Risk Management Analyst
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)
- Processes workers’ compensation, automobile and general liability claims including medical reports regarding treatment and related bills.
- Compiles forms and bills for submission to the Third Party Administrator for processing.
- Assists employees and citizens in preparing and submitting claim forms. Explains procedures and resolves problems related to claims processing.
- Coordinates duty disability and workers’ compensation indemnity benefits and explains benefits to employees.
- Calculates average weekly wages and/or other economic losses such as property damage and lost wages, etc.
- Maintains electronic and paper claims files.
- Reviews claims files for compliance, completeness and standardization.
- Performs on-site analysis at the direction of the Risk Manager.
- Trains division personnel in claims handling, at the direction of the Risk Manager.
- Supervises office staff and provides input on performance appraisals as appropriate.
- Calculates incurred losses and recommends reserve levels.
- Analyzes claims files and prepares written reports, as assigned by the Risk Manager.
- Audits financial data to ensure accurate reporting.
- 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.
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.
Last revision: October 2001