Job & Business Opportunities

Job Summary

This classification is primarily responsible for planning, coordinating, supervising, and overseeing administrative activities pertaining to District risk management and claims resolution, and administration of District self-insured and commercial liability insurance plans. Tasks primarily emphasize the management of technically complex functions and activities, and typically include the following areas: Administer Self-Insured General Liability Programs; Worker’s Compensation Program; Risk Management and Analysis Activities. Purchase and Maintain Commercial Insurance Policies; Program Policy and Administration; Information Analysis and Reporting; and Supervise Subordinate Employees.

Supervision

Supervision Received: An incumbent in this classification works under administrative direction, which includes broad management responsibility for a large program or set of related functions. Work is usually received in terms of goals; review is received in terms of results.

Supervision Exercised: An incumbent in this classification may provide direct and/or indirect supervision to lower level personnel.

Distinguishing Characteristics

N/A

Essential Functions

A. Self-Insured General Liability Programs
Duties may include:
Review all general liability and property recovery claims and assign to staff as appropriate. Monitor staff progress and provide technical direction as needed. Direct and oversee investigative activities. Provide emergency response for accident investigation. Evaluate and adjust liability reserves based on projected needs. Approve settlements of general liability claims within limits of authority. Evaluate and refer claims to litigation as appropriate. Direct and monitor the status of litigated files, including setting reserves and authorizing discovery. Negotiate settlements and prepare action plans. Represent the District in litigated matters including mediations, settlement conferences and trials. Directly handle the most complex claims and investigations; take photographs, measurements and recorded statements; request records; perform legal research. Perform other duties as assigned.

B. Worker’s Compensation Program
Duties may include:
Coordinate and monitor Worker’s Compensation activities involving the District’s Third Party Administrator (TPA) and legal counsel; coordinate and direct investigative activities pertaining to areas such as subrosa, subrogation, recorded statements, and delay/denial. Monitor Worker’s Compensation account reserves and payments. Approve settlements within limits of authority. Assign and monitor litigation status. Meet with attorneys, physicians, District executives and the TPA to review individual claims. Analyze and report on options to reduce Worker’s Compensation claims and expenses. Direct staff in the proper processing and handling of Worker’s Compensation claims. Develop and provide training for District employees regarding Worker’s Compensation benefits and processes. Perform other duties as assigned.

C Risk Management and Analysis Activities
Duties may include:
Administer and coordinate risk management activities. Develop and utilize risk analysis techniques to review proposals, contracts and agreements. Determine contractor insurance needs. Develop coverage conditions and develop specifications for brokers. Monitor contracts and agreements to ensure that exposures to liability are minimal. Work with District management to establish standards for contractor insurance requirements and to identify situations where allowances can be made. Evaluate the most complex contracts and agreements. Advise District executives, managers and other employees on opportunities to reduce risk and/or make adjustments to liability, property and other insurance coverage. Administer the maintenance and provision of certificates of insurance coverage for District activities as needed. Perform other duties as assigned.

D. Commercial Insurance Policies
Duties may include:
Purchase commercial insurance for the District. Coordinate with insurance brokers on insurance renewal processes. Review and evaluate coverage and recommend changes if appropriate. Review and recommend changes to insurance contract language to adjust coverage, provide better administrative control, and/or limit costs. Coordinate with other District staff to identify and reduce liability issues and control premium costs. Perform other duties as assigned.

E. Program, Policy and Procedure Administration
Duties may include:
Develop and recommend policies and procedures for assigned work unit. Develop and implement goals, objectives and priorities. Handle projects and assignments that are particularly sensitive or involve complex public relations issues. Consult with management to identify new project areas, staffing issues, program needs, and budget limitations. Perform other duties as assigned.

F. Information Analysis and Reporting
Duties may include:
Coordinate actuarial studies. Analyze statistics and trends involving accident/loss and other information. Prepare complex reports and analyses. Draft Requests for Proposals (RFP’s), contracts, position papers and other documents. Administer service contracts and agreements pertaining to assigned areas. Coordinate assigned activities with other District departments, divisions and units and with outside agencies. Participate in the budget development process. Administer assigned cost center(s). Perform other duties as assigned.

G. Supervise Subordinate Employees
Duties may include:
Select, assign, train, direct and evaluate subordinate professional, technical and/or clerical employees. Plan, prioritize, and supervise work. Work with employees to correct deficiencies and initiate disciplinary action as needed. provide for employee and career development. Perform other duties as assigned.

Job Demands

(1) Mobility: frequent use of a keyboard; frequent sitting for long periods of time; occasional bending or squatting. (2) Lifting: frequently up to 10 pounds; occasionally up to 25 pounds.(3) Vision: constant use of overall vision; frequent reading and close up work; occasional color and depth vision.(4) Dexterity: frequent repetitive motion; frequent writing; frequent grasping, holding and reaching. (5) Hearing/Talking: frequent hearing and talking, in person and on the phone. (6) Emotional/Psychological: frequent decision-making and concentration; frequent public and/or co-worker contact; occasional working alone. (7) Environmental: frequent exposure to noise.

Knowledge and Abilities

Required Knowledge of:
Principles and practices of risk management, loss control, asset protection and insurance administration.
General liability and claims administration.
Financial and legal requirements for developing, implementing and administering self-insurance plans.
Principles and practices of contract administration.
Basic laws and regulations involving employer liability and insurance requirements.
Methods of risk analysis, loss prevention, insurance purchasing and establishing/maintaining loss reserves.
Methods of investigating and determining the disposition of various types of insurance claims.
Principles and techniques of accident prevention.
Laws and regulations pertaining to employee health and safety and Worker’s Compensation programs.
Principles and practices of supervision, training and performance management.
Principles and methods of program and policy planning, development and implementation.
Principles and practices of budget development and administration, accounting and auditing, and statistical and financial analysis.

Required Ability to:
Manage a risk management/loss control program.
Analyze insurance policy provisions to determine the existence and extent of liability.
Conduct claims investigations and risk management analyses.
Identify, analyze, classify and rate risks, exposure and loss expectancies.
Research, interpret and evaluate statistical and other data; effectively present facts, conclusions and recommendations.
Interpret and apply laws, rules, regulations and ordinances.
Research, evaluate and recommend policies and programs to comply with Federal, State and local laws and regulations.
Maintain currency on any changes to contracts, rules, procedures and pertinent laws.
Perform cost analyses.
Maintain confidentiality of records.
Prioritize and deal with conflicting workload requirements.
Handle all internal and external contacts with courtesy, diplomacy and tact.
Supervise, train, motivate and evaluate staff.
Organize information clearly and precisely.
Communicate effectively, both orally and in writing.
Establish and maintain effective working relationships with those contacted during the course of the work.

Required Computer Skills:
Common word processing software.
Common spreadsheet software.
Common database applications.
Accounting or operations software functionality.
E-mail, contact management and scheduling software.
Presentation software.

Minimum Qualifications — Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the knowledge and abilities would be:

Required Prior Education:
A bachelor’s degree in human resources management, risk management, public administration or a related field. Six years of additional qualifying experience may substitute for the required education.

Required Prior Experience:
Four years of increasingly responsible work experience in risk management and/or liability claims resolution experience. Two years of supervisory or lead experience is preferred.