Workers' Compensation Risk Analyst

Description

What We Offer
The County of Ventura offers an attractive compensation and benefits package in addition to the base salary that includes:

• Educational Incentive for completion of: 2.5% for an associate degree, 3.5% for a bachelor's degree, or 5% for a master's degree.
• Annual Leave Redemption: The option to cash out up to 100 hours of Annual Leave accrued per year.
• Deferred Compensation: Section 457 Plan and/or 401(k) Shared Savings Plan with up to a 3% match on your 401(k) contributions.
• Health Plans: You are afforded a flexible credit allowance of up to $25,558 annually for purchasing medical, dental, and/or vision insurance from a group of authorized plans.
• Flexible Spending Accounts: Pre-tax benefit towards eligible medical, dental, and vision care expenses.
• Pension Plan: Participation in the County's defined benefit plan, which has reciprocity with CalPERS.
• Holidays: 11 paid days per year, which include a scheduled floating holiday.

THE POSITION
Under the supervision of the Workers' Compensation Manager within the County Executive Office, this position oversees and monitors the administration of workers' compensation benefits by a third-party administrator (TPA) and recommends, implements, and administers policies, procedures, and programs for workers' compensation. Assists in the County's investigation and evaluation of applications for disability retirement. Provides assistance, information, and intervention to employees, departments, and the TPA in the administration of the County's workers' compensation program. Reviews and conducts audits of TPA claim files to ensure compliance with law, regulations, best practices, and contractual terms. Analyzes settlement requests to ensure accurate permanent disability rating, future liability, and value assessment. Assembles, analyzes, and disseminates data regarding insured and self-insured programs.

The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations, and managing regulatory reserving practices. They must demonstrate exceptional analytical abilities, excellent verbal and written communication skills, and meticulous attention to detail. Additionally, they should thrive in collaborative team settings and contribute effectively to group objectives.

THE IDEAL CANDIDATE
The ideal candidate will have proven expertise in claims and benefit administration for self-insured entities and hold a valid self-insurance certificate. They will have a thorough understanding of Labor Code provisions relevant to safety members. They will demonstrate a proven ability to work independently, effectively managing multiple projects while prioritizing competing customer needs. Additionally, the candidate will be proficient in leveraging computer technology and possess a comprehensive understanding of the multidisciplinary role of Risk Management within a county-wide environment.

PAYROLL TITLE: Risk Analyst

AGENCY/DEPARTMENT: County Executive Office/Risk Management - Workers' Compensation

Risk Analyst is a management classification and is not eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MU4 level.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and extra Help vacancies for this position and similar positions only. There is currently one (1) Regular, full-time vacancy.

Examples Of Duties

Duties may include, but are not limited to, the following:

• Audits and oversees TPA claims staff to ensure adherence to laws, regulations, contractual obligations, and claims management best practices.
• Assists the TPA to facilitate review and decision-making on claims.
• Independently rates permanent disability to evaluate settlement recommendations of TPA claims staff and defense counsel.
• Acts as ombudsman between agencies, claimants, TPA, insurance carriers, and regulatory agencies.
• Conducts periodic reviews and audits with County agencies, TPA staff, and insurance carriers.
• Oversees the provision of benefits and compensation by the County, TPA, and insurance carriers.
• Assists TPA, defense counsel, and agencies in the investigation and litigation management of workers’ compensation and disability retirement cases.
• Performs and coordinates investigations, audits, and evaluations of incidents, complaints, and claims.
• Prepares reports for agency directors and managers.
• Monitors TPA and insurance carrier claim systems for accuracy.
• Reviews, revises, designs, coordinates, implements, and administers policies and procedures.
• Assembles, analyzes, validates, and correlates loss information from a variety of sources, including loss runs from insurance carriers, County resources, and agency records.
• Provides information and training to County personnel.
• Assists direct manager and senior leaders within Risk Management, as required.

Typical Qualifications

These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list.

