MANAGEMENT SERVICES ADJUSTER

About the role

Oversee the worker’s compensation, return-to-work and general liability claim programs for MCTS. Serve as liaison and assures compliance between MCTS and third-party administrators to ensure accurate, timely and effective resolution of claims. Evaluate and make recommendations on insurance coverage and workplace safety programs. Investigate, evaluate, and negotiate advanced insurance claims or worker’s compensation matters. Resolving complex disputes, manage high dollar settlements and ensure MCTS operations follow the state and local risk rules.

Responsibilities

• Coordinate reviews and investigate all general liability, fleet and employee injuries, incidents and accidents and work with supervisors and committees to determine causal factors.
• Aid in managing Third Party Administrators' possible issues and lost time, return to work efforts.
• Affirm compliance with applicable DWD 102, Chapter 350 and departmental rules & regulations.
• Foster a collaborative partnership with the TPA's.
• Coordinate all activities of the MCTS Transitional Duty Program (TDP) by assisting in developing policies, procedures and identification of transitional work assignments.
• Provide training, support, oversight and communication and conducts orientation for new employees entering Transitional Duty Program.
• Manage transition duty employees during the RTW efforts.
• Manage and direct claims programs in accordance with departmental and Company goals and policies.
• Maintain continuous communication with community members, injured employees, supervisor and transitional work site to ensure program success.
• Assist the Company and the broker with broker activities including excess liability insurance program.
• Assist with recommending coverages in relation to claim exposures and trends.
• Communicate with carriers on all claim matters as necessary.
• Analyze workers’ compensation and liability claim data supplied by TPA’s; make recommendations for mitigating losses, assist in preparing reports for MCTS Departments and Executives.
• Routinely audit claims for best practices, contract terms and compliance with state statutes.

Requirements

• Three (3) years of recent work experience in property, auto liability and worker’s compensation claims adjusting required.
• Associate’s degree in Risk Management, Business Management or a closely related field from an accredited college or university required. Bachelor’s degree preferred.
• Claims adjusting certification preferred.

Qualifications

• Knowledge and experience with Wisconsin public entity liability and workers compensation act and the principles and best practices of claim standards.
• Knowledge of the methods and practices of loss trending, loss control, risk forecasting, risk transfer, risk financing, risk assessment, and analysis.
• Knowledge of all related computer and software applications such as word processing, spreadsheets, and Risk Management Information Systems (RMIS) at an intermediate level.
• Knowledge of workplace safety best practices, OSHA regs, internal work rules, analytical skills, report writing skills.
• Skilled in written communication to develop business correspondence, document investigations and create reports.
• Skilled in interpersonal & negotiation skills with a strong sense of discretion, urgency, and professionalism with ability to multitask while working independently.
• Ability to actively listen to and understand information presented by others.
• Ability to work cooperatively and effectively with coworkers and residents from diverse backgrounds.
• Ability to communicate effectively to convey information and respond to questions and concerns.
• Ability to explain and gather information, answer queries, or assist internal and/or external stakeholders.
• Ability to maintain effective, positive relationships with claimants, colleagues and other officials.
• Ability to build trust with employees’ external partners with the ability to negotiate agreements within given parameters.
• Ability to read, analyze, and interpret safety rules, regulations, scientific or technical journals, government regulations, legal documents, and insurance policies.
• Ability to define problems, collect data, establish facts, draw conclusions and ability to maintain sensitive or confidential information partnered with strong critical thinking skills.
• Ability to assist in appropriately assign duties, outline methods, assist with work in progress, monitor progress.
• Judgment/Organization/Analytical Skills.
• Integrity, honesty and ability to maintain confidentiality.
• Ability to serve as an effective steward of citywide resources.
• Ability to effectively use independent judgment.
• Ability to perform well under pressure and handle difficult interactions with claimants.
• Ability to gather data from multiple sources and implement the appropriate course of action.
• Ability to complete a high volume of claims within strict deadlines.
• Ability to plan and organize work, adjust to changing priorities, and achieve objectives within deadlines.

Skills

• Knowledge of workplace safety best practices, OSHA regs, internal work rules, analytical skills, report writing skills.
• Skill in written communication to develop business correspondence, document investigations and create reports.
• Skill in interpersonal & negotiation skills with a strong sense of discretion, urgency, and professionalism with ability to multitask while working independently.
• Ability to actively listen to and understand information presented by others.
• Ability to work cooperatively and effectively with coworkers and residents from diverse backgrounds.
• Ability to communicate effectively to convey information and respond to questions and concerns.
• Ability to explain and gather information, answer queries, or assist internal and/or external stakeholders.
• Ability to maintain effective, positive relationships with claimants, colleagues and other officials.
• Ability to build trust with employees’ external partners with the ability to negotiate agreements within given parameters.
• Ability to read, analyze, and interpret safety rules, regulations, scientific or technical journals, government regulations, legal documents, and insurance policies.
• Ability to define problems, collect data, establish facts, draw conclusions and ability to maintain sensitive or confidential information partnered with strong critical thinking skills.
• Ability to assist in appropriately assign duties, outline methods, assist with work in progress, monitor progress.
• Judgment/Organization/Analytical Skills.
• Integrity, honesty and ability to maintain confidentiality.
• Ability to serve as an effective steward of citywide resources.
• Ability to effectively use independent judgment.
• Ability to perform well under pressure and handle difficult interactions with claimants.
• Ability to gather data from multiple sources and implement the appropriate course of action.
• Ability to complete a high volume of claims within strict deadlines.
• Ability to plan and organize work, adjust to changing priorities, and achieve objectives within deadlines.

Benefits

N/A

Pay

$77,600 - $97,033 annually

Schedule

N/A