|Job Details: |
Location: 400 S. Ft. Harrison Ave., Clearwater, FL 33756
Pay range: 48,048.00 – 52,000
Please apply at this link: https://phh.tbe.taleo.net/phh04/ats/careers/v2/viewRequisition?org=PCG&cws=47&rid=5046
Protecting our County’s citizens and employees from risk is a critical function within Pinellas County Government and Pinellas County Risk Management. Pinellas County Risk Management’s mission is to protect and safeguard the County’s assets from property, casualty and occupational risks.
This is a responsible technical and professional work with administrative responsibility to administer and process all types of claims and tasks related to complex casualty/bodily injury, property damage, public liability, and miscellaneous other claims adjustments or mitigation. An incumbent in this class plans, coordinates, monitors, and participates in the analysis and investigation within the standardized practices for claims handling. Responsibilities include interpreting and applying complex rules and regulations; maintaining working relationships with claimants, attorneys, governmental agencies, insurance companies, the public, and all levels of county employees. Incumbents perform work involving review and adjudication of claims including casualty, property, auto, and other losses. Work may require a comprehensive knowledge of insurance principles and practices covering all lines of insurance, combined with a working knowledge of medically related impairments and diseases. This work also includes responsibility to review contracts, insurance policies and certificate of insurance that are designed to protect Pinellas County Government interests, settling claims arising under insurance contracts, or performing other similar insurance tasks. Work is generally broad in scope with frequent opportunity for exercising independent judgment and major decisions are subject to final review and approval by the Claims Manager or other designated authority.
WHAT SETS US APART?
Health, vision, prescription, dental, life insurance, and a flexible spending account (FSA) option. Click here for more benefits details.
Biweekly Medical Plan Premiums:
Employee Only: $11.43
Employee and Spouse or Domestic Partner: $131.90
Employee and Child(ren): $105.23
9-11 paid County holidays; 2 floating holidays and 2 personal days (pro-rated); annual leave (accrue 15 days in first year)
Florida Retirement System , Employees contribute 3% and the county contributes 4.91% for regular status employees.
457 Deferred Compensation Plan
Essential Job Functions
Plans, organizes, reviews and conducts investigations (field), negotiations and final dispensation of multi-line claims; provides guidance to inter-departmental staff, constitutional officials, and subordinates with technical advice and assistance regarding compliance with statutory regulations and county policies/procedures.
Coordinates defense preparation with attorneys, inter-departmental staff, and constitutional officials; attends and assists at depositions, mediations and hearings as a representative of the County for matters in litigation, as may be required.
Coordinates with all levels of professional individuals and organizations to facilitate recovery and resolution. Negotiates with attorneys, individuals, and insurance companies to affect an equitable settlement; recommends payment of settlements; and manages the collection of subrogation monies.
Reviews financial reserves necessary to administer the County's Self-Insurance Program; reviews each claim assigned, calculates and changes estimated reserves as necessary.
Makes frequent contact with claimants relating to status of condition and progress; requests and reviews supporting documentation (often highly confidential in nature) to effectively manage claim and facilitate recovery or resolution.
Ability to review, process and conclude assigned claims, document all correspondence, reports, discussions and decisions in our Risk Management Information Systems (RMIS). The ability to maintain an ongoing diary in the RIMS and continually assess exposure and evaluate accurate reserves.
Attends conferences, workshops and meetings to ascertain new developments or changes in law pertaining to the industry.
May be required to be available by phone or other electronic device to respond to emergencies and provide assistance or instruction.
Performs related work as assigned or required
Position Specific Requirements
6 years of experience in performing multi-line claims adjusting with an emphasis on general liability, property damage, auto liability, bodily injury, field investigations and subrogation; or
Associate’s degree with major course work in risk management, public administration, business administration or related field and 4 years’ experience in performing multi-line claims adjusting with an emphasis on general liability, property damage, auto liability, bodily injury, field investigations and subrogation; or
Bachelor’s or higher-level degree with major course work in risk management, public administration, business administration or related field and 2 years’ experience in performing multi-line claims adjusting with an emphasis on general liability, property damage, auto liability, bodily injury, field investigations and subrogation; or
An equivalent combination of education, training, and/or experience.
Possession and maintenance of a valid State of Florida Driver’s License upon hire with eligibility based upon evaluation of a Motor Vehicle Record (MVR) driving report.
Candidate to possess and maintain appropriate State of Florida license in the form of an All Lines Insurance Adjuster.
Assignment to work a variety of work schedules including compulsory work periods in special, emergency, and/or disaster situations.
Knowledge of statutes, case law, standardized practices, regulations, and ordinances applicable to multi-line claims administration.
Knowledge of insurance principles, procedures, and/or practices as well as government self-insurance programs.
Knowledge of pertinent statutory or regulatory provisions and related administrative regulations, and a basic knowledge of contract law related to all lines of coverage, but not legal training equivalent to that represented by graduation from a recognized law school.
Knowledge of litigation techniques relating to evidence, preservation, public records, admissibility, and testimony.
Knowledge of appropriate federal laws, codes, standards and regulations such as Florida Statute 768.28, FMLA, FLSA and HIPAA. Knowledge of standard office software applications such as word processing, spreadsheets, email, internet access and data processing.
Ability to apply computer applications and software.
Ability to deal with, establish and maintain effective working relationships, resolve stressful and difficult situations, and conduct effective negotiations with all levels of employees, individuals, professionals, the public, and organizations with tact and diplomacy.
Ability to communicate clearly and concisely, orally and in writing.
Ability to conduct in-depth investigations of accident and loss circumstances and responsibilities and to write special studies and reports.
Ability to maintain and analyze statistical and factual reports, exercise sound judgment, and determine appropriate action.
Knowledge, Skills, and Abilities
Knowledge of claims handling concepts, practices and techniques, including but not limited to coverage issues, subrogation, contractual risk transfer and reporting requirements to excess carriers as it relates to Pinellas County's self-insurance program.
The ability to handle assigned claims following Pinellas County Governments guidelines and industry best practices with minimal amount of supervision.
Self-Insurance liability claims handling experience, including application of governmental immunity act, general liability claims, auto liability claims, bodily injury claims, property damage claims and subrogation/recovery claims.
Field investigation experience, investigation of complex coverage issues, experience with litigated files, experience with the mediations and legal process.
The work is sedentary work and requires exerting up to 10 pounds of force occasionally and negligible amount of force constantly to move objects. Additionally, the following physical abilities are required:
Balancing: Maintaining body equilibrium to prevent falling while walking, standing or crouching on narrow, slippery, or erratically moving surfaces. The amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.
Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
Fingering: Picking, pinching, typing, or otherwise working, primarily with fingers rather than with the whole hand as in handling.
Grasping: Applying pressure to an object with the fingers and palm.
Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discrimination in sound.
Mental Acuity: Ability to make rational decisions through sound logic and deductive processes.
Pulling: Using upper extremities to exert force in order to draw, haul or tug objects in a sustained motion.
Pushing: Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.
Reaching: Extending hand(s) and arm(s) in any direction.
Repetitive Motion: Substantial movements (motions) of the wrist, hands, and/or fingers.
Speaking: Expressing or exchanging ideas by means of the spoken word including the ability to convey detailed or important spoken instructions to other workers accurately and concisely.
Standing: Particularly for sustained periods of time.
Talking: Expressing or exchanging ideas by means of the spoken word including those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
Visual Acuity: Have close visual acuity such as color differentiation, depth perception, and adequate field vision.
Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.
Work is typically performed in a safe and secure work environment that may periodically have unpredicted requirements or demands.