Job Description

Job Description Salt Lake County…A career with a purpose in the community you love! Salt Lake County invites you to explore our exciting career opportunities. We seek highly enthusiastic individuals to enrich our County with your experience and talent. If you enjoy working in a team environment that is committed to changing the lives of its community, please keep reading. What it is like to work here: At Salt Lake County our culture is woven into all aspects of our work and our employees’ lives, from the way we treat each other to the way we support the community. To promote and foster a fun and healthy work environment, we appreciate employees through great benefits, a healthy work life balance and room to grow and develop. Surround yourself with: Peers who are motivated to make a difference in the lives of those we serve. We serve Salt Lake County and envision a safe and beautiful place for all to live work and have fun. Salt Lake County is about connecting people and championing our community. Community is more than a place….its our heart and service that bring us together. We encourage a work life balance: Working for Salt Lake County is more than just a paycheck. A career with /Salt Lake County includes several benefits and perks. We support our employees with 12 Holidays, up to 24 vacation days, 12 sick days and one personal day every year. Some positions have a hybrid work environment giving you flexibility to manage working from home and being in office. Additional Benefits may include: Retirement options for hybrid pension/401(k) or 401(k) only with a 10% contribution Medical coverage including a 100% county paid premium option-Dental and Vision coverage including coverage for adult designees Health Savings account with a county contribution up to $1200/year, Flexible Spending Account 100% county-paid Long-Term Disability and Short-Term Disability option Professional Development including professional membership fees paid Tuition Reimbursement Plus: Onsite medical clinic, childcare and gym; hospital insurance, pet insurance auto and home insurance and discounts at County facilities. For Benefits information Click HERE

JOB SUMMARY

Manages workers' compensation, auto, and general liability claims from receipt through settlement or litigation including: investigations, determination of liability, settlement negotiations/denials, and the proper management of documentation including private and protected information.

MINIMUM QUALIFICATIONS

Four (4) years of experience investigating, negotiating, and adjusting claims and claim settlements; of which two (2) years may be substituted for a degree in Business Management, Public Administration or other closely related field. Must possess current Residence Adjuster's License issued by the State of Utah or be able to obtain licensure within six (6) months of hire date. Due to the nature of this position, the successful applicant must successfully pass an initial criminal background check as well as every two years thereafter and continuously meet the requirements of the Bureau of Criminal Identification (BCI).

ESSENTIAL FUNCTIONS

The following duties and responsibilities are intended to be representative of the work performed by the incumbent(s) in this position and are not all-inclusive. The omission of specific duties and responsibilities will not preclude it from the position. Applicants must be prepared to demonstrate the ability to perform the essential functions of the job with or without a reasonable accommodation. Receives incoming claims, makes personal contact with the injured employee or claiming party, and sets appropriate reserves. Verifies accuracy of information in claim documents to ensure sufficient detail such as dates, times, and the description of incident. Investigates claims to verify County involvement and assess County liability. Determines compensability or liability by applying the applicable facts to the governing laws and rules. Determines Medicare eligibility and prepares file documentation for mandatory reporting. Manages claim files including preparing proper documentation, processing required benefits, negotiating settlements, and facilitates communication between all involved parties. Determines the need for and authorizes independent medical examination(s). Coordinates with physicians in scheduling and documenting medical examinations. Determines appropriateness of and authorizes diagnostic studies, surgeries, etc., and assesses and coordinates vocational rehabilitation and/or retraining when necessary. Calculates compensation amount for impairment ratings when given by the treating physician, obtains claimant's signature, and forwards to Labor Commission for approval. Reviews physician medical invoices to ascertain reasonableness and applicability of charges. Where applicable, coordinates with the Medicare Coordination of Benefits Contractor on the payment of benefits and establishes an accepted Medicare Set-Aside for claims that reach settlement. Negotiates claims settlements and makes recommendations regarding litigation. Reviews submissions for compliance with workers' compensation requirements; remains in regular communication with claimant(s) regarding claim(s) status. Attends mediation at the Labor Commission and negotiates settlements in order to avoid formal proceedings where appropriate. Works with litigation attorney(s) and attends in hearings before the Utah Labor Commission. Determines claims appropriate for subrogation and pursues at-fault parties for damages and injuries to County employees and assets.

KNOWLEDGE, SKILLS AND ABILITIES (KSA)

Knowledge of: Current techniques of risk management insurance practices Loss control practices and techniques Property appraisal valuation methods and techniques County, State, and Federal government structure Insurance, compensation, and tort law Claims management and adjusting practices and techniques Effective investigative procedures Effective interviewing methods, principles, and techniques Legal proceedings and procedures State Insurance Commission claim adjusting regulations Intermediate word processing and spreadsheet applications Skills and Abilities to: Manage multiple open claims Relate with individuals and groups from varied backgrounds Make sound judgments and decisions Act independently where appropriate Communicate effectively both verbally and in writing Use digital cameras, computers, phones, and other standard office equipment

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS

Work duties are typically performed in a general office setting. May work outside in all types of weather conditions.

IMPORTANT INFORMATION REGARDING THIS POSITION

This position may require being on-call 24 hours per day as assigned by the agency administrator. #J-18808-Ljbffr Salt Lake County

Job Tags

Temporary work, For contractors, Work at office, Flexible hours,

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