What you'll do
Under direction of Property & Casualty Claims Supervisor & Risk Administrator, investigates, adjusts & settles catastrophic & non-catastrophic claims to include property damage, bodily injury, subrogation, judicial liability, personal injury, catastrophic property, crime & bonding & public entity liability including, but not limited to, general liability, premises liability, public official liability, employment practices liability, police professional liability, professional liability, medical malpractice, wrongful death, civil rights violations & other property & casualty claims, according to rules, regulations, guidelines & established agency policy & procedures & Ohio Revised Code:
- Manages litigation
- Processes claim documents in timely & accurate manner
- Analyzes data & uses sound judgment to establish case re-serves
- Evaluates claims & negotiates monetary settlements & identi-fies potential defense strategies
- Performs ongoing review of liability insurance law & revi-sions
- Provides guidance, direction & training to lower-level claims specialists
- Makes recommendations to Claims Manager & Risk Administrator on training & new procedures which impacts unit
Obtains information from agency personnel & claimants via telephone, written form, &/or in person:
- Answers inquiries from claimants & attorneys concerning claim processes; claimants regarding lost wages & attorneys, body shops, & insurance companies for policy & claim related information
- Authorizes vehicle rentals
- Assigns independent adjusters & salvage companies;
- Recovers monies for losses to state-owned equipment & real estate for damage sustained in not-at-fault incidents.
Maintains accurate & complete claim files:
- Ensures all pertinent information is in file for future audits
- Updates claim information electronically
- Prepares reports concerning various activities
- Attends meetings
- Performs other duties as required.
Why Work for the State of Ohio
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
- Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)
- Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.
Qualifications
48 mos. exp. in processing insurance claims which included 12 mos. exp. in catastrophic property & casualty claims.
- Or completion of undergraduate core coursework in business, public administration, or related field; 24 mos. exp. processing property, liability & subrogation claims which includes 12 mos. in catastrophic property & casualty claims.
- Or equivalent of Minimum Class Qualifications For Employment noted above.
Job Skills: Claims Examination
Knowledge of:
1) Insurance claims processing
2) Liability & subrogation laws, rules, policies, & procedures
3) Insurance codes & regulations
4) Public relations
5) Claims insurance investigation
6) Customer service techniques.
Skill in:
7) Operation of personal computer & related hardware/software (e.g., MS Word, Excel, Access, Outlook).
Ability to:
8) Define problems, collect data, estab-lish facts & draw valid conclusions
9) Gather, collage, & classify infor-mation about data, people, or things,
10) Handle sensitive & sometimes hostile inquiries & contacts with officials & public
11) Negotiate fair & reasonable settlement of claims
12) Complete routine forms
13) Maintain accurate records
ADA Statement
Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.
Drug-Free Workplace
The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
