Risk Management Assistant

Overview

General Description Of Class:
This is a responsible and administrative position processing risk management transactions, maintaining related files and records, and performing various insurance, claims processing, safety, and loss prevention functions. Work involves processing insurance-related transactions, maintaining relevant files and records, reporting risk management statistics, and handling property and casualty claims. This position is responsible for maintaining litigated files and communicating with attorney staff.

Work also involves explaining the proper methods for submitting loss and investigative reports, which requires some judgment based on knowledge gained through experience. Considerable public contact may require patience, tact, and judgment. Work requires the exercise of initiative, independent judgment, and discretion in handling delegated administrative details and is reviewed through conferences, observation, and analysis of reports and results achieved.

This posting is Continuous and can close at ANY TIME WITHOUT NOTICE.

Note: This summary reflects the essential functions of the position and is not intended to be all-inclusive. Additional duties may be assigned as needed.

• Assists in the administration of all lines of property, casualty, auto, liability, and workers  compensation insurance claims in accordance with applicable Florida statutes, Florida Administrative Code, relevant case law, and various collective bargaining agreements.
• Maintains daily interaction with insurance carriers, healthcare providers, supervisors, employees, attorneys, and citizens.
• Receives and processes insurance coverage and claim transactions; verifies forms for accuracy, completeness, and compliance with established risk management procedures; obtains information to complete reports; instructs employees on the proper methods of submitting loss and investigative reports; answers questions on medical claims problems.
• Receives and processes vendors  certificates of insurance.
• Compiles and completes data for administrative and public reports, bulletins, questionnaires, and other documents; prepares moderately complex worksheets and tables from standardized raw data; makes varied arithmetical computations on material assembled; establishes and maintains filing systems.
• Records new lawsuits and notifies employees of required court appearances, depositions, and meetings.
• Exercises great tact, diplomacy, and discretion in dealing with sensitive issues involving adjusting and processing all claims, employee health conditions, medical care, HIPAA, and all claims litigation.
• Works with the finance department and third-party vendors to reconcile problems with unpaid invoices.
• May be required to participate in and/or facilitate training to support departmental or City initiatives and requirements.
• May be required to work overtime or alternate hours as necessary for the efficient operation of the department.
• Position is designated as Mission Critical.

• May be required to process driver s license checks for applicable employees.
• Performs related work as required.

• Associate degree or 60 college credit hours from an accredited college or university in Business Administration, Risk Management, Insurance, or a related field.
• Three years of experience in processing insurance claims or similar office work in a related field.
• An equivalent combination of education, training, and experience that provides the knowledge, skills, abilities, and other competencies necessary for success in the target position may be considered.

Special Requirements:
Must possess and maintain a valid driver s license; must possess and maintain a valid telephone number.

• Knowledge of Microsoft Office Suites and People Soft.
• Knowledge of record-keeping requirements for the processing of insurance claims.
• Knowledge of the general provisions of the City s insurance policies and self-insurance plans.
• Knowledge of legal terminology and documents, and basic insurance terminology.

• Skill in oral and written communication and presentation skills.
• Skill in receiving, documenting, and processing information accurately.
• Skill in customer service and handling claimant/citizen inquiries and concerns.

• Ability to develop and maintain spreadsheets.
• Ability to establish and maintain effective working relationships with co-workers, other employees, and the general public.
• Ability to carry out assigned responsibilities and solve minor administrative problems.
• Ability to prioritize, multitask, meet deadlines, manage projects, work under pressure, and work in a fast-paced team environment.
• Ability to maintain confidentiality and professionally perform duties.
• Must possess a strong customer service orientation, be an excellent problem solver, work effectively in cross-functional teams, and demonstrate a commitment to strategic objectives.