What are the responsibilities and job description for the State Risk Adjuster 6 (Property Claims Manager) position at State of Louisiana?
The Division of Administration/Office of Risk Management has a vacancy. This job title has an assigned pay grade of AS-619.
This vacancy will be filled by new hire or by promotion of a current permanent status classified employee.
Louisiana is a "State as a Model Employer" for People with Disabilities.
A criminal history check may be conducted on all new hires as well as employees changing positions including promotions, demotions, details, reassignments and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-verify system.
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the “Apply” link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the information section of the Current Job Opportunities page.
Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application or faxed to (225) 219-1041. The selected candidate will be required to submit original documentation upon hire.
For further information about this posting, please contact:
Erica R. Gay
HR Specialist
Division of Administration/Office of Human Resources
email: Erica.Gay@la.gov MINIMUM QUALIFICATIONS:
Seven years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
Six years of full-time work experience in any field plus four years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
A bachelor's degree plus four years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.Function of Work:
To manage one of three claims sections of the multi-line property and casualty self-insurance program of the State.
Level of Work:
Manager.
Supervision Received:
Administrative direction from the State Risk Administrator (Claims).
Supervision Exercised:
Direct line over State Risk Adjuster 5's.
Location of Work:
Division of Administration, Office of Risk Management.
Job Distinctions:
Differs from State Risk Adjuster 5 by responsibility for managing a section of claims adjustment units rather than a single unit within a section, and by a higher claim payment authority.
Differs from the State Risk Administrator (Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program.
Differs from the State Risk Administrator (Claims) by the absence of full authority for the claims adjustment division, and by unlimited claims payment authority and unlimited authority when participating as a member of the Claims Council.The Office of Risk Management (ORM) is the Division of Administration ancillary agency that administers the comprehensive risk management program for the State of Louisiana and is solely and statutorily responsible for managing all state insurance coverage, both purchased and self-insured, for workers’ compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the State and department/agency/board/commission clients. At the designation of the Commissioner of Administration, ORM serves as the State of Louisiana public facilities sub-recipient representative for Federal Emergency Management (FEMA) Agency Public Assistance (PA) Grants under Subpart G, Title 44 Code of Federal Regulations.
Job Focus Areas
The State Risk Adjuster 6 (Manager) over the Property Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides direct supervision over three State Risk Adjuster 5 (Supervisor) positions. This position has functional management over the State’s Third Party Administrator (TPA) claims handling activities relating to all property lines of insurance, including: building and personal property, equipment breakdown, crime and fidelity, fine arts, bridge damage; and also for claims relating to ORM’s terrorism policy.
The incumbent serves as the primary assistant to the Unit Administrator, providing essential support in the administration of all disaster management and property claim services, duties and responsibilities of the office. The incumbent reports to and receives administrative direction from the State Risk Administrator over Property Claims, Disaster Management and Recovery Services.
Duties and responsibilities include, but are not limited to:
• Directs the ORM first line Supervisors who oversee, monitor and review the work of Third Party Administrator (TPA) desk examiners and claim adjusters in responding to insured commercial property claims
• Review and determination of complex coverage issues
• Maintains reports on high profile claims, providing updates to upper management
• Ensures the TPA complies with contract terms
• Exercises contract oversight, utilizing performance standards and guidelines in evaluating claim files and conducting performance reviews of the TPA and its employees
• Monitors claims involving subrogation and works with legal counsel if subrogation claims are litigated
• Consults with staff members and monitors activities relative to their assigned areas of responsibility to ensure work processes are executed efficiently; and administered in accordance with applicable laws and coordinated with the overall goals of the office and the self-insurance fund
• Evaluate work of catastrophe adjusters engaged to provide field adjusting and development of scope of damages on both insured damages and uninsured damages if disaster is Presidentially-declared
• Provides recommendation to State Risk Director, State Risk Assistant Director and Administrator regarding invoking the Emergency Adjusting Service provision of the TPA contract, when catastrophic claims are threatened or have occurred
• Presents verbal and written reports and updates to Administrator and senior management throughout a catastrophe event
• Provides assistance to Administrator in planning and directing the Statewide FEMA recovery process for federally declared disasters, as designated by the Commissioner of Administration
• Possesses a strong Excel skillset to perform a myriad of activities related to data and information collection and tracking
• Applies analytical skills to large, complex data looking for patterns, trends, accuracy, inaccuracies, and cause and effect within the information
• Recommend, develop and implement internal policies, procedures and processes to streamline and strengthen the statewide program
• Oversees the preparation of and/or develops and maintains highly complex or specialized reports
• Prepares or reviews correspondence on difficult or sensitive matters.
