What are the responsibilities and job description for the RISK CLAIMS ADMININSTRATOR position at Town of Chapel Hill?
The purpose of this position is to provide professional and technical support to the enterprise risk management program including, workers’ compensation, insurance claims administration, and occupational health and safety programs.
Note: This information is intended to be descriptive of the key responsibilities of the position. The list of essential functions below does not identify all duties performed by any single incumbent in this position.
- Coordinates and, administer internal processing of all reportable and lost-time workers’ compensation claims, documented injury or incident reports; evaluate and analyze claims data needed to endure regulatory compliance; review claims for compensability, and initiate investigative processes; prepares and maintains state and federal regulatory compliance reports; prepares monthly reports for internal use.
- Works directly with departments and third-party administrators (TPA) on a wide range of risk and safety management subject matters; reviews to ensure that data is timely, accurate and complete; serves as the Town’s liaison between claimants, claim adjustors, medical providers, attorneys, and external governmental agencies; may initiate the Towns formal investigative process.
- Validates employee work status, return-to-work process, and provides departments with relevant information to reduce workplace injuries and improve safety; facilitates return-to-work of injured employees through the use of modified duty programs and medical case management; ensures managers are aware of accommodations/work restrictions and comply with restricted work duties; follows up on accident investigations and works closely with the Town’s Safety Officer and team to analyze trends and develop strategies for prevention.
- Maintains filing system for all documented workplace incidents/injuries and other risk and safety management data systems; coordinates and administers internal finance process for reconciling workers’ compensation deductibles.
- Collects statistical risk and safety management data and other information provided by various internal and external sources. Consolidates loss and safety hazard assessment data into risk management analysis reports. Assists with claims data analysis reports and the development of risk strategies and benchmarking performance.
- Assist in the administration of risk and safety programs, occupational safety and health compliance training, and safety committees; Serves on the Town safety committees or advisory groups.
- Assists with research projects, developing and maintaining policies and procedures, hazard risk exposure plans, emergency preparedness and response plans, committee agendas and munities, business continuity planning, and prepares risk and safety compliance reports.
- Performs all other duties as assigned.
Supervision Exercised:
None
Physical Demands:
The work requires intermittent standing or stooping. The employee uses equipment requiring a high degree of dexterity.
Work Environment:
The work is typically performed in an office environment.
An equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the duties.
Knowledge of:
- Principles, practices and trends of public sector risk management
- Relevant municipal, state and federal laws related to workplace safety compliance
- Records and file management
- Basic bookkeeping and accounting practices
- English grammar, spelling and punctuation
- Principles, practices and trends in customer service
Ability to:
- Investigate claims information and make recommendations
- Communicate orally and in writing effective
- Establish and maintain effective working relationships
- Prepare reports and PowerPoint presentation
- Microsoft word, excel and other required software
- use discretion and maintain work confidentially at all organizational levels
- Research and analyze data and draw sound conclusions
- Promote a culture of workplace safety
- Model behaviors consistent with our values of RESPECT
EDUCATION
A bachelor’s degree in risk insurance, business administration, public administration or a related field.
EXPERIENCE
Three years of experience in claims administration.
CERTIFICATION
Possession of or the ability to obtain a valid driver’s license in North Carolina.
Salary : $49,579 - $65,685