Claims Specialist,Sr

University of New Mexico•Albuquerque, NM

4d•Hybrid

About The Position

The University of New Mexico, Office of the University Controller, also known as Financial Services, located on Main Campus is responsible for all central accounting functions for the University. It is the responsibility of the Controller to ensure compliance with all financial policies, rules, and regulations adopted by the University or imposed by external agencies, including state and federal audit requirements, following generally accepted accounting practices. Additionally, the organization oversees the maintenance of the official financial records of the University. The Department of Risk Services is seeking 2 (two) experienced professionals to coordinate, administer, and oversee its workers’ compensation, property, and casualty claims, and Return to Work (RTW) program. Working under minimal supervision, these roles ensure effective claims management while maintaining compliance with all applicable policies, procedures, regulations, and legislation. These positions serve as primary liaisons with external agencies, medical providers, legal counsel, and regulatory bodies, with emphasis on litigated claims. The successful candidates will manage the full lifecycle of workers’ compensation and property and casualty claims, including investigation, liability determination, coverage verification, documentation, and resolution. These roles oversee litigated cases and may represent the University in mediations, hearings, settlement conferences, and trials. In addition, the position manages claims management information systems and ensures accurate organization, retention, and analysis of claims data. A key responsibility for these roles is the oversight and coordination of the University’s Return to Work program. The incumbent collaborates with Human Resources, management, and other stakeholders to develop and implement effective return-to-work and modified duty strategies that support employee recovery and operational needs. These positions also provide authoritative guidance to university leadership, faculty, and staff on workers’ compensation and property and casualty policies, loss control practices, and related legislation. Responsibilities include reviewing accident reports for accuracy and compliance, analyzing claims data, preparing reports, delivering training programs, and developing strategic recommendations to reduce the frequency and severity of losses. Salary range is estimated, and actual salary will be determined after consideration of the selected candidate's experience and qualifications See the Position Description for additional information.

Requirements

Bachelor's degree
at least 4 years of directly related experience in claims adjusting, investigations, litigation and/or risk management
Valid New Mexico Driver's License

Nice To Haves

More than 5 years of experience investigating and/or adjusting claims for workers compensation or general/employers' liability
Experience designing, establishing, implementing, and overseeing an employee return to work (RTW) program
Experience working for a public/government entity, particularly a university of hospital system
Bilingual (English/Spanish)

Responsibilities

coordinate, administer, and oversee its workers’ compensation, property, and casualty claims, and Return to Work (RTW) program
ensure effective claims management while maintaining compliance with all applicable policies, procedures, regulations, and legislation
serve as primary liaisons with external agencies, medical providers, legal counsel, and regulatory bodies, with emphasis on litigated claims
manage the full lifecycle of workers’ compensation and property and casualty claims, including investigation, liability determination, coverage verification, documentation, and resolution
oversee litigated cases and may represent the University in mediations, hearings, settlement conferences, and trials
manage claims management information systems and ensures accurate organization, retention, and analysis of claims data
oversight and coordination of the University’s Return to Work program
collaborate with Human Resources, management, and other stakeholders to develop and implement effective return-to-work and modified duty strategies that support employee recovery and operational needs
provide authoritative guidance to university leadership, faculty, and staff on workers’ compensation and property and casualty policies, loss control practices, and related legislation
Responsibilities include reviewing accident reports for accuracy and compliance, analyzing claims data, preparing reports, delivering training programs, and developing strategic recommendations to reduce the frequency and severity of losses