EDUCATION, TRAINING, and EXPERIENCE - Any combination of education, training, and experience that has led to the acquisition of the required knowledge, skills, and abilities. The required knowledge, skills, and abilities can best be demonstrated by the equivalent of a Bachelor's degree in a related field (e.g., business administration, public administration, legal studies, occupational safety, industrial relations, or human resources management) AND two (2) years' experience handling workers' compensation claims, including experience with claim evaluation, management, or adjustment, obtained in insurance companies, TPAs, self-insured organizations, government agencies, or other relevant employers. Additional years of experience may substitute for education on a year-for-year basis.

NECESSARY SPECIAL REQUIREMENTS

• Basic proficiency in Microsoft Excel and Word.
• Experience rating permanent disability in California .
• Must be willing and able to occasionally travel within the County and infrequently travel outside of the County.

DESIRED:

• Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or self-administered self-insured entity.
• Possession of a self-insured workers' compensation claims administration certification.
• Certified Workers' Compensation Claims Professional (W.C.C.P.) or equivalent.
• Experience in developing and utilizing information technology solutions and analytical tools for risk management issues.
• Familiarity with Labor Code provisions (such as 4850 and 3212) specific to safety members.
• Experience developing and utilizing information technology solutions and analytical tools used for risk management issues.

Knowledge, Skills, & Abilities:
Working knowledge of:

• Applicable State laws, case law, regulations, and best practices regarding workers' compensation, including those applicable to safety members;
• Workers' Compensation Appeals Board proceedings.
• The principles and practices involved in interpreting investigative, medical, and legal reports.

Basic knowledge of and ability to use job-related database, spreadsheet, word processing, and project management software.

Working ability to:

• Read, analyze, and interpret applicable laws, rules, procedures, regulations, and ordinances as well as investigative, medical, and legal reports ;
• Rate permanent disability based on the interpretation of medical reports and applicable law and regulations;
• Understand and analyze investigative, medical, and legal reports;
• Plan, organize, and maintain a variety of Risk Management projects and tasks;
• Research and organize data to prepare and present reports as directed.

Ability to:

• Communicate effectively orally and in writing.

Skill in: applying and adapting IT and analytical tools to support risk management analysis, reporting, and decision-making.

Recruitment Process

FINAL FILING DATE: Applications must be received by County of Ventura Human Resources no later than 5:00 p.m. on Wednesday, July 9, 2025.

To apply online, please refer to our website at www.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura CA 93009.

Applicants must provide sufficient information under the Education/Work Experience portion of the application and supplemental questionnaire in order to determine eligibility. A resume may be attached to supplement your responses in the above-referenced sections; however, it may not be submitted in lieu of the application.

INFORMATION FOR TRANSFER CANDIDATES: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

EXAMINATION PROCESS

SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this examination at the time of filing. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

ORAL EXAMINATION - 100%: A job-related oral examination will be conducted to evaluate and compare participating candidates' knowledge, skills, and abilities in relation to those factors which the job analysis has determined to be essential for successful performance of the job.

Candidates must earn a total score of seventy percent (70%) or higher to qualify for placement on the eligible list. Candidates successfully completing the examination process may be placed on an eligible list for a period of one (1) year.

BACKGROUND INVESTIGATION - A thorough pre-employment, post-offer background investigation, which may include inquiry into past employment, education, criminal background information, and driving record, may be required for this position.

For further information about this recruitment, please contact Michelle Antonetty by e-mail at Michelle.Antonetty@ventura.org or by telephone at (805) 477-7260.

EQUAL EMPLOYMENT OPPORTUNITY
The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

YOUR BENEFITS AS A COUNTY OF VENTURA EMPLOYEE

MANAGEMENT

To learn more about Benefits, Retirement, and the Memorandum of Agreement (MOA), see links below.

• Benefits website or you may call (805) 654-2570.
• Retirement FAQ's
• Memorandum of Agreement

Union Codes: MCC, MB3, MB4, MS3, MT3, MT4, MU3, MU4

Closing Date/Time: 7/9/2025 5:00 PM Pacific

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• County of Ventura

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