City of Tucson

CLAIMS ADJUSTER (#0314)

$25.58-$44.44 Hourly / $53,206.40-$92,435.20 Yearly
Salary Grade: 816


General Description

Performs work in the administration of liability, property and automobile claims program within a self-insured public entity organization.  

This classification reports to: Liability Claims Manager.  

Essential Functions

Ensures timely and quality activities to respond to the needs of the city, community, department, and unit.  

Determines priorities of assigned workload, monitors levels of resources, establishes timelines, assigns outside work (when required), monitors progress, recommends changes and suggestions, corresponds with claimant and required insurance company and attorneys, reviews and reconciles consultant and contracted vendor reports and estimates, submits completed projects with substantiated documentation and recommendation to the risk manager for final payment approval.   

Conducts and manages all investigations of accidents, incidents, or other occurrences involving city property, vehicles or personnel resulting in third-party personal injury or property damage. May interview principals and witnesses to obtain the facts of the incident; assembles all necessary evidence, including interviews, reports, site investigations, photographs and all drawings prior to deciding on the claim.  

Processes liability and subrogation claims utilizing an electronic claim administration system. Documents the electronic file with claim activity and processes payments to vendors and claimants.  

Negotiates and prepares claims settlements and determines City liability based on evaluation of injuries, medical reports, bills, estimates, and related facts. Denies claims when investigation reveals they are unsubstantiated.  

Assists in litigation management by preparing files with required forms, exhibits and reports. Participates in negotiation settlements up to authority limit with claimants and attorneys with recommendation for final approval by the city Risk Manager and/or City attorney.  

Ensures work conforms to local, state, and federal governmental regulations, and other applicable rules and requirements.  Responds to emergency call- out situations and provides service during nights or weekends as required.  

Minimum Qualifications

Education Level & Type: Bachelor’s Degree  

Experience: At least 5 years multi-lines claims investigation and adjusting.    

Special Job Requirements

Certification as Chartered Property Casualty Underwriter (CPCU)  

Certification as Associate in Claims (AIC)  

Licensed Arizona Insurance Adjuster 

Pre-employment Medical Testing Requirements

None

Other Information

Pay Grade: 816            

FLSA Status: Exempt  

Occupational Group: 03 – Risk Management  

EEO-4: B - Professionals  

Management Level: First Level Supervisor   Individual Contributor  

Union: (If required, need code):  No Rep  

Workers Comp Code (NCCI):  8720  

Safety Sensitive (Driving Requirement):  No  

Driving Requirements

The following information pertains to driving requirements for this classification with the City of Tucson. Under "Driving Level" None, Secondary or Primary, refers to the driving responsibility as it relates to the essential functions of the classification. License Type, is just that, the type of Arizona Driving License required for the classification. If the position requires a Commercial Drivers License (CDL), the endorsements will be listed under "Endorsements." Under Safety Sensitive a "Yes" means employees with this classification are subject to pre-employment and random drug testing. License Type A,B,C,D,or M may require the use of personal or City vehicles on City business. Individuals must be physically capable of operating the vehicles safely, possess a valid license and have an acceptable driving record. Use of a personal vehicle for City business will be prohibited if the employee is not authorized to drive a City vehicle or if the employee does not have personal insurance coverage. Exceptions to classification driving requirement's may exist based on position.

Driving Level: Secondary

License Type: Valid and Unrestricted D - Driver

CDL Endorsements: None

Safety Sensitive: No

Job Description Disclaimer

This description is not intended to limit or in any way modify the right of management to assign, direct and control the work of employees under supervision. The listing of duties and responsibilities shall not be held to exclude other duties not mentioned that are of similar kind or level of difficulty. They are intended to describe the general nature and level of work being performed by individuals assigned to this position.

CLASS: 0314; EST: 8/10/2016 12:00:00 PM; REV: 8/10/2016;