This is highly responsible professional and administrative work of more than average difficulty assisting the Risk Manager in administering the City’s self-insured workers’ compensation, liability, subrogation and property insurance programs. An employee in this class assists with investigating claims, collecting data relating to claims, creating claim files; analyzes, records and reports related to claims. Work requires contact with claimants and the City’s third-party administrator (TPA). The employee works under the direction of the Risk Manager and must exercise considerable initiative and independent judgment in preparing cases, analyzing facts, and recommending resolutions of claims. Identify, analyze, develop and improve areas of risk and risk control by implementing policies, procedures and providing appropriate training and education to positively affect personnel safety and municipal liability. recommending and implementing methods to eliminate, control or minimize risk; evaluating, writing, recommending, and implementing safety directives; performing technical, administrative and advisory review and input to control City losses and adverse effects of accidents to persons and property through Root Cause analyses. Assisting departments with interpretation of various federal, state and local safety regulations; and preparing and maintaining safety related records, reports, and documentation. Work is reviewed in conference with the employee. Assists in maintaining day to day administration of the City’s Workers’ Compensation, Return-To-Work, and modified duty programs; may coordinate with healthcare providers as necessary; works extensively with the TPA on claims handling. Assists with the investigation of workers’ compensation and liability claims. Obtains copies of contracts, medical and payroll records, property damage estimates, photographs, police reports, and other pertinent evidence; assists in other activities required for the proper investigation of claims and to assist in the defense of claims or lawsuits filed against the City. May authorize appointments with physicians, hospital admissions, medical equipment and other necessary medical treatment in workers’ compensation, may authorize or monitor payment of medical bills in workers’ compensation cases. Assists in researching and collecting information for and processing a variety of risk management and workers’ compensation-related reports, forms, logs, records, files and other documents, including accident reports, claim forms, public self-insurers annual reports and ensures that financial and confidential records and files are properly maintained. May confer with police investigators, attorneys, judges, doctors and insurance carriers and may represent the city at mediations and trials. Assists in reviewing and analyzing potential settlement of workers’ compensation claims/liens and prepares documentation (in accordance with City ordinance) requesting approval to settle such claims. Assists in developing solicitations for service for Legal Counsel for workers’ compensation claims, Third-Party Administration, Agent of Record, and actuarial services. Consequently, participates in evaluating responses to solicitations for service. Assists in the development & preparation of the Risk Management annual budget by allocation of claims and costs by fiscal year & department based on claims history. Responsible for accurate/timely entry & review of claims in the TPA’s information management system. Attends regularly scheduled liability claims review with Human Resources Director, Risk Manager, TPA, City Attorney’s Office and applicable department heads. Provides claim documentation to attendees for review. Assists with coordinating & attending workers’ compensation claims review with TPA, Risk Manager, Director of Human Resources and defense counsel. Develops and monitors the implementation and effectiveness of policies, procedures and work guidelines that affect both employee safety and the safety of the public. Reviews, analyzes and tracks all accident injury & property damage reports to identify potential recovery for damages. Assists in administering the City’s subrogation program by gathering needed information from city departments to pursue the recovery of costs for damages to City property and overseeing the TPAs efforts to do so. Assists with filing claims with the City’s insurance carriers as needed. May attend conferences, workshops, seminars, and other professional meetings to keep informed of new developments and techniques in the Risk Management industry as well as changes and updates to related laws. Works extensively with our Insurance Brokers and Carriers in interpreting risk insurance policies, City policies and Codes, procedures and regulations to provide guidance, consultation and assistance to both management and other City departments and employees on various risk matters such as safety programs, workers’ compensation, procurement contracts and other liability issues. Assists in reviewing certificates of insurance for compliance with city requirements. Assists with determining and providing insurance requirements for city projects/requests for services. Assists the City’s Agent of Record in gathering, completing, and submitting insurance applications annually or as needed. Assists in preparing documentation (in accordance with City ordinance) requesting approval to pay the annual insurance renewal premiums. Assists with reviewing and reviewing existing safety manuals, policies, procedures and work guidelines to ensure compliance and effectiveness in preventing accidents, unsafe conditions, and/or work practices and methods for the entire City including broad HR policies as well as Departmental policies and safety protocols. May serve as the acting Risk Manager in the Risk Manager’s absence. Effectively and positively represents the City in delivering and performing work with colleagues and clients, irrespective of gender, race, religion, age, disability, political affiliation or belief, or sexual orientation. Establishes and maintains effective and professional relationships with work colleagues, supervisors, and managers. Performs other job duties as assigned.
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Job Type
Full-time
Career Level
Mid Level