What are the responsibilities and job description for the SENIOR RISK MANAGEMENT CLAIMS ANALYST position at Albuquerque Public Schools?
Under minimal direction, manages minimal to high severity claims, arising from one or more lines of insurance andexposure from inception to closure
ESSENTIAL FUNCTIONS :
ESSENTIAL FUNCTIONS : Incumbent must achieve the following outcomes with or without reasonable accommodation :
- Analyzes and recommends new or modified risk management plans, policies, procedures and processes
- Audits weekly claims payments reconciliation and payments to vendors.
- Works with claims adjusters to prepare monthly, quarterly, annual and ad hoc claims reports.
- Reviews claims files and makes recommendations to bring claims to closure in an effective and timely manner.
- Monitors current claims settlement authority structure to reflect the district's goals for cost containment of claims and litigation costs.
- Maintains relationships with defense counsel for the handling of litigated claims.
- Monitors litigation to include compliance with litigation plans, strategies and insurer requirements.
- Incorporates fiscal constraints into litigation plans that insure that the district's cost containment goals are implemented.
- Reviews bills from service providers for compliance with best practices, claims standards and contractual agreements.
- Encourages the utilization of alternative dispute resolution strategies such as; mediations, informal discussions, binding and non-binding arbitration.
- Implements and coordinates effective cost containment strategies and practices to prevent fraud.
- Seeks to recover expenses through diligent pursuit of subrogation and restitution.
- Communicates effectively with excess insurance carriers.
- Monitors claims to ensure competitive pricing for auto rentals, alternative lodging, general contracting bidding, auto appraising, salvage bidding etc.
- Assists all levels of management in the administration and application of claims reporting practices and procedures.
- Monitors claims files for quality assurance and promotes correct data input into the claims information system to help in overall claims management by identifying problems, patterns and trends.
- Analyzes claims data and makes recommendations for controlling loss exposures.
- Assists the Loss Control Manager and utilizes training materials (i.e., audiovisual, audio and other media methods) to communicate claims information to administrators.
DUTIES : In addition to the essential functions of this job, the incumbent must perform the following duties :
PREFERRED KNOWLEDGE, SKILLS, ABILITIES AND EXPERIENCE :
PREFERED KNOWLEDGE, SKILLS, ABILITIES, EXPERIENCE AND EDUCATION :
REQUIREMENTS :
MINIMUM REQUIRED EDUCATION, LICENSES, CERTIFICATIONS, EXPERIENCE AND SKILLS :
CONTACT INFORMATION :
Contact : Michael Brown at / Michael.Brown@aps.edu
APPLY TO : APS.EDU / JOBS
District Support Application
In addition to a complete, submitted application, attach cover letter and resume
ADDITIONAL INFO :
GRADE / LEVEL : DSE11
SALARY : $63,779.64
DAYS : 256
HOURS : 8
START DATE : ASAP
ADA Compliance
Salary : $63,780
