RISK MANAGEMENT PROGRAM SPECIALIST

STATE OF FLORIDA

Jacksonville, FL

JOB DETAILS
SALARY
$52,000–$55,000 Per Year
SKILLS
Americans with Disabilities Act (ADA), Attorney, Calendar Management, Case Law, Claims Management, Claims Processing, Communication Skills, Conflict Resolution, Data Analysis, Data Processing, Data Quality, Expenditure Statement, File Maintenance, High School Diploma, Insurance, Insurance Claims, Interviewing Skills, Legal, Legal Documents, Legal Support Skills, Litigation, Management of Information Systems/Technology (MIS), Medical Billing, Microsoft Excel, Microsoft Word, Negotiation Skills, Quality Management, Regulations, Research Skills, Risk Management, Statutory Laws, Systems Administration/Management, Team Player, Time Management, Vehicle Driving, Willing to Travel
LOCATION
Jacksonville, FL
POSTED
2 days ago

RISK MANAGEMENT PROGRAM SPECIALIST - 43001344Requisition No: 878183Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43001344The State Personnel System is an E-Verify employer.OPEN COMPETITIVE EMPLOYMENT OPPORTUNITYCLASS TITLE: RISK MANAGEMENT PROGRAM SPECIALISTDIVISION: RISK MANAGEMENTBUREAU: STATE LIABILITY AND PROPERTY CLAIMSCITY: JACKS ONVILLE (PENDING RELOCATION)COUNTY: DUVAL (PENDING RELOCATION)High school diploma or equivalent required.Additional RequirementsProficient in using Microsoft Word and Excel.Must be able to travel Statewide by flying or driving a car.PreferencesOne (1) or more years of experience in the insurance field or adjusting liability claims.Experience in the legal field or working with attorneys.Experience in negotiations or conflict resolution.Experience working in a Risk Management Information System, Insurance Management system, or similar claims database.Currently have or have held a Florida Adjuster license.Bachelor's degree from an accredited college or university.Minimum QualificationsKnowledge of the principles of insurance & risk management; of methods of compiling, organizing, & analyzing data.Ability to conduct fact-finding interviews.Ability to investigate insurance claims.Ability to understand and apply applicable rules, regulations, policies and procedures.Ability to collect, analyze and interpret data.Ability to make and defend decisions about insurance claims.Ability to plan, organize & coordinate work activities.Ability to communicate effectively verbally & in writing.Ability to establish & maintain an effective working relationship with others.Special NotesThis position is required to work from 8:00 a.m. to 5:00 p.m., Monday through Friday.This position will be filled at $52,000.00- $55,000.00, based on experience.Brief Description of DutiesConducts investigations into State liability claims, which are filed against the State and its employees. When necessary, assign specific claims to contract adjusters for field investigation. Responsible for supervising and directing the contract adjuster's activity during the investigation process and responsible for the overall quality of claims management.Responsible for the continual review of claims files. Directly responsible for all facets of litigation management include scrutinizing summons and complaints, answers, motions, and other legal documents to discern legal strategies, possible additional claims and counter claims, etc. Responsible for having and maintaining a fundamental working knowledge of the statutory, case law, and procedural laws applicable to assigned cases and for suggesting to attorney's other strategies pertinent to the efficient and professional handling of each assigned claim. Responsible for assisting the agency involved, where appropriate, in coordinating with the defense attorney. Responsible for developing, with the contract defense attorney, an agreed plan of defense. Responsible for keeping the Administrator and personnel of the involved state agency fully informed of significant case developments. Responsible for authorizing timely offers of judgment/proposals for settlement, offers of settlement, pre-trial settlements, and for attending court ordered mediations and trials.Based on facts derived from the claims investigation and or pre-trial discovery, responsible for applying appropriate case law and making a determination of liability for the purpose of exploring the desirability of settlement; related to this responsibility is the need to properly evaluate medical reports, vendor bills, and estimates of damage; responsible for authorizing and making offers of settlement up to approved authority and denying claims when necessary. Responsible for the adjustment and recording of claim reserve and reserve balances to reflect the monetary exposure on claim files.Responsible for the review, adjustment, and approval of all attorney and other contract vendors' fees and expense statements, including all travel and other expenses of vendors.Responsible for the overall maintenance of the claims information contained in the assigned claim files, including the accuracy of the claims information and reserves in the division's data processing system. This includes proper data coding into the system and accurate verification. Responsibility also includes the effective maintenance of the file diary system.AccommodationsCandidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.Drug-Free WorkplaceThe State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.Veterans' PreferencePursuant to Chapter 295, Florida Statutes,candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.EEO StatementPursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.#J-18808-Ljbffr

About the Company

S

STATE OF FLORIDA

The Mission of the Department of Children and Families is to improve the economic and social well-being of Wisconsin’s children, youth and families. The Department is committed to protecting children and youth, strengthening families, and supporting communities.

Our five overarching goals are:

  1. Children are nurtured, safe and engaged
     
  2. Enhance prevention and early intervention efforts throughout Wisconsin
     
  3. Families will have access to quality early care and education
     
  4. Parents will secure and maintain meaningful jobs
     
  5. Fathers will be more engaged in the lives of their children
COMPANY SIZE
500 to 999 employees
INDUSTRY
Government and Military
WEBSITE
https://dcf.wisconsin.gov/