CLASSIFICATION NO. 729
INTEGRATED DISABILITY ANALYST
Under direction, to perform professional assignments in human resources claims administration and integrated disability management services; to counsel employees and County management in workers’ compensation, family medical leave, non-occupational disability benefits, fitness for duty issues, requests for accommodation (ADA), disability retirement, medical layoff and other complex disability issues; and to do other work as required.
The Department of Employee Services provides human resources services to all County departments, including employee recruitment and selection, personnel ordinance and policy administration, diversity initiatives, position classification and compensation, employee training and development, benefits administration, risk management, workers’ compensation, liability and casualty claims management, human resources information systems, labor relations and collective bargaining.
The Integrated Disability Analyst performs a variety of journey-level professional and technical work in the administration of the County's workers’ compensation, disability and family medical leave programs. Incumbents perform analyses, investigations and other case management functions to determine County's liability and compensability of workers’ compensation medical and time loss claims. In addition, incumbents provide advice, information and recommendations to County management, employees and their family members.
The Integrated Disability Analyst differs from the Human Resource Analyst which performs journey level professional human resources assignments within the Personnel or Benefits Divisions, but does not perform specialized activities related to the administration of disability and leave impacting the ability to work.
Duties may include but are not limited to the following:
- Reviews, evaluates and investigates workers’ compensation medical and time loss claims for County liability and compensability; approves or denies claims, establishes claims reserves, negotiates settlements and pursues third party cost recovery within established limits; coordinates litigation with legal counsel and reviews and approves legal bills; facilitates appearance of County witnesses and attends hearings regarding litigated claims; identifies and analyzes settlement opportunities.
- Reviews workers’ compensation medical bills, time loss records and payments; refers claimants to private rehabilitation organizations; coordinates with departments to promote early return to work and light-duty options for injured workers; monitors light-duty work assignments, maintains required documents and requests reimbursement from Employer at Injury Program; consults with physicians and rehabilitation professionals to identify medical conditions and physical limitations/restrictions.
- Compiles and maintains claims statistics, including type of injury, time loss and claims payments; prepares annual, quarterly and on-demand reports in accordance with applicable rules and regulations; assists outside auditors by providing requested claims data; advises Risk Manager of potential safety training needs; monitors claims reserve usage and reports to Benefits Manager; assists Risk Manager with supervisor training as needed.
- Counsels injured employees and family members during periods of non-occupational disability; responds to questions and provides information on the provisions of the disability program and related claims materials; oversees or performs the review of submitted claims packets, completion of employer forms and payroll information, and forwarding of claims to appropriate insurance provider for administration; provides requested information to insurance providers so that a claim determination can be made; closes completed files; assists employees eligible for long-term disability and makes appropriate referrals if unable to return to work.
- Counsels employees and advises supervisors and managers on the provisions of Federal and Oregon Family Medical Leave (FML/OFL) laws, rules and regulations; ensures FML claim packets are sent out to employees who may qualify; reviews submitted claims packets for completeness; evaluates and accepts or denies FML requests; tracks FML/OFL usage and entitlement; assists employees with requests for donated leave and coordinates with Payroll; counsels employees regarding continued leave when FML ends; conducts supervisor training regarding Family Medical Leave/Oregon Family Leave.
- Conducts research projects as assigned; prepares and presents reports as needed to Risk Manager, Benefits Manager, Director of Employee Services, County Administrator and other County personnel; remains current with legislation, regulations, case laws, issues and trends related to workers compensation, disability and family medical leave programs.
- Assists Director of Employee Services and Labor and Employee Relations Manager with complex employee leave issues such as compulsory leave, medical layoff, fitness for duty and ADA; works with County Counsel and department management in addressing employee leave issues.
- Utilizes the County's human resource information system (HRIS) and query tool to select employee information for a variety of claim and leave issues; uses HRIS in conjunction with other computer tools to provide analysis, costing and employee statistics, reports and documents.
- Participates in the collective bargaining process; identifies and researches significant or controversial issues; prepares exhibits for fact-finding and interest arbitration hearings; drafts and recommends contract language.
REQUIRED KNOWLEDGE AND SKILLS
Thorough knowledge of: Federal and State statutes, rules, regulations, codes and ordinances pertaining to administration of the County's workers’ compensation, disability and family medical leave programs; principles, practices and techniques of claims administration.
Working knowledge of: Principles and practices of public administration; methods and techniques of statistical research and analysis; County government organization and operations; County collective bargaining agreements; methods and techniques of accident investigation; interviewing techniques; medical terminology; records keeping techniques.
Skill to: Collect, compile, analyze, store in a data base and interpret relevant complex information and data; make accurate arithmetic calculations; analyze and resolve problems and/or prepare recommendations; prepare clear and concise reports; prepare and maintain detailed, accurate and organized records; communicate effectively, both orally and in writing, particularly in speaking before groups and in testifying in a legislative arena; exercise tact and diplomacy in dealing with sensitive, emotionally charged and confidential human resource and employee issues; establish and maintain effective working relationships with County employees, union officials, other agencies and the public; investigate, negotiate and mediate claims and disputes; analyze and evaluate workers’ compensation claims for compensability; effectively recommend settlements; interpret, apply and explain federal and state statues, rules and regulations and County policies applicable to workers’ compensation, family medical leave and disability; operate computer equipment, including personal computers and applicable software applications; develop spreadsheets and reports.
Current Oregon Workers’ Compensation Claims Examiner Certification.
Driving may be necessary for County business. For position(s) with occasional/incidental driving, incumbents must possess a valid driver's license. Accommodation requests for an acceptable alternative method of transportation will be reviewed on an individual basis in compliance with State and Federal legislation. For position(s) with regular driving, incumbent(s) must also possess and maintain an acceptable driving record throughout the course of employment.
MINIMUM RECRUITING STANDARDS
Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.