What are the responsibilities and job description for the Coordinator I - Risk Management Claims position at Springfield Public Schools, MO?
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
Certificates, Licenses and Other Special Requirements
Knowledge, Skills, and Abilities
Working Conditions and Physical Requirements