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This position is responsible for overseeing third-party administrator (TPA) claims and handling workers’ compensation, first party property and liability claims; or analyzing contracts, policies and insurance certificates to ensure proper language and compliance depending on the assigned section in the Risk Management Division.

Work is performed with considerable independence under the general supervision of a designated supervisor. Performance is reviewed through observations, reports and results achieved.

Duties may vary based on area of assignment. The following are representative duties, it is not the intent to capture all duties performed by this classification.

Claims Section

• Oversees TPA’s claims, handling of workers’ compensation, first party property and liability claims.
• Monitors and coordinates the loss adjustment of liability, workers' compensation, and first party property programs.
• Reviews reports from the TPA to ensure proper reserving and settlement authority.
• Participates in annual quality audit of the TPA.
• Oversees the TPA and defense counsel, questions their recommendations, directs them on the claims handling, and makes recommendations as to the file closure or direction of the file.
• Performs other related duties as assigned.

Risk Transfer Section

• Oversees the general policy administration activities to ensure the adequate documentation of policy material, including policies, endorsements, and applications.
• Participates in the application process by directing the application process in the compilation of data, obtaining approvals, and submission of applications to insurance companies.
• Reviews certificates of insurance for contract compliance.
• Assists departments by advising insurance requirements for various events.
• Assists in maintaining the tracking system for insurance requirements.
• Reviews contracts for proper boilerplate language and/or waivers.
• Performs other related duties as assigned.

Bachelor's degree from an accredited institution and one (1) year of risk management, training, insurance underwriting or adjusting experience; or an equivalent combination of relevant education and experience may be substituted on a year for year basis.

Claims Section

Must obtain and maintain a State of Florida All Lines Adjuster (6-20 Resident) license within six (6) months of employment.

A degree in Risk Management, Business Administration or closely related field.

Knowledgeable in Microsoft Access and PowerPoint.