Risk Management Analyst

  • 201631
    53

     
SUMMARY: Under limited direction, performs specialized work in processing liability, insurance and/or workers’ compensation claims for the City. The work requires exercise of initiative, independent judgement and discretion in handling claims in accordance with established City Code requirements, State and Federal law and internal policies. Works under the supervision of the Risk Manager and may supervise clerical staff as assigned. Performs special projects, administrative duties and other related duties as assigned.

ESSENTIAL FUNCTIONS: (Essential functions, as defined under the Americans with Disabilities Act, may include the following tasks, knowledge skills, and other characteristics. This list is ILLUSTRATIVE ONLY, and is not a comprehensive listing of all functions and tasks performed by incumbents of this class.)

DUTIES AND RESPONSIBILITIES:(Which are not in any hierarchical order)
  1. Processes workers’ compensation, automobile and general liability claims including medical reports regarding treatment and related bills.
  2. Compiles forms and bills for submission to the Third Party Administrator for processing.
  3. Assists employees and citizens in preparing and submitting claim forms. Explains procedures and resolves problems related to claims processing.
  4. Coordinates duty disability and workers’ compensation indemnity benefits and explains benefits to employees.
  5. Calculates average weekly wages and/or other economic losses such as property damage and lost wages, etc.
  6. Maintains electronic and paper claims files.
  7. Reviews claims files for compliance, completeness and standardization.
  8. Performs on-site analysis at the direction of the Risk Manager.
  9. Trains division personnel in claims handling, at the direction of the Risk Manager.
  10. Supervises office staff and provides input on performance appraisals as appropriate.
  11. Calculates incurred losses and recommends reserve levels.
  12. Analyzes claims files and prepares written reports, as assigned by the Risk Manager.
  13. Audits financial data to ensure accurate reporting.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of insurance and claims handling principles.
  • Knowledge of applicable Federal and State Regulations concerning worker’s compensation, automobile and/or general liability claims.
  • Knowledge of bookkeeping and electronic claims handling software.
  • Skill using word processing, spreadsheet, and data base applications (Quattro Pro and/or Paradox, preferred).
  • Skill in addressing complaints, evaluating and resolving claim problems.
  • Ability to work independently and exercise analytical judgement in accordance with established guidelines.
  • Ability to handle challenging public relations and employee relations issues and present a positive image in a customer relations setting.
  • Ability to interpret and properly apply complex regulations.
  • Ability to establish and maintain effective working relationships with those contacted in the course of work.
PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT: Work involves light work in a fast paced office setting. There is frequent need to stand, stoop, walk, sit, lift objects (up to 25 pounds), drive to other City departments and perform other similar actions during the course of the workday. The City of West Palm Beach promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing.

MINIMUM QUALIFICATIONS: Bachelor’s degree from an accredited college or university with a major in Business Administration, Finance, Risk Management, or related field and two (2) years of related experience required, or any equivalent combination of training and experience. A valid Florida driver’s license is required.

FLSA Code: E
B/U: None
Last revision: October 2001
 
Overtime: No
 
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