Workers' Compensation Division aims to:
- Respond to City departments’ needs that arise from the costs and risks associated with workers’ compensation claim liabilities.
- Comply with all legal mandates related to workers’ compensation and to accomplish this at the least possible cost to the City.
- Assist injured workers in the fair, equitable, and expeditious resolution of workers’ compensation claim issues.
Workers’ compensation is the oldest social insurance program; it was adopted in most states, including California, during the second decade of the 20th century. It is a no-fault system, meaning that injured employees need not prove the injury was someone else’s fault in order to receive workers’ compensation benefits for an on-the-job injury.
The workers’ compensation system is premised on a trade-off between employees and employers. Employees are supposed to receive the prompt delivery of defined statutory workers’ compensation benefits for on-the-job injuries, and in return, the defined workers’ compensation benefits are, for the most part, the exclusive remedy for injured employees against their employer, even when the employer negligently caused the injury.
The Workers’ Compensation Division (WC Division) operates and monitors a complete permissibly self-insured workers’ compensation program ensuring the full provision of benefits under the law to employees whose injuries arose in the course and scope of employment. This program oversees the administration of approximately 15,000 workers’ compensation claims.
Currently, the City of Los Angeles utilizes a combination of in-house staff and contracts with private firms for the administration of workers’ compensation claims. These firms are called workers’ compensation third party administrators. The WC Division provides continuous on-site workers’ compensation third party administration contract monitoring. Additionally, the WC Division provides customer service designed to assist injured workers and departments to resolve workers’ compensation claim issues by providing subject matter expertise.