About this opportunity
GovernmentJobs.com lists this Workers Compensation Program Specialist Senior opportunity in orange, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Senior Workers' Compensation Program Specialist
Under general guidance, the Senior Workers' Compensation Program Specialist leads the implementation and administration of OCTA's workers' compensation claims program and provides oversight of the agency's third-party administrator (TPA). Serving as an organizational subject matter expert, this role develops program strategies, policies, performance measures, and cost-containment initiatives while ensuring compliance with applicable workers' compensation laws and requirements.
This position combines advanced claims expertise, data analytics, financial oversight, technology, and strategic relationship management to improve outcomes for injured employees and strengthen OCTA's workers' compensation program.
This is an exempt position in salary grade 195: Min – $91,852.80 | Mid – $109,137.60 | Max – $126,401.60/year. The starting salary will be within this range based on qualifications.
This posting will remain open until a candidate is selected.
What You'll Do
Serve as an organizational expert on workers' compensation policies, laws, practices, and regulatory requirements
Develop and implement workers' compensation program goals, objectives, policies, and advanced cost-containment strategies
Provide strategic oversight of the workers' compensation TPA, including performance reviews and audits designed to optimize claims outcomes
Manage complex and high-stakes claims, settlements, employer-level investigations, and regulatory matters
Lead initiatives such as the Transitional Work Program and identify opportunities to improve program effectiveness and efficiency
Develop key performance indicators (KPIs), benchmarks, and data analytics to evaluate program performance, identify injury trends, and reduce costs
Lead financial analyses and reporting, including cost-benefit analyses, reconciliation improvements, and return-on-investment measurements
Prepare and present financial, claims, and program performance reports to executive leadership
Support the implementation and effective use of claims management technology, including the Origami Claims Management System
Ensure required Department of Industrial Relations reporting is completed accurately and timely
Develop and maintain effective partnerships with legal counsel, medical providers, TPAs, and other industry partners
Author and communicate policy and program updates to employees, leadership, and other stakeholders
Advise employees on workers' compensation matters and champion timely, effective support for injured employees
Mentor and coach team members and stakeholders to strengthen workers' compensation knowledge and promote continuous improvement
Represent OCTA on workers' compensation matters at meetings, audits, presentations, and external forums
Support safety initiatives and related training activities as needed
What We're Looking For
Bachelor's degree in Finance, Business Administration, or a related field, or an equivalent combination of education and experience
Minimum of five years of workers' compensation claims experience
State of California Self-Insured Certificate required
Advanced knowledge of workers' compensation laws, claims practices, policies, and regulatory requirements
Experience overseeing third-party claims administrators and working with legal counsel, medical providers, and other business partners
Demonstrated ability to manage complex claims and high-stakes workers' compensation matters
Strong analytical skills with the ability to use claims and financial data to identify trends, evaluate performance, and recommend solutions
Experience developing KPIs, performance measures, reports, and cost-containment strategies
Strong problem-solving skills and a solutions-oriented approach to complex claims and program challenges
Excellent written, verbal, presentation, and relationship-building skills
Ability to lead initiatives, influence stakeholders, and mentor others without direct supervisory authority
Experience with claims management technology, such as Origami, is valuable for success in this role
Why You'll Love It Here
Serve as a subject matter expert and help shape the direction of OCTA's workers' compensation program
Make a meaningful impact by improving outcomes and supporting injured employees
Use data, technology, and analytics to drive smarter claims management and cost-containment strategies
Lead program improvements and initiatives that enhance efficiency and organizational performance
Collaborate with executive leadership, legal counsel, medical providers, TPAs, and professionals across the agency
Apply your expertise to complex, high-impact workers' compensation challenges in a mission-driven public transportation organization
Join a team where innovation, integrity, and strategic thinking are valued. Apply now to help advance OCTA's workers' compensation program and deliver effective, employee-focused solutions that support our workforce.
OCTA is an equal employment opportunity employer that recruits, hires, and promotes qualified people without regard to race, color, religion, creed, ancestry, national origin, age, sex, pregnancy, gender, gender identity and/or expression, sexual orientation, marital status, medical condition, disability, genetic information, military and veteran status, or other legally protected status.
Worksite address
orange, CA, 92613, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.