Workers Comp Claims Adjuster

City of AuroraAurora, CO
3d

About The Position

Adjusts lost time and medical-only workers’ compensation claims for all City employees as a member of the Risk Management Division of the Finance Department.

Requirements

  • An equivalent combination of education, training, and experience that demonstrates required knowledge, skills, and abilities may be considered.
  • Education: Bachelor's degree in business administration or a related field.
  • Experience At least 5 years of experience in workers' compensation lost time claims adjustment.
  • An equivalent combination of education, training, and experience that demonstrates required knowledge, skills, and abilities may be considered.
  • Required Colorado driver’s license with a good driving record.
  • This position may require the incumbent to occasionally use personal equipment (e.g. vehicle, cell phone, tools, etc.) in the course of their employment.

Nice To Haves

  • Knowledge Knowledge of applicable State of Colorado workers’ compensation Statutes and Administrative Rules
  • Personal computer software application including database, spreadsheet, and word processing applications.
  • Skills: Strong interpersonal skills.
  • Abilities: Ability to establish and maintain effective working relationships with claimants, employees, and citizens.
  • Ability to handle sensitive situations with tact and diplomacy and to communicate effectively both verbally and in writing.
  • Ability to use de-escalation techniques to handle sensitive/emotional situations.
  • First Aid and CPR

Responsibilities

  • Adjusts lost time and medical-only workers’ compensation claims
  • Performs investigations of claim incidents to verify compensability of claims and to determine the nature and extent of the claim, as well as methods to prevent future accidents and injuries
  • Communicates with injured City employees, supervisors, and managers as well as other City personnel, medical personnel, attorneys, and insurance carriers
  • With management approval, conducts settlement negotiations and, when negotiations are successful, administers and prepares settlement documents.
  • Coordinates return to work status with employees, supervisors, and medical personnel
  • Initiates and administers subrogation actions
  • Coordinates litigation with outside counsel and prepares correspondence to all parties
  • Timely files all admissions and other filings in accordance with the State of Colorado statutes and administrative rules
  • Calculates claim reserves and sets reserves with management approval
  • Maintains database and records related to claims function in the Risk Management Information System (RMIS)
  • Coordinates with the Safety work unit to prevent future accidents.
  • Assists in the preparation of training sessions and materials
  • Performs other duties as assigned.
  • This job description is not intended to be a comprehensive listing of all activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

Benefits

  • Competitive total compensation package
  • Well-Funded General Employees Retirement Plan
  • Light rail station minutes away
  • On-site fitness center and overall employee well-being programs
  • Internal educational programs to assist with career advancement
  • Access to innovation workspaces
  • Competitive total compensation package
  • Rich benefits package with low employee costs
  • Generous paid-time-off program (Vacation, Sick and Personal leaves)
  • Retirement pension plan
  • Rewarding public sector work impacting a large and diverse community
  • Growing city and employee population
  • Expansive perk benefits such as free Recreation Center Membership, wellness programs, tuition assistance, career advancement, performance bonus programs, etc.
  • On-site fitness center and wellness programs
  • Remote work opportunities
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