will employee, At Will status may be maintained based on funding considerations.

About Us

Lawrence Livermore National Laboratory (LLNL), located in the San Francisco Bay Area (East Bay), is a premier applied science laboratory that is part of the National Nuclear Security Administration (NNSA) within the Department of Energy (DOE).  LLNL's mission is strengthening national security by developing and applying cutting-edge science, technology, and engineering that respond with vision, quality, integrity, and technical excellence to scientific issues of national importance.  The Laboratory has a current annual budget of about $1.5 billion, employing approximately 6,000 employees.

 

LLNL is an affirmative action/ equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, national origin, ancestry, sex, sexual orientation, gender identity, disability, medical condition, protected veteran status, age, citizenship, or any other characteristic protected by law.