JOB CODE: 1904
PAY GRADE: 1180
SALARY RANGE: $35,516 - $60,464
LOCATION OF WORK
Under the direction of the Risk and Claims Manager, performs responsible professional level insurance claims adjusting work. Work involves the complex investigation and acquisition of pertinent information to ensure the proper adjustment of workers' compensation claims. Work is performed in accordance with Louisiana Workers' Compensation laws and within City-Parish rules and regulations. Work is reviewed by conferences, reports and results obtained. Performs other work as requested.
ESSENTIAL WORK TASKS
Examines property and casualty claims, investigates workers' compensation claims, including taking of statements from involved parties, photographs of accident sites and review of pertinent information. Pursues second injury fund claims and subrogation for third party at fault claims. Approves benefits and payment of bills based upon Louisiana Workers' Compensation laws. Evaluates future exposures on claims and sets reserves accordingly; determines possibilities for settlement and resolution of claims. Consults with attorneys, physicians, vocational rehabilitation specialist and Office of Workers' Compensation mediators and judges when necessary. Works closely with department personnel to ensure proper handling of indemnity benefits along with placing the injured employees back to work. Completes necessary forms for filing with the Office of Workers' Compensation.
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of the laws and regulations applicable to the adjusting of workers' compensation claims. Knowledge of investigative procedures and methods. Ability to gather, organize and evaluate facts. Ability to evaluate complicated insurance data and make sound decisions. Ability to express ideas clearly and concisely, orally and in writing, to groups and to individuals. Ability to establish effective working relationships with others. Ability to apply good work habits such as punctuality, reliability, preciseness, and dependability in order to effectively complete assigned tasks and contribute to the smooth operation of the department and division.
Bachelor's degree and two years of experience in the adjusting of workers' compensation claims.
Any equivalent combination of education and experience.
CERTIFICATIONS / LICENSES / REGISTRATIONS
(Unless otherwise specified below, must possess at the time of appointment and must be maintained current throughout employment in this classification.) None.
OTHER JOB ASPECTS
The work examples described in this specification are intended only as an illustration of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from job performance requirements if the work is similar, related, or a logical assignment to the job.