Risk Operations Claims Adjuster
- Summary of Job Duties
Adjusts lost time and medical only workers' compensation claims for all City employees as a member of the Risk Management Division of the Internal Services Department.
If you value and model the City's Core 4 values of Integrity, Respect, Professionalism, and Customer Service we encourage you to apply.
The City of Aurora will conduct ongoing screenings of applications on a first come-first serve basis; as soon as we determine to have a qualified pool of applicants, this position may close quickly and without notice.
- PRIMARY DUTIES & RESPONSIBILITIES
- Adjusts lost time and medical only workers' compensation claims;
- Performs investigations of claim incidents to verify compensability of claims and to determine the nature and extent of the claim as well as methods to prevent future accidents and injuries
- Communicates with injured City employees, supervisors and managers as well as other City personnel, medical personnel, attorneys and insurance carriers with management approval, conducts settlement negotiations, and, when negotiations are successful, administers and prepares settlement documents
- Coordinates return to work status with employees, supervisors and medical personnel
- Initiates and administers subrogation actions; coordinates litigation with outside counsel and prepares correspondence to all parties
- Timely files all admissions and other filings in accordance with State of Colorado statutes and administrative rules
- Calculates claim reserves and sets reserves with management approval; maintains database and records related to claims function in the Risk Management Information System (RMIS)
- Coordinates with the Safety work unit to prevent future accidents
- Assists in the preparation of training sessions and materials
- Performs other duties as assigned.
- MINIMUM QUALIFICATIONS
- Bachelor's degree in business administration or a related field.
An equivalent combination of education, training and experience that demonstrates required knowledge, skills, and abilities may be considered.
- At least 5 years experience in worker's compensation lost time claims adjustment.
- Knowledge of applicable State of Colorado workers' compensation Statutes and Administrative Rules
- Personal computer software application including database, spreadsheet and word processing applications.
- Ability to establish and maintain effective working relationships with claimants, employees and citizens.
- Ability to handle sensitive situations with tact and diplomacy and to communicate effectively both verbally and in writing.
- Ability to use de-escalation techniques to handle sensitive/emotional situations.
- Strong interpersonal skills.
- Colorado Driver's License and a good driving history.
- This position may require the incumbent to occasionally use personal equipment (e.g. vehicle, cell phone, tools, etc.) in the course of his/her employment.
- WORKING CONDITIONS
- Sedentary physical work requiring ability to lift a maximum of 10 pounds; occasional lifting, carrying, walking and standing
- hand/eye coordination for operation of computer keyboard; vision for review and analysis of data and reports; frequent speech communication, hearing and listening to maintain communication with employees, claimants and citizens.
- Works in a clean, comfortable environment.
- Standard business and professional tools and equipment.
For Veterans points: Please show all of your employment history, including military service and related documentation (DD214) on the application.
The City of Aurora is an equal opportunity employer. We are required by state and federal agencies to keep certain statistical records on applicants. It will not be used in any way to discriminate against you because of your sex, race, age, sexual orientation, creed, national origin, disability or military status, gender identity, unless related to a bona fide occupational qualification as defined by the Colorado Civil Rights Commission and the Equal Opportunity Commission.
If you need assistance in completing this application, please feel free to contact our office at: 303-739-7225 or visit us at 15151 E Alameda Pkwy., Suite 3500, Aurora, CO 80012.
Despite the changes in Colorado law, the City of Aurora maintains a drug free workplace. A positive test of marijuana is grounds for disqualification and ineligibility for employment with the city for one year or termination once hired.
Drug Testing, Thorough Criminal Background Check, and Employment References:
As a condition of employment, all applicants selected for employment with the City of Aurora must undergo a thorough criminal background check and drug screening. Employment references will be conducted on finalists for City of Aurora vacancies.