State of Florida · 1 day ago
RISK MANAGEMENT PROGRAM SPECIALIST - 43000192
Tallahassee, FL
Full-time
Onsite
Entry Level
$49K/yr - $51K/yr
1+ years expThe State of Florida is seeking a Risk Management Program Specialist to join their Financial Services agency. The role involves conducting investigations of state liability claims, negotiating and settling claims, and managing litigation processes related to claims against the state and its employees.
Government Administration
No H1B
Responsibilities
Conducts investigations of State liability claims which are filed against the State and its employees
When necessary, assigns specific claims to contract adjusters for field investigation
Negotiates and settles claims filed against the state and or employees
Works with assigned counsel to resolve and defends claims brought against the state and employees
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 to include scrutinizing summons and complaints, answers, motions, and other legal documents in order 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 involved agency, 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 expense 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
Qualification
Required
One (1) or more years' experience in the insurance field or claims handling experience in any capacity
Proficient in using Microsoft Word and Excel
Knowledge of the principles of insurance & risk management; of methods of compiling, organizing, & analyzing data
Ability to conduct fact-finding interviews; to investigate insurance claims; to understand and apply applicable rules, regulations, policies and procedures
to collect, analyze and interpret data; to make and defend decisions about insurance claims; to plan, organize & coordinate work activities; to communicate effectively verbally & in writing; and to establish & maintain an effective working relationship with others
Preferred
Experience in the legal field or working with attorneys
Experience in negotiations or conflict resolution or attended classes in this area of study
Experience working in a Risk Management Information System, Insurance Management system, or similar claims database
Currently have or have held a Florida Adjuster license
Processing vendor invoices
Bachelor's Degree from an accredited college or university
Company
State of Florida
The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Richard Herstein, MD, MHA, MBA
Chief Hospital Administrator (CEO) and Chief Medical Officer (CMO)
Jimmy Patronis
Chief Financial Officer
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