Loss Control Representative IV, or V - OCC Division- Austin, TX

Overview

Loss Control Represent IV and V:
Investigates and adjusts tort and liability claims against the Department. Evaluates the compensability and liability of cases. Makes independent decisions on claims and exercises settlement authority. Work requires contact with Department employees, law enforcement personnel, and the public. Work could require extensive statewide travel and/or travel in an assigned geographic area if required for a specific claim. Employees at this level establish their own work plan and priorities to meet set objectives.

Issues are handled at the occurrence and relayed to the supervisor or discussed in advance, when necessary.

Loss Control Represent IV
:

• Recommends risk avoidance, prevention, reduction and safety assessment measures to senior managers for the Department's risk management programs.
• Assists investigative agencies by facilitating depositions, running activity checks, collection information and preparing courtroom exhibits if claims require litigation.
• Conducts and/or attends safety meetings to answer questions from employees and managers.
• Conducts evaluations and completes written reports as needed and/or requested.
• Handles tort/liability claims involving agency vehicles and motorized equipment.
• Investigates tort/liability claims.
• Makes presentations at district safety meetings and new employee orientation on specific topics.
• Negotiates settlement of claims.
• Performs and completes special projects related to risk management as needed and/or requested.
• Prepares and submits written reports of activities; maintains records and files.
• Represents the Department at claim conferences and hearings and evaluates the compensability of cases.
• Performs other job responsibilities as assigned.

Loss Control Representative V:

All the Above and:

• Performs analysis of factual and legal situations.
• Recommends risk avoidance, prevention, reduction and safety assessment measures to senior managers for the Department's risk management programs.

Loss Control Represent IV and V :

Education:

• Bachelor's Degree in Business Administration, Insurance or related field.
• Relevant work experience may be substituted for degree on a year per year basis. Substitutions for Minimum Qualifications

Experience:

• 5 years claims adjusting.
• Experience can be satisfied by full time or prorated part time equivalent.
• Related graduate level education may be substituted for experience on a year per year basis.

Licenses and

Certifications:

• Valid driver’s license. This position requires driving a state vehicle.
• Must have a Texas Insurance Adjuster license in:
  All Lines OR Property & Casualty and Worker's Compensation.

Loss Control Represent IV:

Considerable Knowledge of:

• Auditing and investigative methods, practices and procedures
• Contract claims, dispute resolutions and adjustments techniques
• Applicable laws, rules, and regulations
• Negotiation practices

Expert skill in:

• Speaking to present images and ideas in a clear, concise, organized, and interesting manner to optimize audience understanding and keep the group focused
• Preparing technical/statistical reports
• Conducting investigations

Proficient skill in:

• Public relations for maintaining effective working relationships with individuals and groups, both internal and external
• Maintaining effective working relationships with others
• Preparing and maintaining confidential and sensitive records, files, and reports
• Training in a classroom, office, or field environment
• Developing and giving presentations
• Using computers, applicable programs, applications, and systems

Other Attributes:

• Exercises logic and reasoning to define problems, establish facts and draw valid conclusions; makes decisions that support business objectives and goals
• Shows initiative and action beyond what is required to improve products or services; is self-starting and completes assignments independently without constant supervision

Loss Control Represent V:

All the Above and :

• Extensive knowledge of medical terminology

Physical Requirements and

Working Conditions:

Loss Control Represent IV or V:

• Sedentary work:
  Lift up to 10 lbs at a time and occasionally carry files/small tools
• Light work:
  Lift up to 20 lbs at a time and frequently lift or carry objects up to 10 lbs
• Standing-prolonged periods of time
• Repetitive Motion-substantial movements of the wrists, hands, and/or fingers
• Close Visual Acuity-work includes data/figures; view a computer screen; extensive reading

Conditions of Employment:
Please read the standard conditions of employment for all positions:
Standard Conditions of Employment (TxDOT)