This is highly responsible professional work coordinating and supervising liability claims programs within the City of Tampa Risk Management Division.
Nature Of Work
Work involves responsibility for supervising and participating in activities related to the administration of general or automotive liability claims, including the coordination and supervision of office support or claims processing activities. The work requires maintaining thorough, up-to-date knowledge of all aspects, regulations, and techniques of claims administration, including that which may be unique to the public sector. The employee must be knowledgeable of insurance industry terminology, services, practices and charges that may be relevant to claims and of legal principles and investigative procedures applicable to the job duties. Assignments require considerable independence, with guidance available from an administrative supervisor. Excellent communication skills and the ability to exhibit considerable tact are necessary as the employee may work closely with physicians, attorneys, adjusters, City employees, investigators, City departments, counselors, and the general public. Work is reviewed through the observation of results, periodic conferences, and oral and written reports.
Examples of Duties
Provides technical guidance to staff; ensures critical issues are identified; confirms adjusters’ action steps are completed; ensures investigations are clearly documented; confirms accuracy of file reserves and payments; adheres to service model and cost containment and litigation management programs.
Coordinates and supervises all claims activities, including office support activities, record keeping and claims processing; coordinates training along with staff to provide education regarding the City’s claims process; extends authority to adjusters on claims exceeding their authority level; collaborates with adjusters on claims exceeding local authority.
Conducts and utilizes file audits, periodic file reviews and all available resources to accurately assess employee performance; assesses conformance of claims unit to the City’s policies, procedures and objectives and industry standards; identifies problem areas related to procedural, technical or personnel issues; develops and implements solutions, or recommends improvements to management; recommends and implements policy updates or modifications as governing regulations dictate.
Participates in claims investigations and makes determinations and recommendations regarding case dispositions, including authorizations of payments.
Recommends employment, promotions, transfers, discipline, demotions, and dismissals of subordinate employees as necessary; completes employee performance evaluations and reviews personnel actions initiated by subordinate personnel and approves, disapproves, or modifies appropriately; responds to employee leave requests; ensures that subordinate employees receive appropriate orientation and training.
Develops and maintains effective working relationships with employees, attorneys, physicians, investigators, adjusters, and other agencies, as required; coordinates surveillance activities with private investigators when appropriate; participates in defense preparation with attorneys and other involved parties.
Remains current with applicable State and Federal laws and regulations.
Performs related work as assigned.
Knowledge, Skills & Abilities
Extensive knowledge of: pertinent statutes, laws, regulations and ordinances that is applicable to claims administration; claims administration practices and procedures.
Considerable knowledge of: techniques involving investigation, adjustment, negotiation and settlement of claims; medical and other technical terminology required for claims handling.
Working knowledge of: surveillance techniques, rules and procedures; office management, practices and procedures.
Skill in: the operation of modern office equipment and tools, including computers and related software windows based applications; MS Word, Excel and PowerPoint.
Ability to: make decisions in accordance with laws, regulations, and established policies; effectively supervise the work of assigned personnel; establish and maintain effective relationships with others; communicate clearly and concisely, orally and in writing.
Graduation from an accredited college or university with a bachelor’s degree in business administration, risk management, insurance or a related field with three (3) years of progressive experience including one (1) year of supervisory experience in claims administration requiring knowledge of Florida law and/or tort liability principles; or an equivalent combination of training and experience.
Licenses or Certifications
Possession of: All Lines Insurance Adjuster license; valid Florida driver’s license.
Evaluation of education and experience. Drug testing is included in all pre-employment processing.
During periods when the Mayor issues an emergency declaration for the City of Tampa, all employees may be required to work in preparation, response or recovery activities related to the stated emergency.
Health, vision, dental, and life insurance; annual and sick leave; paid holidays; pension and tax-deferred compensation (457) plans; and more.