Salary: $95,056.00 - $142,521.60 Annually
Location : Los Angeles, CA
Job Type: Regular Employee
Job Number: 2400261-1
Cabinet: CHIEF SAFETY OFFICE
Cost Center: 5310 - RISK MANAGEMENT
Opening Date: 07/01/2025
Closing Date: 7/15/2025 5:00 PM Pacific
FLSA: Exempt
Bargaining Unit: Non-Contract

Metro's mission is to provide a world-class transportation system that enhances the quality of life for all who live, work, and play within LA County.
Description
Manages and oversees the activities of one or more areas within Risk Management, including Workers' Compensation Claims Administration, General Liability Claims Administration, Investigations, and Risk Financing.

This role involves managing a Workers' Compensation (WC) unit, including supervising and mentoring WC staff, ensuring compliance with the California Labor Code and Division of Workers' Compensation (DWC) standards in claims handling, and collaborating with County Counsel and defense attorneys to resolve claims. The position also ensures injured employees receive timely WC benefits, conducts loss trend analysis, and works closely with Operations to mitigate claim costs and execute comprehensive claims investigations.
Recruitment Timelines: Interviews are projected to be scheduled for the week of July 28, 2025. These dates are subject to change. We encourage you to monitor your governmentjobs.com profile and emails for the latest updates.
Examples of Duties

• Manages and conducts complex planning, implementation, funding, and analytical projects and programs for Risk Management functions
• Supports executive management in the development and implementation of strategic objectives in assigned area
• Manages staff, consultants, and/or projects.
• Manages and oversees operational audits in assigned area
• Recommends investigations based on claim information, circumstances, etc.
• Ensures staffs understanding and strict compliance with all confidentiality provisions under relevant State of California Insurance Code, California Government Code, Labor Code, etc.
• Develops red flag assessment protocols for injury/illness occupational and general liability claims
• Supervises 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
• Organizes and provides guidance to risk management staff regarding complex investigations and case development in the area of claims management and accident collision investigations
• Responds to accident scenes and supervises, and reports back on incidents/accidents
• Analyzes trends and develops programs and other measures to reduce claims exposure
• Reports, summarizes, and communicates findings to appropriate area, level, or statutory reporting agency
• Participates in assessment of claims with County Counsel for concurrence before local government and state level reporting
• Investigates, adjusts, and manages claims caseload; settles claims in collaboration with affected Division staff and Counsel
• Works 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
• Manages and/or conducts training for personnel and all other interested personnel with respect to risk management, including fraud awareness and recognition
• Prepares narrative, graphic, and statistical reports for executive and Board presentations, and internal review
• Develops policies and procedures for assigned area
• Supports 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

May be required to perform other related job duties

Minimum Qualifications
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. A typical combination includes:

Education

• Bachelor's Degree in Public Administration, Business Administration, or a related field

Experience

• Six years of relevant experience or three years of relevant supervisory-level experience in one or more risk management function such as workers' compensation, general liability, risk financing, and/or investigations programs; some positions in this class may require specialized experience in area of assignment

Certifications/Licenses/Special Requirements

• A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job- related essential functions
• Certified Professional in Fraud Identification (CPFI), insurance fraud investigator, private investigator license, or law enforcement training in investigation preferred
• California Workers' Compensation Self-Insured Certificate preferred

Preferred Qualifications

Preferred Qualifications (PQs) are used to identify relevant knowledge, skills, and abilities (KSAs) as determined by business necessity. These criteria are considered preferred qualifications and are not intended to serve as minimum requirements for the position. PQs will help support selection decisions throughout the recruitment. In addition, applicants who possess these PQs will not automatically be selected.

The following are the preferred qualifications:

• Experience applying California Labor Code and California Department of Industrial Relations Department of Workers' Compensation standards
• Experience managing high-volume workers' compensation claims from inception to close
• Experience reading and interpreting legal reports and reviewing and rating medical reports.
• Experience working with County Counsel and defense counsel to resolve claims.
• Experience ensuring injured employees receive workers' compensation benefits in a timely manner, as provided under state law

Essential Knowledge
Knowledge of (defined as a learned body of information that is required for and applied in the performance of job tasks)

• 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

Skill in (defined as the proficient manual, verbal, or mental utilization of data, people, or things)

• 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

Ability to (defined as a present competence to perform an observable behavior or produce an observable result)

• Recognize sensitive issues and manage the activities of assigned staff accordingly
• Develop and promote positive working relations within the cabinet, other Metro departments, as well as with outside law enforcement and regulatory agencies
• Develop and deliver quality projects from inception to close-out, on time, and within scope and budget
• Meet tight time constraints and deadlines
• Think and act independently
• Understand, interpret, and apply laws, rules, regulations, policies, procedures, contracts, budgets, and labor/management agreements
• Compile and analyze data
• Conduct administrative and criminal investigations
• Represent Metro before the public
• Travel to offsite locations
• Read, write, speak, and understand English

Special Conditions

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
• Communicating through speech in the English language required

(RW)

Metro is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, ancestry, national origin, gender, marital status, sexual orientation, religion, age, veteran status, or disability. Learn more about Metro does not deny participation in the application process to anyone with prior justice system involvement, in line with hiring practices.
Selection Procedure

Applicants who best meet job-related qualifications will be invited to participate in the examination process that may consist of any combination of written, performance, or oral appraisal to further evaluate job-related experience, knowledge, skills and abilities.
Application Procedure

To apply, visit Metro's website at www.metro.net and complete an online Employment Application.

Computers are available to complete online Employment Applications at the following Metro location:

METRO Headquarters, Employment Office
One Gateway Plaza
Los Angeles, CA 90012

Telephone: (213) 922-6217 or persons with hearing or speech impairments can use California Relay Service 711 to contact Metro.

