Claims Adjuster
Manatee County, FL - Bradenton, FL

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LOCATION: 1112 Manatee Ave. W., Bradenton.
HOURS: 8:00 am to 5:00 pm

PAY GRADE: CAG6

Employees in this class work under the direct supervision of the Risk Manager of the County Attorney’s office. Employees within this class perform a variety of administrative and clerical tasks in the daily operation of the Self-Insurance Program including research, analysis, and adjusting of auto, general liability, and workers’ compensation claims asserted against Manatee County, Florida.

Job Duties:

T he job duties illustrated are intended only as examples of the type of work performed by incumbent(s) assigned to the classification. Omission of specific duties does not exclude them from a position if the duties are similar, related, or a logical assignment to the position. Duties that are not normally performed by the classification may be occasionally or temporarily assigned based on office needs.

Area of assignment: Liability
Review all accident, incident, and worker’s compensation First Report of Injury forms; input and maintenance of department databases; investigate claims to determine liability; maintain accurate claims and investigation files for subrogation purposes; perform periodic follow-ups with medical providers, case managers, attorneys, and/or third-party adjusters regarding the status of claim; attend mediations, final hearings, depositions and Restitution Hearings; negotiate restitution settlements and monitor payment plans; review demand packages to determine settlement value; adjudicate and settle claims up to delegated authority; develop and prepare loss run reports for internal auditors, Financial Management, external actuarial studies and the state; and serve as Secretary for the Manatee County Workplace Safety Committee; attend meetings and perform various duties as requested by the Risk Manager.
Area of Assignment: Worker Compensation
Monitor case law and changes to the worker’s compensation statute; provide initial authorization for treatment following an employee injury. Open, evaluate and manage new claims as well as managing/tracking existing claims. Establish initial contact with employee; perform periodic follow-ups with medical providers, case managers and/or third-party adjusters regarding the status of claim; perform periodic follow-ups with county departments regarding employee; coordinate care for employee with field nurse case manager; perform fact-finding investigations; Attend mediations, depositions and/or other legal proceedings; Prepare correspondence, memoranda and reports; Monitor invoices and payments to third-party administrator; Prepare wage statements; Review and summarize records; Hold the office of Secretary for the Manatee County Workplace Safety Committee; Attend meetings as requested by the Risk Manager.

Minimum Qualifications:

Associate’s Degree and/or combinations of education, formal training, and/or experience will be considered, preferably in the fields of risk management, law, insurance claims or safety. Bachelor’s Degree preferred with an emphasis in Risk Management desired.

Work Experience based on area of assignment:
Required: Significant and successful experience working in risk management and insurance claims adjusting with emphasis in the areas of auto, general liability, and/or worker’s compensation claims.

Desired: Three (3) years experience in risk management and insurance claims adjusting with emphasis in the areas of auto, general liability, and worker’s compensation claims. Work in the public sector/clients and/or paralegal experience desirable.

Licenses/Certifications:
Required: Current, valid Florida Driver’s License.
State of Florida All Lines Adjuster License (ACA)

Desired: Board Certified Workers’ Compensation Specialist (CWC) designation
Board Certified Workers’ Compensation Litigation Adjuster (CWCL) designation

KNOWLEDGE/ABILITIES/SKILLS
Employees in this class must possess:
Knowledge of Auto, General Liability, and/or Florida Workers’ Compensation laws, rules and regulations.
Knowledge of auto repair practices, procedures and costs.
Ability to investigate, evaluate and adjust property damage and bodily injury claims.
Ability to make independent decisions and maintain confidentiality at all times.
Ability to effectively negotiate with claimants.
Knowledge of legal process as well as medical and legal terminology.
Ability to communicate clearly, effectively and tactfully, orally and in writing.
Ability to multi-task and deal with distractions while maintaining accuracy of work.
Ability to prepare detailed financial reports.
Knowledge of MS Word, Excel, Access, PowerPoint, and multi-media computer programs.
Ability to use miscellaneous office equipment including facsimiles, scanners and copiers.

Position Specific: