What are the responsibilities and job description for the Risk Management Specialist I position at City of Clearwater?
TARGET ENTRY SALARY: $63,947 - $67,145 DOQ
Under general supervision, the Risk Management Specialist I coordinates, administers, and performs various functions for the Risk Management Department. Performs liability claims adjustments, property claims, workers compensation, and safety program administration.
- Coordinates, administers, and participates in various safety, workers' compensation, property claims, liability claims adjustment, and other loss control programs to fulfill the City's overall Risk Management objectives.
- Investigates, negotiates and recommends settlement of liability, City and third party property damage claims; determines liability and total value of claims; investigates workers' compensation claims for compensability and paying appropriate benefits; interviews insureds, witnesses and physicians; makes visits to scenes of accidents, and inspects property damage when warranted; reviews property estimates for validity; evaluates and makes recommendations regarding coverage of claims; identifies discrepancies, monitors risk factors, and determines validity of claims; authorizes payment, approves invoices, and enters information in accounting software.
- Creates, drafts, prepares, and presents documents, reports, and records necessary to process liability, property, and workers' compensation claims; works to mitigate the City's risk factors through professional, accurate, and timely accounting, review, and reporting.
- Responds to legal demands and records requests, which are governed by statutory deadlines.
- Prepares workers' compensation documents for Human Resources and Payroll weekly, manually verifies lost wages to be paid.
- Negotiates with individuals, insurance companies, adjusters, and attorneys to obtain an equitable settlement of claims; communicates and engages with all parties in a professional manner, troubleshoots issues, addresses problems, and provides resolutions to mitigate risk within the City.
- Supervises and monitors the collection of monies due the City arising out of accidents and other incidents; monitors the financial reserves necessary to administer the City's self-insurance program; works with City Legal Counsel and makes recommendations as to defending claims and pursuing litigation; and also, to assist in recovering City monies owed by responsible parties.
- Reviews and submits incoming and outgoing subrogation demands to ensure all parties are reimbursed for what is owed or what the City owes; reviews and evaluates accounting to ensure accuracy, validates payments and signatures, and ensures the successful delivery of funds.
- Assists in the planning, development and administration of citywide safety programs; provides feedback and information on risk potential and solutions to mitigate safety risks.
- Attends Incident Review Boards and Safety Meeting as needed by the Risk Manager.
- Reports worker's compensation claims to excess insurance carriers and records recoveries owed to the City.
- Attends mediations, trials, and conferences in conjunction with legal requirements on behalf of the City
- Works with all departments throughout the City to obtain and coordinate claims documentation.
- Prepares claims reports for internal departments and external insurance carriers.
- Independently manages caseload of 100 to 400 individual claims.
- Attends CEU classes required for the maintenance of their all-lines adjuster's license.
- Prepares and processes all vehicle total loss documents in conjunction with DMV regulations and works with the Fleet Department of the disposal of salvage.
- Assists in HR Safety and Driver Safety Presentations in the absence of the Risk Manager.
- Is out of office for field investigations, meetings with residents, CEU seminars, attendance of trials and mediations.
- Performs customer service and other duties as assigned.
Licenses, Certifications, and Equipment:
A valid State driver's license is required.
Florida All Lines or Florida Workers' Compensation Adjuster's within six (6) months of hire.
Education and Experience:
Bachelor's Degree in Occupational Safety, Risk Management, or related field preferred PLUS two (2) years of professional level risk management experience in processing liability or workers' compensation claims or two (2) years of professional level experience in coordinating a major accident investigation and safety program; OR an equivalent combination of education, training, and experience may be considered.
Knowledge of –
- Statutes, regulations, and rules applicable to workers' compensation statutes/liability claims administration
- General risk management practices and principles
- Worker's compensation law, practices, and regulations
- Safety laws, codes, standards, and regulations
- OSHA and ANSI
- Field investigation reporting
- Legal and medical terminology
- Medicare compliance
- Office practices, procedures, and equipment
- Record keeping, report preparation, filing methods, and records
- General office policies and procedures; computers and general office equipment
Skill in –
- Organizing work and setting priorities to meet deadlines
- Preparing complex records and documents regarding risk factors
- Conducting in depth investigations of accidents and incidents
- Analyzing statistical data and determining appropriate action
- Performing general office and clerical work
- Preparing accurate accounting reports and statements
- Make risk assessments quickly and accurately
- Establishing and maintaining strong internal and external relationships
- Timely filing of state reporting documentation
- Communication with internal and external customers
- Ability to negotiate fairly over the phone and in person
- Operating a computer and related software
Salary : $63,947 - $67,145
