|Risk & Claims Manager|
|JOB CODE:||106365 |
|SALARY RANGE:||$55,098 - $92,726|
|LOCATION OF WORK|
|Under the direction of the Director of Risk Management, performs responsible, professional and administrative work in overseeing the day-to-day functions of the Risk and Claims Management program. Work involves responsibility for planning, organizing and overseeing the worker's compensation, property and casualty insurance and safety program functions. Supervision is exercised over a staff of professional, technical and clerical employees. Work is carried out with considerable independent judgment and is reviewed through observation, conferences, reports and for results obtained. Performs other work as requested.|
|ESSENTIAL WORK TASKS|
|Oversees and monitors property and casualty insurance claims, workers' compensation claims, and the city-parish Accident and Injury Prevention Program; analyzes and interprets controlling laws and regulations including the Louisiana Workers' Compensation laws.
Consults with attorneys, physicians, consultants and Office of Workers' Compensation mediators and judges.
Establishes preferred provider network for workers' compensation; negotiates with physicians, hospitals, physical therapists, pharmacies for inclusion; negotiates with vendors for reduced flat fee charges for workers' compensation.
Collects and analyzes data relating to loss experience and risk exposures; reviews accident reports; formulates and recommends methods of handling risk.
Analyzes claims submitted for adequacy of coverage, costs, reserves and risk exposure; solicits and evaluates insurance quotations from agents and brokers; files claims with insurance carriers for insured losses.
Administers approved budget; monitors expenses; audits and approves expenditures.
Prepares and maintains statistics, records and reports.
Analyzes whether property and casualty and bond exposures should be covered by self-insurance funds or insurance policies.
|KNOWLEDGE, SKILLS, AND ABILITIES|
|Knowledge of the principles and practices of risk management.
Knowledge of the laws, regulations and administrative requirements of workers' compensation.
Knowledge of insurance practices as applied to achieving effective and economical coverage of risks to persons and property.
Knowledge of the methods, principles and practices of safety education and inspection.
Skill in the operation of modern office equipment and in the use of complex computer applications.
Ability to identify risks and design remedial programs.
Ability to establish administrative policies, procedures and guidelines.
Ability to analyze the loss experience and risk exposure.
Ability to plan, direct and evaluate the work of professional, and clerical subordinates.
Ability to establish and maintain effective working relationships with employees, physicians, consultants, other departments and the public.
Ability to communicate clearly, orally and in writing.
Ability to apply good work habits such as punctuality, reliability, preciseness, and dependability in order to effectively complete assigned tasks and contribute to the smooth operation of the department and division.
|EDUCATIONAL AND EXPERIENCE|
|Bachelor's degree in business administration, risk management, safety engineering, or a related field, and four years of experience in risk management or claims programs. |
|Any equivalent combination of education and experience.|
|OTHER JOB ASPECTS|
|The work examples described in this specification are intended only as an illustration of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from job performance requirements if the work is similar, related, or a logical assignment to the job.|