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City of Pomona ID - 12879

About the position

The Risk Management Claims Analyst coordinates investigations of liability claims, including responding to incident scenes, taking statements, locating witnesses, gathering information, and obtaining cost and repair estimates. This role serves as a liaison between departments, third party administrators, adjusters, and legal counsel in the processing and administration of general liability claims and lawsuits against the City. The analyst makes claims decisions as appropriate and/or develops strategies for handling claims in consultation with the City Attorney and Risk Manager, and negotiates settlements with claimants or their attorneys, and insurance carriers within limited authority, as directed. Additionally, the analyst administers the workers' compensation claims management program, processes insurance claims submitted, monitors claims to move them to resolution, and provides information to claimants, attorneys, and third-party administrators. The position also manages subrogation claims and requests restitution pursuing recovery from at-fault parties for damages to City property. The analyst receives, compiles, and analyzes data and reports related to liability and workers' compensation claims, responds to requests for information from a variety of individuals, and summarizes and presents technical reports and information regarding claims activity and trends in assigned areas. They set appropriate reserves, coordinate reserve amounts needed with the Risk Manager as necessary for complex claims, review, investigate, and analyze general liability, automobile liability, employee personal property, and subrogation claims, and assist with the development and implementation of the City's risk management policies, procedures, and information systems. The analyst also assists in preparing Requests for Proposals (RFP) and Professional Service Agreements (PSA) and manages contracts, while monitoring and overseeing claim handling activity by Third Party Administrators (TPA) and providing feedback to optimize workers' compensation program results.

Responsibilities

  • Coordinates investigations of liability claims.
  • Serves as liaison between departments, third party administrators, adjusters, and legal counsel.
  • Makes claims decisions and develops strategies for handling claims.
  • Negotiates settlements with claimants or their attorneys and insurance carriers.
  • Administers the workers' compensation claims management program.
  • Processes insurance claims submitted and monitors claims to resolution.
  • Manages subrogation claims and requests restitution.
  • Receives, compiles, and analyzes data and reports related to claims.
  • Summarizes and presents technical reports regarding claims activity.
  • Sets appropriate reserves and coordinates reserve amounts with the Risk Manager.
  • Reviews, investigates, and analyzes various types of claims.
  • Assists with development and implementation of risk management policies.
  • Assists in preparing RFPs and PSAs and manages contracts.
  • Monitors and oversees claim handling activity by TPA.

Requirements

  • Equivalent to a bachelor's degree from an accredited college or university with major coursework in business administration, public administration, finance, or a related field.
  • Three (3) years of recent experience performing paraprofessional duties in the risk management field.
  • Two (2) years of experience administering complex liability claims.
  • Possession of a valid California Driver's License.

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Nice-to-haves

  • Attention to Detail
  • Writing skills
  • Customer Focus
  • Handling Conflict
  • Valuing Diversity
  • Decision Making
  • Legal & Regulatory Navigation
  • Professional & Technical Expertise
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