Risk Managment Specialist
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)
- Communicates with supervisor of injured employee to review incident, return to work status and restrictions, and payroll coding.
- Communicates with Managed Care Organization to request, discuss and/or authorize medical services, and to discuss noncompliant employees.
- Communicates with Third Party Administrator to discuss strategy of claim, medical services and/or to request specific action to be taken.
- Communicates with representing council to discuss strategy of claim, request specific action, and/or discuss settlement offers.
- Investigates worker’s compensation claims and makes recommendations to the Risk Manager.
- Compiles information and prepares State average weekly wage reports.
- Reviews the utilization of the City’s provided worker’s compensation benefits.
- Maintains the general liability and workers’ compensation bank accounts.
- Prepares and processes special requests for deposits of extraordinary amounts or conclusions.
- Prepares and processes invoices for payment.
- Responsible for maintaining and updating the Family Medical Leave Act records.
- 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.
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.
Last revision date: October 2001