Risk Management Claims Specialist

Risk Management Claims Specialist

Please read before applying: This position is for applicants who have experience in workplace risk that centers on workplace safety, claims processing, subrogation, and general liability insurance. Please apply if you have this level of experience. This role is not applicable to those with experience in Financial Risk Management or IT Risk Management. This role must be in the office five days per week.

Job Summary

Under the direction of the Risk Manager, this position supports Hall County Government's risk-management and loss-prevention program as a professional staff member. The Risk Management Claims Specialist is expected to be self-motivated and interested in risk management efforts and responsibilities. Assigned programs may include claims management, incident reporting, driver programs, insurance renewals, data loss analysis and prevention, and risk management events.

The Specialist assists in establishing and enforcing risk-management policies, conducting safety assessments, evaluating and developing training programs, and supporting loss-prevention efforts.

Essential Functions and Responsibilities

Manages end-to-end workers' compensation and commercial liability claims, including claim intake, data entry into third-party administrator systems, investigation, documentation, reserve monitoring, reporting, and claim resolution. Ensures accuracy and integrity of all claims data and prepares recurring and ad-hoc reports on claim activity, costs, trends, and performance metrics.

Conducts safety assessments, participates in root-cause analyses, evaluates training needs, and supports development of new or revised training programs to promote county-wide safety, loss mitigation, and risk reduction.

Tracks and analyzes loss data to identify high-risk operations, cost drivers, and opportunities for reducing workplace injuries and liability exposures.

Leads the Risk Management Committee in evaluating incidents, determining causes, and recommending corrective actions consistent with County policy.

Supports the Risk Manager in managing the County's Subrogation Program.

Assists in preparing materials and evidence for hearings, lawsuits, and insurance investigations.

Coordinates the County's random and "for cause" drug/alcohol screening program, ensuring policy compliance and proper communication of procedures.

Supports annual insurance renewals, audits, and other risk-related projects.

Ensures compliance with state workers' compensation laws, and all County policies and procedures. Maintain confidential records and uphold strict standards of data privacy and accuracy.

Maintains professional knowledge and skills by participating in training, reading industry publications, and pursuing ongoing development opportunities.

Completes administrative duties and special projects assigned by the Risk Manager.

Regular and predictable attendance is required. Performs other related duties as required.

Minimum Qualifications Required

Education and Experience:

Associate's degree in business, Political Science, Safety, or related field.

Three (3) years of Risk Management and/or Claims-related experience. Municipality experience preferred.

Any equivalent combination of education and experience to meet the above-stated qualifications.

Licenses and Certifications:

Valid Class C drivers' license and a satisfactory motor vehicle record.

Knowledge, Skills, and Abilities

Knowledge of risk-management principles, loss-control techniques, and methods for developing and implementing comprehensive programs.

Ability to foster an employee-focused culture that engages staff in County risk-management programs.

Strong knowledge of workers' compensation laws, liability coverage, claims processes, and industry best practices.

Experience working with TPAs, insurers, adjusters, medical providers, and legal counsel.

Demonstrated ability to analyze data, identify trends, interpret claim metrics, and develop actionable insights.

Strong organizational skills with the ability to manage multiple claims and deadlines in a fast-paced environment.

Knowledge of applicable laws, ordinances, policies, standards, and regulations.

Proficiency in claims software, RMIS systems, and Microsoft Office (Excel required).

Ability to compile, organize, prepare, and maintain records, reports, and information accurately.

Independent and collaborative problem-solving skills.

Ability to perform basic mathematical and statistical calculations.

Ability to read, understand, and interpret reports, claim files, regulatory documents, and related materials.

Ability to communicate clearly and effectively, both orally and in writing.

Ability to establish and maintain effective working relationships with employees at all organizational levels.

ADA Minimum Requirements

Physical Ability: Essential functions of this position continuously require the ability to remain in a stationary position (sitting or standing); operate a computer and other office machinery, such as a calculator, copier, and printer. Incumbents must continuously be able to think analytically; handle stress and emotion, concentrate on tasks, remember names and other details; examine and observe details; make decisions, and adjust to change. Incumbents must also continuously direct others; meet deadlines; stay organized; use math/calculations and use a keyboard/type.

Essential functions frequently require the ability to move about inside the office; and move/transport items up to 10lbs.

Essential functions occasionally require the ability to bend body downward and forward by bending spine and legs, and twisting at the waist, hips or knees; reach overhead; push or pull; and repetitively use hands/arms/legs. Incumbents in this position are occasionally required to be on-call and work irregular hours.

Sensory Requirements: Essential functions regularly require the ability to use effective verbal and written communication; and use of hand/eye coordination and fine manipulation to use equipment.

Environmental Factors: Essential functions of this position continuously require the ability to either work with others or work alone.

This class specification should not be interpreted as all inclusive. It is intended to identify the major responsibilities and requirements of this job. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this specification.