Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Investigate, inspect, interview, gather technical and legal data, and evaluate all aspects of claims to assess potential claim exposure and set claim reserves accordingly.
• Use the risk management information system (RMIS) to manage claim status, progress notes, and action plans. Leverage system capabilities to provide automated notifications where appropriate and to conduct analysis on trends and areas of focus.
• Perform claims adjustment in a collaborative and responsive manner, ensuring that internal and external stakeholders receive regular updates and communication that help them understand the process and potential outcomes.
• Collaborate with facilities, building management, and schools on repairs for property damage losses. Partner with transportation services and drivers on auto accidents involving district vehicles to ensure repairs are completed timely. Document updates regarding estimated costs and timelines of repairs as well as actual progress.
• Pursue subrogation, restitution, and recoveries. Provide cost information to D.A. and police for determination of criminal charges to be filed. Follow up with appropriate parties to recover monies from third party insurance companies and to ensure compliance with court ordered restitution.
• Evaluate need for and assign social media checks, physical surveillance, SIU involvement, etc. Assess claims for need of defense counsel involvement. Manage and provide strategic guidance to defense counsel.
• Negotiate settlement with claimants and claimant attorneys for mutually agreeable resolutions. Generate payment of claims through issuance of checks, journal entries, and purchase orders.
• Provide detailed reports with regular updates to supervisor regarding major claims. Lead claim reviews on a regular basis to ensure best path forward is in place. Retain and maintain working knowledge of District's insurance policies; federal, state, and local laws related to insurance claims; District policies; and employee contracts and agreements by obtaining and reading periodicals and state legislature acts.
• Perform other duties as assigned.

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