The Division of Administration/Office of Risk Management has a vacancy. This job title has an assigned pay grade of AS-617. (Req. #123640)
Vacancies may be filled from this posting by probational appointment into a permanent position or by a job appointment which is temporary in nature not to exceed 48 months. If filled as a job appointment, the position may be converted to a probational appointment provided a vacant position becomes available and funding is available
This vacancy will be filled by new hire of by promotion of a current permanent status classified employee.
Louisiana is a State as a Model Employer for People with Disabilities.
A criminal history check may be conducted on all new hires as well as employees changing positions including promotions, demotions, details, reassignments and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-verify system.
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Resumes will not be accepted in lieu of a completed application. You must include all relevant education and experience on your official State application.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application or faxed to (225) 219-1041. The selected candidate will be required to submit original documentation upon hire.
For further information about this posting, please contact:
A baccalaureate degree plus three years of professional level experience in insurance claims adjusting, nursing, allied heath fields, construction management, or as a practicing attorney.
A master's degree in business or public administration, finance, accounting, statistics, insurance or risk management, safety or legal studies, nursing, allied health fields or construction management will substitute for one year of the experience.
Experience in the fields of accident investigation, insurance claims examining, insurance claims investigation or insurance claims adjusting will substitute for the required college training on the basis of 30 semester hours for one year of experience.
This substitution allows any combination of experience and college hours to substitute for the baccalaureate degree. Thirty semester hours of college training is accepted as equivalent to one year of work experience, and college credit in increments of fewer than 30 hours is prorated on this basis.
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Commission of Higher Education; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
FUNCTION OF WORK:
To supervise a unit of claims adjusters for the State's multi-line property and casualty self-insurance program.
LEVEL OF WORK:
Broad review from the State Risk Adjuster 6.
Line over lower level State Risk Adjusters.
LOCATION OF WORK:
Division of Administration and the Office of the Governor.
Differs from the State Risk Adjuster 4 by serving in a supervisory capacity and by a higher claim payment authority limit.
Differs from the State Risk Adjuster 6 by the absence of responsibility for the full claims adjusting division.
Examples of Work
The incumbent has first line supervisory responsibility to oversee and monitor, within his/her assigned areas of responsibility, the contractual claims handling activities performed by the State's Third Party Administrator (TPA), including State workers' compensation claims, Jones Act and Employer Liability claims filed for an accident arising out of the general course of employment. The incumbent reports to and receives broad review from the State Risk Adjuster 6 (Manager).
The incumbent is responsible for the comprehensive overview of the claim handling and management activities completed by the TPA. This oversight includes the investigation and management of State workers' compensation claims, Jones Act accidents and injuries and Employer Liability claims, both litigated and non-litigated, administered by the Self-Insurance Fund.
Researches, identifies, works in partnership with the TPA to resolve causes of errors, and assists in implementing procedures to prevent their future recurrence. This function includes, but is not limited to, ensuring that qualified claims are submitted to the subrogation unit for potential recovery, when applicable. Reviews files for potential approval and recovery from the Second Injury Board where applicable. Reviews file reserves for reasonableness, accuracy and timeliness to adequately reflect the State's liability exposure.
Assists individuals and state agencies with claim filing procedures, coverage questions and Transitional Duty Employment. This process involves face to face meetings with agency personnel, the TPA and ORM staff. Statewide travel for meetings and training sessions is required.