Risk Management Analyst
Pinellas County Government
Risk Management Analyst
Location: 400 S. Fort Harrison, Clearwater, FL
Schedule: Monday - Friday; 8:00 a.m. - 5:00 p.m.
*** ONLY CURRENT EMPLOYEES OF PINELLAS COUNTY GOVERNMENT ARE ELIGIBLE TO APPLY. ***
Performs technical and administrative work to support and assist with claims processing for all lines of insurance coverage; assists in the planning, coordination, monitoring, and participates in analysis and investigation within the standardized practices for claims administration; provides technical and administrative support to department supervisors and claims adjusters for continuous claims processing, subrogation recovery, payment requests, data management, and customer service. Performs professional and highly technical work related to the analysis and administration of the workers' compensation insurance program of the County, including working with our Third-Party Administrator (TPA).
What Would You Do?
- Provides assistance in planning, organizing, and collecting data and information for multi-line claims;
- Provides assistance to County departments and inter-departmental staff to ensure compliance with statutory regulations and County policies/procedures;
- Assists supervisors and claims adjusters in the analysis and investigation, assembles risk management case files and documents requiring knowledge of statutory regulations, and assists in coordination of defense preparation with senior staff members;
- Performs data processing related duties including using available statistical packages or multi-function software, encoding data, and routine computer terminal operations;
- Maintains frequent contact with citizens, employees, appraisers, and insurance company representatives relating to status of condition and progress and requests and reviews supporting documentation (often highly confidential in nature) to effectively assist in recovery or resolution;
- Attends meetings;
- Processes indemnity payments, bills, etc;
- Receives, reviews and tracks workers' compensation notifications from TPA, Davies Company;
- Analyzes data for accuracy and coordinates information between TPA and our employees;
- Provides technical expertise and guidance to County employees and TPA;
- Maintains communication with County departments and discusses gap issues;
- Attends departmental meetings in regard to workers' compensation matters;
- Performs other related job duties as assigned.
What Do You Need To Have?
Education and Experience:
- Four (4) years of clerical experience in claims administration, or related work in a loss control program; or an Associate's degree in finance, business, accounting, public administration, or related field plus two (2) years of claims or insurance policies or procedures related experience; or an equivalent combination of education, training, and/or experience.
Additional Requirements:
- Florida Driver's License or Florida Commercial Driver's License and endorsement, if any.
- Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations.
Knowledge, Skills and Abilities
- Knowledge of statutes, standardized practices, regulations, and County policies applicable to multi-line claims administration and workers' compensation;
- Knowledge of administrative claims processing techniques, principles, procedures and/or practices, and government self-insurance programs;
- Knowledge of standard office software applications such as word processing, spreadsheets, email, Internet access, and data processes;
- Knowledge of business English, spelling, arithmetic, and bookkeeping standards;
- Ability to operate a personal computer and apply basic software applications;
- Ability to deal with the public and employees with tact and diplomacy in resolving stressful or conflicting situations;
- Ability to communicate clearly and concisely orally and in writing;
- Ability to maintain and retrieve statistical and factual reports and provide appropriate assistance.
Want To Learn More?
Please review the full classification description with the Physical/Mental Demands and Working Conditions at the below link.
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