Risk Management Program Specialist

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Requisition No:877455

Working Title:

RISK MANAGEMENT PROGRAM SPECIALIST -

OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY

DIVISION:

RISK MANAGEMENT
BUREAU: STATE LIABILITY AND PROPERTY CLAIMS

CITY:

TALLAHASSEE

COUNTY: LEON

Requirements:

• One (1) or more years’ experience in the insurance field or adjusting liability claims.
• Proficient in using Microsoft Word and Excel.
• Must be able to travel statewide by flying or driving a car.

Preferences:

• Experience in the legal field or working with attorneys.
• Experience in negotiations or conflict resolution.
• Experience and/or knowledge in working with any Risk Management Information System, Insurance Management system, or similar claims database.
• Currently have, or have held a Florida Adjuster license
• Bachelor’s degree from an accredited college or university.
• Knowledge of the principles of insurance & risk management; of methods of compiling, organizing, & analyzing data.
• Ability to conduct fact-finding interviews; to investigate insurance claims; understand and apply applicable rules, regulations, policies and procedures; collect, analyze and interpret data; to make and defend decisions about insurance claims; plan, organize & coordinate work activities; communicate effectively verbally and in writing; and to establish & maintain an effective working relationship with others.

SPECIAL NOTES:

The required work hours for this position are 8:00 a.m. to 5:00 p.m., Monday through Friday.

This position will be filled at $48,945.48-$52,000.00, based on experience.

Employees of the Department of Financial Services are paid on a monthly pay cycle.

This position requires a security background check, including fingerprint as a condition of employment.

Responses to qualifying questions must be clearly supported by the state application and any omission, falsification or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.

BRIEF DESCRIPTION OF DUTIES:

• Conducts investigations into State liability claims, which are filed against the State and its employees. When necessary, assign specific claims to contract adjusters for field investigation. Responsible for supervising and directing the contract adjuster’s activity during the investigation process and responsible for the overall quality of claims management.
• Responsible for the continual review of claims files. Directly responsible for all facets of litigation management which include scrutinizing summons and complaints, answers, motions, and other legal documents to discern legal strategies, possible additional claims and counter claims, etc. Responsible for having and maintaining a fundamental working knowledge of the statutory, case law, and procedural laws applicable to assigned cases and for suggesting to attorney’s other strategies pertinent to the efficient and professional handling of each assigned claim.
  
  Responsible for assisting the agency involved, where appropriate, in coordinating with the defense attorney. Responsible for developing, with the contract defense attorney, an agreed plan of defense. Responsible for keeping the Administrator and personnel of the involved state agency fully informed of significant case developments. Responsible for authorizing timely offers of judgment/proposals for settlement, offers of settlement, pre-trial settlements, and for attending court ordered mediations and trials.
• Based on facts derived from the claims investigation and or pre-trial discovery, responsible for applying appropriate case law and making a determination of liability for the purpose of exploring the desirability of settlement; related to this responsibility is the need to properly evaluate medical reports, vendor bills, and estimates of damage; responsible for authorizing and making offers of settlement up to approved authority and denying claims when necessary.
  
  Responsible for the adjustment and recording of claim reserve and reserve balances to reflect the monetary exposure…