Risk Management Case Specialist

City of Columbia, Missouri Career OpportunitiesCity of Columbia, Missouri Career OpportunitiesOverviewThe purpose of this job is to administer the City's Workers' Compensation case management program in compliance with Missouri statutory law and City Ordinances. The role coordinates reporting, medical care, work restrictions, litigation support, and collaboration with adjusters, supervisors, and the Risk Manager. The position also provides financial and loss‑trend reporting, supports risk mitigation efforts, and serves as a backup to the Claims Specialist as needed.Essential Duties and ResponsibilitiesReceives and initiates new employee injury and Workers' Compensation claims in compliance with Missouri statutory law.Conducts initial investigations to review reported facts and determine the medical mechanism of injury.Ensures timely state‑mandated reporting, compliance with treatment directives, and coordination with the third‑party administrator for medical referrals.Communicates and ensures compliance with applicable City Ordinance requirements with employees, supervisors, and the Workers' Compensation adjuster.Conducts detailed follow‑up by reviewing medical records, collaborating with the adjuster on treatment directives, interpreting work restrictions, and matching employees to appropriate transitional duty assignments.Collaborates with outside legal counsel on attorney‑represented Workers' Compensation files by providing documentation and assisting in preparation for mediation.Reviews final disability ratings issued by treating physicians and works with the adjuster and legal counsel to develop settlement authority recommendations for the Risk Manager.Creates and maintains accurate, confidential documentation and case notes.Assists with preparing, compiling and distributing reports.Compiles and maintains legal hold documentation for litigated files.Serves as primary backup to the Claims Specialist.Regular attendance is a necessary and essential function.Performs other duties as assigned.Supervisory ResponsibilitiesNo supervisory authority. Work does require providing guidance and training to others.Human Collaboration and Job ImpactInteractions may result in decisions regarding implementation of policies. Contact may involve support of controversial positions or the negotiation of sensitive issues or important presentations. Contacts may involve stressful, negative interactions with the public requiring high levels of tact and the ability to respond to aggressive interpersonal interactions.Interactions have limited impact on the organization in terms of time, money, or public/employee relations.Fiscal ResponsibilityPosition has limited fiscal responsibility.May assist in the collection of data in support of recommendations for departmental budget allocations. May monitor work unit or program level budget and expenditures.Education and ExperienceHigh school diploma or equivalent required. Associate's degree in Risk Management, Business or related field.1 to 3 years' experience in worker's compensation claims.Licenses or CertificationsNone.Knowledge, Skills, and AbilitiesKnowledge of:Disability ratings and injury mechanism.Claims adjusting processes.General office practices and administrative procedures, records management and administration techniques and procedures.Common business software applications such as Microsoft Office.Skills:Communicating verbally and in writing to meet the needs of the audience.Applying active listening and asking questions for understanding.Collecting, organizing, and analyzing complex and/or technical data.Conducting investigations.Organizing and managing time effectively.Maintaining attention to detail.Creating and maintaining detailed and accurate records.Applying tact and mediating conflict.Providing high levels of effective customer service.Abilities:Recognize, analyze, and solve a variety of problems.Compile, organize, interpret, and communicate data and results concisely.Apply logic and reasoning to evaluate the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.Manage projects.Manage difficult and stressful situations with professional composure and maintain effective interpersonal relationships.Create and present reports.Exercise sound judgment in making critical decisions.Regularly use a computer, software, phone and related office equipment.Work Environment – Environmental or atmospheric conditions commonly associated with the performance of the functions of this jobOffice or similar indoor environment – Frequently of OftenExposureIndividuals who are hostile or irate – SometimesPhysical DemandsThis position is relatively free from unpleasant environmental conditions or hazards and is generally sedentary.Incumbents may be required to exert up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or constantly having to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.Hours/DaysM-F, 8 hrs/dayStarting Salary$23.26/hr (Min) to $28.60/hr (Mid); Commensurate with ExperiencePay GradePay Grade 107Location600 E. BroadwayP.O. Box 6015Columbia, MO 65205EEO StatementThe City of Columbia is a merit, affirmative action, equal opportunity employer: Male / Female. The City of Columbia requires pre‑employment drug testing. The City of Columbia participates in the federal E‑Verify work authorization program.#J-18808-Ljbffr