All completed online Employment Applications must be received by 5:00 p.m. on the closing date. Late applications will not be considered.

*Open to the public and all Metro employees

This job bulletin is not to be construed as an exhaustive list of duties, responsibilities, or requirements. Employees may be required to perform other related job duties.
*Please refer to the applicable benefit type (Regular or Temporary)*

BENEFITS FOR REGULAR EMPLOYEES

Benefits cover probationary or regular full-time (working at least 40 hrs/week) employees of Metro.

We offer a range of high-quality medical, dental and vision plan options as well as health care spending accounts for you and your family. Metro will cover a significant portion of your health care premiums.

Medical/Dental/Vision Plan - Employee has the choice of 3 separate medical plans and 3 dental plans. A separate vision plan is included in each medical plan.

Group Life Insurance - PTSC pays for an amount equal to your annual salary, rounded up to the nearest $1,000. Minimum amount of life insurance is $30,000.

Accidental Death & Dismemberment Insurance - PTSC provides $50,000 coverage for each employee. Additional voluntary coverage in amounts up to $500,000 is available at favorable premium rates.

Long-Term Disability Insurance - 100% employer paid. Provides employees with a minimum income of 60% of earnings after six months of disability. Buy up or buy down options available.

Holidays - 12 days a year: New Year's Day, Martin Luther King, Jr. Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Cesar E Chavez, Juneteenth,Thanksgiving Day, Day After Thanksgiving, and Christmas Day.

Time off with Pay (TOWP) - Compensates employees who are on approved absence from work for reasons such as illness, injury, medical and dental appointments, personal business, vacation, or observance of (a) religious holiday.
Years of Service Annual Accrual
Hire date - 5 years 20 days
Beginning of 6th - 10th year 25 days
Beginning of 11th - 15th year 30 days
Beginning of 16th + years 35 days

Pension Plan - PTSC retirement plan is the Public Employees' Retirement System (PERS). Vesting is five (5) years. Minimum retirement age is 52, based on the 2% at 62 formula.

Other Benefits: Transportation passes for employees and/or eligible dependents; Medicare; Tuition reimbursement; credit union membership; SDI; Deferred Compensation Plan; 401(K) Thrift plan; EAP; Medical and Dependent Care Flexible Spending Accounts; Flexible work schedules; and Jury Duty Pay.

BENEFITS FOR TEMPORARY EMPLOYEES

Temporary (Contingent) employees are eligible for the following benefits only:

• Kaiser medical insurance
• Public Pension Plan
• 457/401K Plan
• Flex Spending
• Paid Sick Time
• Fare Media
• Rideshare Subsidies
• Metro One Fitness membership

For more information on the Benefits Enrollment for Contingent Employees, please visit LA Metro's Pension & Benefits website at
01

Please acknowledge that the following responses will be used to supplement and expand on the Work Experience section of your application. It is important to provide detailed answers and do not refer to or rely on a resume or other documentation as we will not review resumes to determine qualifications. The information provided in your application must support your selected answers in the supplemental questions. The information you provide will be verified and documentation may be required. Please be as accurate as possible. By completing this supplemental questionnaire you are attesting that the information you have provided is accurate. Any misstatements, omissions, or falsification of information may eliminate you from consideration or result in dismissal.

• Yes, I agree and understand my resume will not be reviewed

02

Please select the highest level of education you have completed.

• I do not have education equivalent to grade 12
• High school graduate, diploma or the equivalent (GED)
• Associate degree from an accredited college or university
• Bachelor's degree from an accredited college or university
• Master's degree from an accredited college or university
• PhD from an accredited college or university

03

Please select the number of years of relevant experience you have in one or more risk management function such as workers' compensation, general liability, risk financing, and/or investigations programs.

• No relevant experience
• Less than 6 years
• 6 years or more, but fewer than 8 years
• 8 years or more, but fewer than 10 years
• 10 or more years

04

If you indicated having relevant experience in one or more risk management function such as workers' compensation, general liability, risk financing, and/or investigations programs, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
05

Please select the number of years of relevant supervisory-level experience you have in one or more risk management function such as workers' compensation, general liability, risk financing, and/or investigations programs.

• No supervisory-level experience
• Fewer than 3 years
• 3 years or more, but fewer than 5 years
• 5 years or more, but fewer than 7 years
• 7 or more years

06

If you indicated having supervisory experience in one or more risk management function such as workers' compensation, general liability, risk financing, and/or investigations programs, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
07

Do you have relevant experience applying California Labor Code and California Department of Industrial Relations Department of Workers' Compensation standards?

• Yes
• No

08

If you indicated having experience applying California Labor Code and California Department of Industrial Relations Department of Workers' Compensation standards, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
09

Do you have relevant experience managing high-volume workers' compensation claims from inception to close?

• Yes
• No

10

If you indicated having experience managing high-volume workers' compensation claims from inception to close, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
11

Do you have relevant experience reading and interpreting legal reports and reviewing and rating medical reports?

• Yes
• No

12

If you indicated having experience reading and interpreting legal reports and reviewing and rating medical reports, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
13

Do you have relevant experience working with County Counsel and defense counsel to resolve claims?

• Yes
• No

14

If you indicated having experience working with County Counsel and defense counsel to resolve claims, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
15

Do you have relevant experience ensuring injured employees receive workers' compensation benefits in a timely manner, as provided under state law?

• Yes
• No

16

If you indicated having experience ensuring injured employees receive workers' compensation benefits in a timely manner, as provided under state law, please describe where and how you gained this experience, including names of employers, dates of employment, and duties performed. If you do not have this experience, please indicate "N/A."
17

Do you have a California Workers' Compensation Self-Insured certification?

• Yes
• No

Required Question