Risk Specialist

Summary or Purpose

Provides technical and administrative support to Risk Manager; monitors property, liability and workers' compensation claims.

Essential Duties and Responsibilities

The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification. Shown are duties intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties.

Maintains and monitors confidential files, claims records and reports; creates initial folders for new claims; collects and files required documentation; researches discrepancies.

Assists in research and resolves inquiries from employees with claim questions regarding policies and procedures.

Reviews and processes claim forms and other related documents.

Updates and maintains employee claims database; reviews and processes supporting documentation; enters claim data into electronic and manual filing systems; reviews entries for accuracy and correctness, and reporting requirements.

Assure effective communications between claimants and claims administrators, medical providers, payroll and others as necessary.

Tracks, categorizes and records accidents and claims in OSHA and other records systems; reviews and report accidents and incident trends of interest for revised training programs.

Assesses ergonomics of employee work stations as directed; reviews employee work processes and recommends changes to reduce workplace discomfort.

Monitors progress of employees returned to work after workplace injury.

Works with insurance carrier and upper management to process general liability third party claims; processes documents, and maintains database and filing system.

Maintain confidentiality of records on sensitive claim information.

Process documents to update the driving record database for the Borough.

Will be required to travel to the villages within the North Slope Borough.

Perform other duties as assigned.

Knowledge, Skills and Abilities

Knowledge of Borough policies and procedures.

Knowledge of the principles of personnel files and records management.

Knowledge of claims processing rules, regulations and computer systems.

Skill in understanding, interpreting and applying relevant rules and regulations.

Skill in assessing and prioritizing multiple tasks, projects and demands.

Ability to maintain the confidentiality of files and reports.

Education, Experience, Certifications and Licenses Required

High school graduate or G.E.D/or, a combination of 12 years of education and related work experience.

Two years of clerical work experience;

One year of insurance claims administration work experience;

Valid Alaska Driver's License that meets North Slope Borough insurance criteria.

THE NORTH SLOPE BOROUGH IS AN ALCOHOL AND DRUG FREE WORKPLACE.

This Job Description reflects North Slope Borough's best effort to describe the essential functions and qualifications of the job described. It is not an exhaustive statement of all the duties, responsibilities or qualifications of the job. This document is not intended to exclude an opportunity for modifications consistent with providing reasonable accommodation. This is not in tended to be a contract.

The North Slope Borough offers the following benefit packages to all permanent full time and permanent part time employees who work at least 15 hours a week.

Health care is provided at no cost to the employee (no premiums). Our Health Care package covers major medical, preventive care, vision, dental and prescription drug benefits.

Benefits do not apply to temporary employees.