State of Idaho - Department of Administration OpportunityAre you ready for a new challenge? The Department of Administration is looking for a Risk Management Claims Adjudicator. Join us and be part of one of the most diverse agencies in Idaho State Government, located in the shadow of the Capitol Building in beautiful downtown Boise. The ideal candidate will have knowledge and understanding of insurance principles and policies; litigation management experience; negotiation skills including mediation and settlement experience; experience directing the activities of independent adjusters and legal counsel; proper and casualty claims handling experience; and have some familiarity with tort claims, comparative negligence laws, and rules of civil procedure and case law.We serve Idaho by promoting responsible government through expert customer support.
Example of Duties: Claims investigation/adjudication.Investigates and determines legal liability of claims by analyzing and applying tort, federal and civil law, immunities, theories of negligence and comparative negligence, adjusting principals, insurance coverage and exclusions, and determining responsible parties and related coveragesVerifies that claims are properly filed in accordance with related lawsImplements file set-up, coding and computer inputInsures coverage verificationDetermines and retains information necessary before claims can be evaluatedAnalyzes loss reports and claims to determine severity of loss and liability of the StateConducts interviews with partiesAssigns and directs investigations by outside adjustersAnalyzes and evaluates evidence gathered for completenessEvaluates bodily injury claims, and works with medical personnel to interpret and analyze severity and appropriateness of injury's claimedServes as liaison between state agencies, insurance adjusters, claimants and/or attorneys regarding claims processingSeeks subrogation to collect reimbursement
Litigation management.Determines direction and procedures for claims managementWorks with legal counsel to develop defense strategiesEvaluates and approves aspects of discovery to be conducted by counselCommunicates by telephone and in writing with claimants, state agencies, witnesses, adjusters, and attorneysDetermines legal and liability reserves, and monitors them for needed adjustmentsMonitors course of trial proceedings and coordinates with counsel regarding proceedingsActs as liaison between agencies and counselConducts and directs settlement negotiationsSubstantiates that correct settlement sums have been indicated and documents are prepared and filed accordinglyDirects file set-up, computer entry, and that correspondence and reports are appropriateProvides claim coverage and procedural information to the public and state agency customers as necessary
Loss control.Identifies hazards and loss trends through the adjustment of claims and incidentsParticipates in development of information to promote public relations by educating and instructing state agencies on loss trends and identifiable hazards Minimum Qualifications: You must possess all the minimum qualifications below . Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position.Minimum Qualifications (required):Investigating, evaluating, adjusting, and settling first and third party claims;Directing the activities of defense counsel and independent adjusters pertaining to civil tort law cases;Apply the Idaho Tort Claims Act (ITCA) in the adjudication of public entity claims;Applying claims management/loss control practices;Operating a personal computer for word processing and entering and retrieving data Please note: The successful candidate will be required to pass a fingerprint-based background check. This position will also interact with a diverse customer base and must be able to interact in a non-partisan manner when working in political environments. Thank you for your interest in employment with the Department of Administration! If you have questions about this position please contact us at: Email: humanresources@adm.idaho.gov Phone: 208.332.1819 Benefits:The State of Idaho offers a robust total compensation package, including medical, vision, and dental insurance; PERSI retirement benefits; paid sick, vacation, and parental leave; and 11 paid holidays per year. For additional information related to benefits and/or State programs, please visit https://dhr.idaho.gov/StateEmployees/Benefits.html.EEO/ADA/Veteran:The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email ada.coordinator@dhr.idaho.gov.Preference may be given to veterans who qualify under state and federal laws and regulations.