City Of Albuquerque

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Senior Adjuster E15

at City Of Albuquerque

Pay: $22.81 to $27.15/hour
$22.81 - $27.15
Posted: 10/10/2019
Job Status: Full Time
Job Reference #: 2597288
Keywords: claims

Job Description

Overall Job Objective

Position Summary

Investigate, negotiate, adjust and settle the most complex claims filed against the City including workers compensation claims and/or general liability claims; apply knowledge of applicable laws and policies to determine disposition of claims and perform a variety of technical tasks relative to assigned areas of responsibility.

Job descriptions are intended to present a general list of tasks/duties performed by employees within this job classification. Job Descriptions are not intended to reflect all duties performed within the job.

Minimum Education, Experience And Additional Requirements

Education and experience directly related to the minimum requirements below may be interchangeable on a year for year basis. 

Bachelor's degree in business administration, public administration, or risk management; and

Four (4) years of claims adjusting experience.

ADDITIONAL REQUIREMENTS:

Possession of a valid Driver's License.

Possession of a City Operator's Permit (COP) within six (6) months from date of hire.

Possession of a valid New Mexico Adjuster License within 30 days from date of hire.

Preferred Knowledge

  • Operations, services and activities of a claims settlement program in general liability
  • Operations, services and activities of a claims settlement program in workers compensation
  • Rules and regulations governing general liability claims review, processing and settlement
  • Rules and regulations governing workers compensation claims review, processing and settlement
  • Methods and techniques of investigating general liability claims
  • Methods and techniques of investigating workers compensation claims
  • Methods and techniques of data collection, research, and analysis
  • Modern and complex principles and practices of claims administration
  • Advanced mathematical principles
  • Medical and legal terminology
  • New Mexico Tort Claims Act
  • New Mexico Workers Compensation Act
  • Methods and techniques of evaluating personal or property loss
  • Principles and practices of conducting interviews
  • Principles and procedures of record keeping
  • English usage, spelling, grammar and punctuation
  • Official Disability Guidelines (ODG)
  • Guides to the Evaluation of Permanent Impairment, AMA Guides
  • Pertinent Federal, State, and local laws, codes and regulations

Preferred Skills & Abilities

  • Investigate, analyze and evaluate personal or property losses
  • Investigate, analyze and evaluate workers compensation claims
  • Gather, organize, compile and summarize data
  • Independently perform the most difficult claims review functions
  • Negotiate claims settlements up to an authorized limit
  • Determine proper and fair claims settlements
  • Recommend the settlement of assigned claims in accordance with applicable laws and policies
  • Interpret medical reports and assess appropriateness of care
  • Maintain confidentiality of work
  • Maintain accurate records and prepare clear and concise reports
  • Interpret, explain and enforce department policies and procedures
  • Interpret and apply pertinent federal, state and local codes, laws, regulations and guidelines
  • Work independently in the absence of supervision
  • Communicate clearly and concisely
  • Perform the essential functions of the job with or without reasonable accommodation
  • Establish and maintain effective working relationships with those contacted in the course of work