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Administrative and Claim Analyst

Yolo County Public Agency Risk Management Insurance Authority’s (YCPARMIA), located in Woodland CA, is a special district which provides risk management, insurance, and safety services to its members, which include County of Yolo, cities of Davis, West Sacramento, Winters, Woodland and Esparto Unified School District as well as several special districts including cemeteries, fire districts, water agencies, etc., within Yolo County. YCPARMIA’s mission is to protect the members’ resources from the impact of loss through a program of insurance coverage, prevention, education, training and service. YCPARMIA’s objective is to assess and address the needs of the members, provide them with the most cost-effective insurance coverage available, provide the most relevant training and education, maintain the organizational strength of YCPARMIA and provide responsive and comprehensive risk management services. To learn more, go to: www.ycparmia.org.

JOB DESCRIPTION:
This is an entry level claims and administrative support position reporting to the CEO/Risk Manager. Responsibilities include investigation and adjustment of non- litigated liability claims made against YCPARMIA members, accident and workers’ compensation investigations, property loss adjustments, employment liability investigations, loss trending and analysis, and a wide range of administrative and management support duties. Initially under close supervision, candidates will perform administrative, clerical, confidential, analytical and technical work. As experience is gained, assignments become more varied and are performed with greater independence.

EXAMPLES OF ESSENTIAL AND IMPORTANT DUTIES

Duties include, but are not limited to:

  • Conduct investigations and adjustments as assigned related to a variety of exposures including liability, workplace issues, workers’ compensation claims, and fidelity and property losses.
  • Inspect and document accident scenes throughout Yolo County and adjoining areas.
  • Preserve admissibility of gathered/obtained evidence.
  • Maintain and comply with a current diary of planned activities and reports.
  • Conduct investigations and activities as requested by defense counsel or YCPARMIA Staff. 
  • Inspect and adjust property losses.
  • Greet the public and answer multi-line telephone, screen callers/customers, respond to questions and provide information on routine questions. Refer callers/customers to the proper individual for handling when appropriate.
  • Take and relay messages; receive and receipts fees.
  • Monitor, maintain and update information on the Authority’s website and shared drives and databases. Ensure that information is accurate and current and provide feedback and updated information to the webmaster.
  • Coordinate and conduct employment liability investigations as assigned.
  • Evaluate exposures and recommend settlement values on liability and property claims.
  • Interact with claimants to control exposures, concluding with a denial or negotiated compromise.
  • Interact with YCPARMIA and member’s staff to mitigate identified exposures.
  • Monitor and track claim program developments, making recommendations to address and mitigate individual and collective exposures; and 
  • Other duties as assigned.

JOB RELATED AND ESSENTIAL QUALIFICATIONS

Knowledge of:

  • Knowledge of basic insurance coverages, and adjusting practices.
  • Preferred but not Required: Knowledge of basic Workers’ Compensation Appeals Board procedures and practices; 
  • Preferred but not Required: Basic knowledge in specific areas of California law, including, but not limited to:
    • Government Code tort liability;
    • California Government Code claims procedures
    • Vehicle Code;
    • DFEH/EEOC;
    • Labor Code, specifically areas dealing with workers’ compensation;

Ability to:

  • Work collaboratively in a small office environment;
  • Provide a high level of customer service by effectively adapting to and balancing the diverse needs of YCPARMIA staff, members, vendors, contractors, and the public; 
  • Compose professional, concise and accurate written reports and correspondence evidencing strong language skills;
  • Make accurate arithmetic calculations, exercise independent judgment, take personal initiative
  • Analyze situations effectively, adopt an effective course of action, project consequences of proposed actions and justify recommendations;
  • Interview individuals, take statements, and obtain claim documentation from involved parties;
  • Use tact, initiative, prudence, and independent judgment within general policy, procedures, and legal guidelines in politically sensitive situations;
  • Establish, maintain, and foster positive and effective working relationships with those contacted in the course of normal work;
  • Plan, organize, and carry out assignments with minimal direction and the use of independent judgement; 
  • Organize and prioritize a variety of projects and multiple tasks in an effective and timely manner; organize own work, set priorities, and meet critical time deadlines.
  • Prepare clear and concise reports, correspondence, policies, procedures, and other written materials;
  • Learn the operations, policies and procedures of assigned work; initiate and organize workload, set priorities, meet critical deadlines, and follow-up on assignments with minimal direction; receive phone calls, identify the nature of the call or need and take appropriate action;
  • Willingness to work on weekends and outside the “standard” work day. Standard work day is 8am to 5pm Monday through Friday; however, this position may require some availability outside standard work hours. This happens rarely but it is critical that the person holding the position be available when needed.  

Experience and Training
Any combination of experience and training that would provide the required knowledge, skills, and abilities outlined above is considered qualifying. A typical way to obtain such knowledge, skills, and abilities would be:

Training: Possession of a Bachelor’s degree from an accredited college or university.

Experience: One or more years of insurance claims related experience with an insurer, large commercial insurance brokerage, claim adjusting firm including TPAs, a self-insured government entity or an insurance JPA.  

LICENSE OR CERTIFICATION

  • Possession of a valid California Class C Driver’s License is required.
  • Required: Either Associate in Claims (AIC™) designation or a commitment to study and obtain AIC designation within 18 months of employment. 
  • Current California Private Investigators (PI) license preferred but not required.
  • Current California Insurance Adjuster’s license preferred but not required.

PHYSICAL CHARACTERISTICS
While performing the duties of this job, the employee is frequently required to use hands and fingers to, reach, handle and grasp objects, type on a keyboard for extended periods of time, manipulate office equipment. The employee is frequently required to sit for long periods of time, stand, and walk. The employee must occasionally operate a vehicle and lift or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision and the ability to adjust focus. The employee must have the ability to: operate a personal computer, operate a vehicle, read small print on documents, hear and speak well enough to communicate over the telephone and in person. Reasonable accommodations will be provided upon request.

Website: (Includes application form and benefits): http://www.ycparmia.org/employment.htm 

Salary: $53,530.59 – $65,066.77 annually depending on experience.

How to Apply:  Email a completed application, cover letter and your most current resume to Ms. Lily Viek at lviek@ycparmia.org.

Application Deadline: Tuesday, September 24, 2019, at 5:00 pm.

Final Filing Date: 
Tuesday, September 24, 2019 - 5:00pm
Company: 
Yolo County Public Agency Risk Management Insurance Authority’s (YCPARMIA)