• Lead quarterly unit meetings with TPA
• Assists the Administrator in the development of professional growth and/or improvement plans for unit personnel, and identification of training programs for consideration
This vacancy will be filled by new hire or by promotion of a current permanent status classified employee.
Louisiana is a "State as a Model Employer" for People with Disabilities.
A criminal history check may be conducted on all new hires as well as employees changing positions including promotions, demotions, details, reassignments and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-verify system.
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the “Apply” link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the information section of the Current Job Opportunities page.
Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application or faxed to (225) 219-1041. The selected candidate will be required to submit original documentation upon hire.
For further information about this posting, please contact:
Erica R. Gay
HR Specialist
Division of Administration/Office of Human Resources
email: Erica.Gay@la.gov MINIMUM QUALIFICATIONS:
Seven years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
Six years of full-time work experience in any field plus four years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
A bachelor's degree plus four years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.Function of Work:
To manage one of three claims sections of the multi-line property and casualty self-insurance program of the State.
Level of Work:
Manager.
Supervision Received:
Administrative direction from the State Risk Administrator (Claims).
Supervision Exercised:
Direct line over State Risk Adjuster 5's.
Location of Work:
Division of Administration, Office of Risk Management.
Job Distinctions:
Differs from State Risk Adjuster 5 by responsibility for managing a section of claims adjustment units rather than a single unit within a section, and by a higher claim payment authority.
Differs from the State Risk Administrator (Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program.
Differs from the State Risk Administrator (Claims) by the absence of full authority for the claims adjustment division, and by unlimited claims payment authority and unlimited authority when participating as a member of the Claims Council.The Office of Risk Management (ORM) is the Division of Administration ancillary agency that administers the comprehensive risk management program for the State of Louisiana and is solely and statutorily responsible for managing all state insurance coverage, both purchased and self-insured, for workers’ compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the State and department/agency/board/commission clients. At the designation of the Commissioner of Administration, ORM serves as the State of Louisiana public facilities sub-recipient representative for Federal Emergency Management (FEMA) Agency Public Assistance (PA) Grants under Subpart G, Title 44 Code of Federal Regulations.
Job Focus Areas
The State Risk Adjuster 6 (Manager) over the Property Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides direct supervision over three State Risk Adjuster 5 (Supervisor) positions. This position has functional management over the State’s Third Party Administrator (TPA) claims handling activities relating to all property lines of insurance, including: building and personal property, equipment breakdown, crime and fidelity, fine arts, bridge damage; and also for claims relating to ORM’s terrorism policy.
The incumbent serves as the primary assistant to the Unit Administrator, providing essential support in the administration of all disaster management and property claim services, duties and responsibilities of the office. The incumbent reports to and receives administrative direction from the State Risk Administrator over Property Claims, Disaster Management and Recovery Services.
Duties and responsibilities include, but are not limited to:
• Directs the ORM first line Supervisors who oversee, monitor and review the work of Third Party Administrator (TPA) desk examiners and claim adjusters in responding to insured commercial property claims
• Review and determination of complex coverage issues
• Maintains reports on high profile claims, providing updates to upper management
• Ensures the TPA complies with contract terms
• Exercises contract oversight, utilizing performance standards and guidelines in evaluating claim files and conducting performance reviews of the TPA and its employees
• Monitors claims involving subrogation and works with legal counsel if subrogation claims are litigated
• Consults with staff members and monitors activities relative to their assigned areas of responsibility to ensure work processes are executed efficiently; and administered in accordance with applicable laws and coordinated with the overall goals of the office and the self-insurance fund
• Evaluate work of catastrophe adjusters engaged to provide field adjusting and development of scope of damages on both insured damages and uninsured damages if disaster is Presidentially-declared
• Provides recommendation to State Risk Director, State Risk Assistant Director and Administrator regarding invoking the Emergency Adjusting Service provision of the TPA contract, when catastrophic claims are threatened or have occurred
• Presents verbal and written reports and updates to Administrator and senior management throughout a catastrophe event
• Provides assistance to Administrator in planning and directing the Statewide FEMA recovery process for federally declared disasters, as designated by the Commissioner of Administration
• Possesses a strong Excel skillset to perform a myriad of activities related to data and information collection and tracking
• Applies analytical skills to large, complex data looking for patterns, trends, accuracy, inaccuracies, and cause and effect within the information
• Recommend, develop and implement internal policies, procedures and processes to streamline and strengthen the statewide program
• Oversees the preparation of and/or develops and maintains highly complex or specialized reports
• Prepares or reviews correspondence on difficult or sensitive matters.
• Lead quarterly unit meetings with TPA
• Assists the Administrator in the development of professional growth and/or improvement plans for unit personnel, and identification of training programs for consideration
Salary : $4,470 - $8,767
