Salary: $51,759.97 - $80,227.90 Annually Location : City of Coral Gables, FL Job Type: Full-time Job Number: 1125 Department: Human Resources Department Opening Date: 06/27/2025

Summary Administers the City's workers' compensation program and supports overall risk-management activities. The role manages workers' compensation claims from first report through closure, partners with internal stakeholders and third-party administrators (TPAs), analyzes loss trends, and implements strategies to reduce occupational injuries, insurance costs, and organizational exposure. The role assists with tracking certificates of insurance and contractual insurance requirements and assists with all risk related liability claims.

Job Duties and Responsibilities The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification.

Receive and triage First Reports of Injury (FROIs); file claims with carrier/TPA within statutory time frames.

Act as primary liaison among injured employees, managers, medical providers, and insurance representatives.

Monitor claim status, reserve levels, and return-to-work (RTW) plans; escalate complex cases.

Coordinate light-duty/modified assignments in compliance with the Americans with Disabilities Act (ADA), state laws, and collective bargaining agreements (if applicable).

Attend claim reviews, mediations, hearings or depositions; prepare documentation and testimony.

Audit carrier/TPA performance, invoices, and loss runs; reconcile payments, subrogation recoveries, and settlements.

Analyze loss trends, calculate Experience Modification Rates (EMR), and forecast reserves for budgeting.

Review payroll report information to ensure accuracy of worker's compensation codes.

Administer the City's random and post-accident drug testing processes.

Administer the safety equipment reimbursements.

Develop and coordinate training programs to improve communication and understanding of the City's Workers Compensation and Risk Programs.

Track certificates of insurance and contractual insurance requirements.

Assist with the processing of liability insurance claims.

Performs other related tasks as required.

Qualifications High School Diploma or equivalent.

Minimum two (2) years of experience in the administration of worker's compensation, claims adjusting, or other area within risk management.

Considerable knowledge of the clerical procedure involved in the processing of workers' compensation.

Knowledge of medical terminology in the review of diagnostic and treatment records

A comparable amount of training or experience may be substituted for the minimum qualifications.

Additional Information The City of Coral Gables is an Equal Opportunity Employer/Drug Free Workplace. HOLIDAYS: 15 days including 3 floating days.

SICK LEAVE: 110 hours annually.

ANNUAL LEAVE: 94 hours in the first year of employment, increasing up to 210 after 25 years. Employees must take 40 hours of annual leave each year.

BEREAVEMENT LEAVE: 5 or 10 days for the death of a family member in accordance with the City's Personnel Rules & Regulations.

HEALTH INSURANCE: Fully paid by the City (HMO Select). Coverage becomes effective 1st of month following 30 days. Employee may purchase coverage for eligible dependents at a cost of approximately 50% of the premium.

DENTAL INSURANCE: Available at a cost to all employees through payroll deduction.

LIFE INSURANCE: Term Life and Accidental Death and Dismemberment equal to 1 x annual salary (up to $200,000) fully paid by the City. VOLUNTARY BENEFITS: Several plans are available, such as Short Term Disability, Life Insurance and Critical Illness policies through payroll deductions.

LEGAL SERVICES: Legal Service plan available at a cost to all employees through payroll deductions.

POST EMPLOYMENT HEALTH PLAN (PEHP): The City deposits $950 annually into an individual account for each employee. Monies may be used to pay premiums or medical expenses after retirement.

DEFERRED COMPENSATION: Employees may defer a portion of their pre-tax salary in the 457 Deferred Compensation Program.

TUITION REIMBURSEMENT: $2,000 per semester ($6,000 maximum annually) as per the City's Rules and Regulations.

CELL PHONE: Cell phone provided at a monthly cost of $20.00, if required by department.

RECREATIONAL USE: Employee, spouse and immediate family members seventeen (17) years of age and under are entitled to the benefits below:

- Venetian Pool - No charge for daily admission. - Tennis Centers - No charge for daily court fees - Youth Center - 50% off residential rates for memberships and 25% off camps and other programs.

Golf at Biltmore & Granada:

- Monday through Friday - no charge - Saturday, Sunday and Holidays: - Before Noon - Twilight fees apply - After Noon - No charge (cart fees apply at all times)

PENSION:

City Retirement Plan - Mandatory employee contribution of 10 % of salary; Vesting period is 10 years.

OR

Defined Contribution - 401a - Contribution by City of 7% of employee base annual salary. Vesting period 5 years. Employee not required to contribute. ***Note: Benefits subject to change.*** 01

Do you have High School Diploma or equivalent? Yes No

02

Do you have two (2) years of experience in the administration of worker's compensation, claims adjusting, or other area within risk management? Yes No

03

Do you have considerable knowledge of the clerical procedure involved in the processing of workers' compensation? Yes No

04

Do you have knowledge of medical terminology in the review of diagnostic and treatment records? Yes No

Required Question