December 2009 FLSA: NON-EXEMPT RISK MANAGEMENT COORDINATOR DEFINITION Under general supervision, performs complex and varied technical and professional work required to assist in the development, coordination, and administration of the Authority’s Workers’ Compensation program, including investigating claims, liaising with third party administrators and health care providers to process claims, and implementing safety and risk reduction training and related programs; administers the Authority’s liability claims; performs research and analysis; provides consulting services to Agency departments related to all aspects of risk management programs and activities; and performs related work as required. SUPERVISION RECEIVED AND EXERCISED Receives general supervision from the Human Resources Director. Exercises no supervision over staff. CLASS CHARACTERISTICS This is a journey-level class that performs the full range of risk management coordination work, including coordinating, implementing, and participating in a variety of administrative programs and activities to ensure that the Authority’s risk management program is carried out adequately and effectively. Responsibilities require the use of tact, discretion, and independent judgment. Positions at this level receive only occasional instruction or assistance as new or unusual situations arise and are fully aware of the operating procedures and policies of the work unit. This class is distinguished from the Human Resources Director in that the latter has overall responsibility for all functions of the department and for developing, implementing and interpreting public policy. EXAMPLES OF ESSENTIAL FUNCTIONS (Illustrative Only) Management reserves the right to add, modify, change, or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Receives and reviews all incoming workers’ compensation claims and ensures that any and all forms related to the claims process are completed accurately; coordinates case management with third party administrators, health providers, and Authority staff; prepares mandated forms, logs, and reports. Acts as a liaison with insurance companies, brokers, Occupational Safety & Health Administration (OSHA), risk and insurance management associations, and other entities concerning Authority risk management matters. Participates in the processing, monitoring, and resolution of related insurance claims, facilitates claim investigations and coordinates the involvement of healthcare providers, attorneys, and Authority staff; schedules interviews with injured workers, witnesses, supervisors, managers, and department heads; may take photographs or perform other fieldwork related to claims investigations. Authorizes and coordinates initial medical treatment for injured workers; schedules medical, fitnessfor-duty, reasonable suspicion/cause, and ergonomic evaluations. Schedules and assists with injury prevention training for Authority staff, workers’ compensation training for Authority supervisors and managers, and related training. Reviews recommendations for, places orders for, and schedules installations of ergonomic equipment.
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Works closely with the Human Resources Director in giving direction to third-party administrators, evaluating settlement proposals, providing subject matter expertise to Authority staff regarding policies, legal requirements, procedures, and claim resolution; participates in a variety of internal and external meetings regarding case oversight and related matters. Assists with the implementation of the Authority’s return-to-work program. Processes personal injury, property damage, procurement, employment claims, and accident reports; verifies accuracy of information; assists insurance adjusters and investigators in obtaining information regarding tenants, complaints, work orders, and repairs; requests tenant and maintenance files from Authority property managers; schedules inspections of damaged personal property and Authority property, and schedules interviews with involved parties. Conducts special research assignments, gathers data, and prepares reports for consideration by management or special committees. Consults with supervisors regarding risk management related issues, needs, and services; explains policies and procedures. Receives a high volume of telephone calls and email correspondence pertaining to workers’ compensation and liability claims processes and resolutions, provides a high level of customer service to both external and internal customers; provides information to Authority staff, other organizations, and the public requiring the use of judgment and the interpretation of complex policies, rules, procedures, and ordinances. Attends to a variety of office administrative details, such as setting up workers’ compensation and liability claim files, keeping informed of departmental activities, transmitting information, attending meetings, and serving on various task forces and committees. Performs other duties as assigned. QUALIFICATIONS Knowledge of: Principles and practices of workers’ compensation claims, risk management, loss prevention, and insurance claims administration. Applicable Federal, State, and local laws, regulatory codes, ordinances, and procedures, forms, reports, terminology, and functions of third-party administrators, attorneys, claim adjusters, insurance agents, and related parties in the areas of workers’ compensation, property, casualty, liability, and claims insurance work. Recent and on-going developments, current literature, and sources of information related to the operations of the assigned programs. Record-keeping principles and procedures. Modern office practices, methods, and computer equipment and applications related to the work. English usage, grammar, spelling, vocabulary, and punctuation. Techniques for providing a high level of customer service by effectively dealing with the public, vendors, contractors, and Authority staff. Ability to: Conduct research projects on a wide variety of risk management topics, evaluate alternatives, make sound recommendations, and prepare effective technical staff reports. Prepare required legal documents, forms, reports, correspondence, and other written materials. Interpret, apply, explain, and ensure compliance with Federal, State, and local policies, procedures, laws, and regulations. Effectively represent the department and the Agency to third-party administrators, attorneys, claim adjusters, insurance agents, tenants, and related parties. Maintain accurate files and records.
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Organize and prioritize a variety of projects and multiple tasks in an effective and timely manner; organize own work, set priorities, and meet critical time deadlines. Operate modern office equipment including computer equipment and specialized software applications programs. Use English effectively to communicate in person, over the telephone, and in writing. Use tact, initiative, prudence, and independent judgment within general policy, procedural, and legal guidelines. Establish, maintain, and foster positive and effective working relationships with those contacted in the course of work. Education and Experience: Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be: Equivalent to the completion of a four (4) year degree or equivalent education from an accredited educational institution with major coursework in business or public administration, occupational health, insurance claims process, workers’ compensation claims administration, or a related field. Three (3) years of increasingly responsible experience in coordinating activities related to risk management programs. Licenses and Certifications: Possession of, or ability to obtain, a valid driver’s license by time of appointment. PHYSICAL DEMANDS Must possess mobility to work in a standard office setting and use standard office equipment, including a computer; to operate a motor vehicle and to visit various Authority and meeting sites; vision to read printed materials and a computer screen; and hearing and speech to communicate in person, before groups, and over the telephone. This is primarily a sedentary office classification although standing in and walking between work areas may be required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate standard office equipment. Positions in this classification occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed to retrieve and file information. Employees must possess the ability to lift, carry, push, and pull materials and objects weighing up to 25 pounds. ENVIRONMENTAL ELEMENTS Employees work in an office environment with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances. Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.