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Coordinator I - Risk Management Claims

Springfield Public Schools, MO
Springfield, MO Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/2/2025

Job Title : Coordinator I - Risk Management Claims

Department : Risk Management

Pay Grade : P100

FLSA Status : Exempt

Reports to : Director I - Risk Management

GENERAL PURPOSE

Responsible for providing support to the educational process with specific responsibilities for managing loss control programs and services; providing information and serving as a resource to others; achieving defined objectives by planning, evaluating, developing, implementing and maintaining services in compliance with established guidelines.

ESSENTIAL JOB FUNCTIONS

  • Direct the District's claims handling processes, managing each report of injury, accident and damage to optimal resolution.
  • Ensure compliance with Missouri Workers' Compensation statutes and the District's Missouri Self-insured program requirements.
  • Direct medical treatment for all employee injuries in coordination with Third Party Administrators (TPA).
  • Respond to a variety of inquiries from injured employees and site supervisors identifying relevant issues, discussing worker's compensation benefits, and recommending or implementing a plan of action that will efficiently resolve the issue.
  • Communicate with District personnel, including Administration and Supervisors, regarding the status of new and existing claims as needed.
  • Monitor TPA, insurers, medical providers, and legal counsel facilitating the employee's quick recovery and return to pre injury status while minimizing the costs and adverse effects to the District.
  • Manage the financial impact of Workers' Compensation claims by directing and monitoring reserve setting, claim payments, settlement discussions, and negotiations.
  • Represent the District at Division of Workers' Compensation hearings as needed.
  • Participate in the selection of third party administrators, medical professionals, and legal counsel, and monitor performance to ensure an appropriate level of service.
  • Prepare, communicate, and monitor District injury and accident reporting procedures.
  • Collaborate with internal and external personnel implementing and / or maintaining services and return to work programs.
  • Manage the Districts Motor Vehicle / Driver Record program.
  • Maintain all claim records in accordance with record retention statutes.
  • Analyze claim data and make recommendations regarding loss prevention actions.
  • Assist with analyzing department's procedures and safety rules for the purpose of identifying issues, developing processes, and / or recommending action plans to enhance individual district programs.
  • Attend meetings in order to convey and / or gather information required to perform job functions.
  • Manage a wide variety of program components ensuring district compliance with established guidelines.
  • Perform other related duties as required / assigned.

QUALIFICATIONS AND REQUIREMENTS

Education and Experience

  • Bachelor's Degree from an accredited college or university, or related experience.
  • Minimum of one (1) year of job related experience with increasing levels of responsibility is required.
  • Certificates, Licenses and Other Special Requirements

  • Must pass a Criminal Background Clearance, the results of which must be satisfactory to the District.
  • Knowledge, Skills, and Abilities

  • Knowledge of basic math, including calculations using fractions, percentages, and / or ratios; read technical information, compose a variety of documents, and / or facilitate group discussions; and analyze situations to define issues and draw conclusions.
  • Knowledge based competencies required to satisfactorily perform the functions of the job include pertinent laws, codes, policies, and / or regulations; personnel processes; standard business practices; risk / loss trend analysis; risk management principles and practices.
  • Skill to perform multiple, technical tasks with a need to routinely upgrade skills in order to meet changing job conditions.
  • Skill based competencies required to perform the functions of the job, including operating standard office equipment including utilizing pertinent software applications; planning and managing projects and programs; and administering personnel policies and procedures.
  • Ability to analyze situations to define issues, draw conclusions and create action plans.
  • Ability to schedule a number of activities, meetings, and / or events; gather, collate, and / or classify data; and use job-related equipment.
  • Ability to communicate and collaborate with internal and external stakeholders to accomplish District objectives.
  • Ability to work with a significant diversity of individuals and / or groups; work with data of widely varied types and / or purposes; and utilize job-related equipment.
  • Ability to apply critical thinking / problem solving to improve work processes.
  • Ability to maintain confidentiality; set priorities; meet deadlines and schedules; work with detailed information; and adapt to changing priorities.
  • Ability to work as part of a team; adapt to changing priorities; and apply logical processes and analytical skills.
  • Working Conditions and Physical Requirements

  • Work environment is primarily inside, where the noise and temperature levels are moderate.
  • The work is light work that requires exerting up to 20 pounds of force occasionally and / or up to 10 pounds of force to move objects.
  • Must possess the physical ability to perceive the nature of sounds, make rational decisions through sound logic and deductive processes, express or exchange ideas by the spoken word, substantial movements (motions) with the hands, wrists, and / or fingers, and discern letters or numbers at a given distance.
  • Additionally, the following physical abilities are required : feeling, grasping, handling, hearing, manual dexterity, mental acuity, repetitive motion, speaking, talking, visual acuity and walking.
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