Primary Purpose:
Manages Employee Care Services (ECS) for integrated benefits delivery, associated with workers' compensation, sickness, long term disability (LTD), Family and Medical Leave Act (FMLA)/California Family Rights Act (CFRA) statutory leaves, total disability under the pension plan, reasonable accommodations and interactive process. Manages claims, regulatory compliance and processes required to administer the Sempra Energy self-insurance plans. Leads and provides oversight to SDGE/Sempra's wellness programs.
Duties and Responsibilities:
- Manage the program administration for workers' compensation, leave and non-occupational disability benefits in compliance with workers' compensation laws and other administrative laws. Ensure ECS effectively administers and delivers long term disability, sickness, FMLA/CFRA and Workers' Compensation benefits, leave laws, reasonable accommodations, interactive process and total disability under the pension plan benefits. Provides supervisory guidance and development to direct reports to evaluate trends and costs to ensure adequate funds are available to fund Workers' Compensation, long-term disability plans, sickness, leave and disability pension plan benefits. Plans and monitors department budget. Determines workers' compensation reserve appropriateness, efficiencies, program changes and application of laws, regulations and other standards related to program administration. Ensure the reporting of reserves to company financial department and help in the preparation of the Self-Insurers Annual Report.
- Provide oversight and lead the effective delivery of company wellness programs, such as health & wellness learning series, emergency dependent care programs, onsite health and fitness programs and health screenings and wellness events. Ensures analysis of wellness program utilization, manages wellness program vendors. Manages wellness service providers and works in partnership with various departments to ensure delivery of wellness benefits.
- Focus on the cost effective delivery of benefits, benefit delivery service to internal and external clients. Provide guidance to ensure ECS delivers exceptional customer service while maintaining compliance with regulatory statutes. Conduct informational presentations to clients to further an understanding of employee leave and disability benefits.
- Evaluate and provide input on new or revised ECS policies and procedure changes. Evaluate and interpret strategies and supporting materials for plan design changes, including Union negotiations in partnership. Implement process changes and associated procedures to support benefits plan design changes.
- Provide guidance and direction to staff members with a focus on meeting goals, objectives and case resolution. Assess and influence department performance through reports, case monitoring, meetings, customer feedback and staff interaction.
- Perform other duties as assigned (no more than 5% of duties).
Qualifications
Required Qualifications:
- Bachelor's Degree in Business, Corporate Health, Psychology, Sociology, related discipline, or equivalent training and/or experience required.
- Self-Insurance Administration, California Workers Compensation Claims Administration (WCCA) and California Workers Compensation Claims Professional (WCCP) certifications required.
- 8 years work experience in workers' compensation, long term disability (LTD), and Americans with Disabilities Act (ADA), including 2 years of supervisory or project management experience required.
- Thorough understanding of Workers' Compensation laws of California, Employee Retirement Income Security Act (ERISA), long-term disability, Americans with Disabilities Act (ADA), ADA Amendments Act (ADAAA), statutory leaves, State Disability Insurance and pension plan disability plans.
- Requires strong oral and written communication skills to effectively communicate with all levels of the organization, including external stakeholders.
- Experience using Microsoft Office applications.
- Must possess strong leadership, customer-focus and team building skills.
- Requires continuing education coursework in Worker's Compensation, OSHA regulation, disability management and other related fields.
- Strong project management, organization and administrative management skills.
- Ability to maintain strict confidentiality of employee information and materials.
Preferred Qualifications:
- Experience with benefits program administration, including Union-represented employee benefits administration, and compliance with collective bargaining agreements preferred.
- Knowledge of company, vacation and sickness policies, highly desirable.
San Diego Gas & Electric (SDG&E)
8326 Century Park Ct
San Diego
California United States
www.sdge.com