HR Claims Administrator

The City of Battle Creek (The City) provides equal employment opportunities to all employees and applicants for employment without regard to race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with applicable federal state and local laws. The City complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment including hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.

The City expressly prohibits any form of unlawful employee harassment based on race color religion gender sexual orientation national origin age genetic information disability veteran status or any other legally protected characteristic. Improper interference with the ability of the City employees to perform their expected job duties is absolutely not tolerated.

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The HR Claims Administrator is responsible for managing the end-to-end process(es) for all employee leave programs while ensuring compliance with federal state and local leave laws as well as city policies and collective bargaining addition the role will work closely with management to ensure compliance with required training. This position is expected to exercise considerable independent judgment in the investigation evaluation and adjudication of claims within settlement authority. Performs related work as apparent or assigned under the limited supervision of the Human Resources Director.

• Directly and independently manage leaves of absence programs ensuring compliance with Family Medical Leave (FMLA) Sickness & Accident Leave (Short Term Disability) Paid Parental Leave and other paid and/or unpaid approved leaves including application certification documentation review approval or denial. Provides employees with clear timely and compassionate support throughout the leave process.
• Responsible for managing the citys self-insured Workers Compensation Program; enters/tracks claims assists in insurance adjustments coordinates care with the citys third-party administrator; maintains claim logs as required by federal and state law prepares MIOSHA and management claim and accident reports; and maintains records of losses claims associated expenses and premiums paid by the City.
• Manage coordination of health-related issues including all employment-related physicals requests for accommodation under ADA disability retirements and fitness for duty evaluations.
• Serve as primary point of contact for employees and managers on leave eligibility return to work protocols medical restrictions light duty assignments and reasonable accommodation plans.
• Work closely with safety and operational teams to review accident and injury reports investigations etc.
• Ensure accurate tracking of leave balances and timely updates to managers. Administers payroll functions for approved leaves of absence. Maintains compliant documentation and records in accordance with FMLA ADA HIPAA MIOSHA and city policy. Prepares and maintains reports on leave usage trends and compliance metrics.
• Maintain appropriate self-insurance authority including certification by the State to be self-insured for workers compensation.
• Manage coordination and compliance with Drug Free Workplace Policy and FMSCA Drug and Alcohol Policy acting as the Designated Employer Representative and Program Manager.
• Assist with new hire on boarding as needed.
• Partner with Organizational Development Legal HR and department leaders to provide administrative oversight and support for various training programs (e.g. anti-discrimination harassment workplace violence compliance and ethics city policy etc.).
• Maintain confidentiality of employee information and uphold HR compliance standards. Support HR projects as needed and perform backup functions to department peers.

Minimum Qualifications:

• Bachelors degree in Human Resources Risk Management Business Administration or related the absence of a degree a minimum of five (5) years experience in an equivalent role is required.
• At least three (3) years of prior claims experience in managing leave of absence and Workers Compensation programs.
• Excellent communication skills both written and verbal.
• Strong organizational and record keeping skills with attention to detail and accuracy.
• High level of professionalism discretion and customer service orientation.
• Valid drivers license.

• PHR or SHRM-CP certification.
• Experience with administering benefits in conjunction with collective bargaining agreements.
• Certified Workers Compensation Professional Designation.

Knowledge Skills and Abilities:

• Must be able to demonstrate direct experience in managing and operational oversight of Risk Management programs (workers compensation disability FML etc.).
• Knowledge and experience with all applicable state and federal regulations regarding workers compensation FMLA ADA HIPAA DOT and state-specific regulations.
• Must have the skill and ability to perform a variety of duties often changing from one task to another of a different nature maintaining a high degree of confidentiality and integrity of the work.
• Manage complex problems or cases while making effective decisions independently meeting compliance deadlines and follow-up assignments in a timely manner.
• Perform research gather and analyze data and prepare clear complete and concise communications and reports. Communicate clearly and effectively in oral and written form using correct grammar and spelling.