Risk Managment Specialist

  • 201649
    41

     
SUMMARY: Under limited direction, organizes and manages the clerical work of the Risk Management office, coordinates the processing of claims, and performs 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. Communicates with supervisor of injured employee to review incident, return to work status and restrictions, and payroll coding.
  2. Communicates with Managed Care Organization to request, discuss and/or authorize medical services, and to discuss noncompliant employees.
  3. Communicates with Third Party Administrator to discuss strategy of claim, medical services and/or to request specific action to be taken.
  4. Communicates with representing council to discuss strategy of claim, request specific action, and/or discuss settlement offers.
  5. Investigates worker’s compensation claims and makes recommendations to the Risk Manager.
  6. Compiles information and prepares State average weekly wage reports.
  7. Reviews the utilization of the City’s provided worker’s compensation benefits.
  8. Maintains the general liability and workers’ compensation bank accounts.
  9. Prepares and processes special requests for deposits of extraordinary amounts or conclusions.
  10. Prepares and processes invoices for payment.
  11. Responsible for maintaining and updating the Family Medical Leave Act records.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of medical terminology.
  • Knowledge of applicable Federal and State Regulations concerning worker’s compensation.
  • Skill using word processing, spreadsheet, and data base applications.
  • 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 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: High school diploma or GED, and three (3) years working related experience, or any combination of training and experience. A valid Florida driver’s license is required.

FLSA Code: N/E
B/U: None
Last revision date: October 2001
 
Overtime: Yes
 
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