State Risk Adjuster 5 (Property Claims Supervisor) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4784326) Apply  State Risk Adjuster 5 (Property Claims Supervisor) Salary $3,904.00 - $7,658.00 Monthly Location Baton Rouge, LA Job Type Classified Job Number ORM 010925 ERG Department Division of Administration-Risk Management Opening Date 01/09/2025 Closing Date 1/23/2025 11:59 PM Central + Description + Benefits + Questions Supplemental Information The Division of Administration/Office of Risk Management has a vacancy. This job title has an assigned pay grade of AS-617. This vacancy will be filled by new hire or by promotion of a current permanent status classified employee. Louisiana is a "State as a Model Employer" for People with Disabilities. There is a Special Entrance Rate of $1,953.60 biweekly for this position. A criminal history check may be conducted on all new hires as well as employees changing positions including promotions, demotions, details, reassignments and transfers. Also, prospective employees may be subject to pre-employment drug testing. New hires will be subject to employment eligibility verification via the federal government's E-verify system. No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the information section of the Current Job Opportunities page. Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete. Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to appointment. Please make every effort to attach a copy of your transcript to your application. The transcripts can be added as an attachment to your online application or faxed to (225) 219-1041. The selected candidate will be required to submit original documentation upon hire. For further information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: Erica.Gay@la.gov Minimum Qualifications MINIMUM QUALIFICATIONS: Six years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR Six years of full-time work experience in any field plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR A bachelor's degree plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus two years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management. EXPERIENCE SUBSTITUTION: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Concepts FUNCTION OF WORK: To supervise a unit of claims adjusters for the State's multi-line property and casualty self-insurance program. LEVEL OF WORK: Supervisor. SUPERVISION RECEIVED: Broad review from the State Risk Adjuster 6. SUPERVISION EXERCISED: Line over lower level State Risk Adjusters. LOCATION OF WORK: Division of Administration and the Office of the Governor. JOB DISTINCTIONS: Differs from the State Risk Adjuster 4 by serving in a supervisory capacity and by a higher claim payment authority limit. Differs from the State Risk Adjuster 6 by the absence of responsibility for the full claims adjusting division. Examples of Work The Office of Risk Management (ORM) is the Division of Administration ancillary agency that administers the comprehensive risk management program for the State of Louisiana and is solely and statutorily responsible for managing all state insurance coverage, both purchased and self-insured, for workers’ compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the State and department/agency/board/commission clients, and serves as the State of Louisiana public facilities sub-recipient representative for FEMA Public Assistance Grants. Job Focus Areas ORM State Risk Adjuster 5 positions are supervisory, and employees work in one of three Casualty Claim Units, or in the Property Claims Unit. Personnel report to and receive administrative direction from their unit manager, a State Adjuster 6. Duties and responsibilities across all State Risk Adjuster 5 positions and claim units, include the following examples: • Responsible for the comprehensive overview of all claim handling and management activities for claims, exercising first-line functional supervision over the State’s Third Party Administrator (TPA). • Oversee work processes; review and authorize or reject transactions that exceed authority levels delegated to TPA. • Monitor and review the work of TPA desk examiners and claim adjusters. Exercise contract oversight, utilizing performance standards and guidelines in evaluating claim files and conducting performance reviews of the TPA and its employees. • Develop and execute periodic in-depth file and performance reviews for a sufficient number of TPA claim files to ensure the adjudication of claims in compliance with TPA's contract terms. • Authorized to extend individual payment and settlement authority of $100,000 without additional approvals. Direct authority to increase total claim reserves up to and including $500,000. Two positions are currently vacant in the Property Claims Unit with lines of coverage that include Commercial Building and Business Personal Property, Equipment Breakdown, Crime and Fidelity, Fine Arts, Bridge Damage and Terrorism. Other examples of duties and responsibilities for Property Claims include: • Examine the TPA’s determination of coverages; investigations of cause and extent of damage; and review of expert reports; as well as other steps involved in assessing and adjusting damages to the State’s insured commercial properties. • Review and comparison of adjuster estimates, contractor estimate, architect plan/specifications. • Provide TPA with guidance on complex or large loss claims. • Facilitate scope alignment meetings between the TPA, User Agencies, and Facility Planning & Control, as needed. • Track large loss, multiple building projects after a catastrophe to provide claim-related information and re-construction information. • Review and process project funding approval requests. • Review and process all claim denials recommended by the TPA. • Review for approval/denial all requests for the retention of experts and other professional services. One Casualty Claim position is currently vacant in the General Liability Claims Unit with lines of coverage that include premises–operations, public officials, professional, employment practices, personal injury, media and civil/constitutional rights. Other examples of duties and responsibilities for Casualty Claims include: • Approve defense counsel contract amendment requests up to $100,000 without additional approvals. • Examine and evaluate the handling and disposition of non-litigated claims involving the level and extent of claim investigation, the assessment of liability, and settlement method or denial by the TPA. • Receive and review Petitions, perform risk matter reviews, and process Petitions to the Attorney General for legal opinions and assignment of defense counsel. • Participate in team meetings and staffings with the Attorney General's Office, the TPA, and ORM personnel to discuss strategies and defense of cases. • Review claims involving litigation to ascertain whether defense counsel and TPA have conducted sufficient investigative activities. Assess and evaluate if defense counsel has conducted appropriate discovery and is pursuing defense unique to the State. Obtain legal opinions and case evaluations from defense attorneys, especially in cases requiring legal interpretation and/or posing major financial losses to the State. • Prepare and submit completed case analysis of State's liability with settlement recommendations to appropriate claims level and or Claims Council. Serve as a voting member of claims council, which authorizes claims settlements up to a limit of $5,000,000. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave– Up to six weeks paid parental leave More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave – State employees receive the following paid holidays each year: + New Year's Day + Martin Luther King, Jr. Day, + Mardi Gras, + Good Friday, + Memorial Day, + Independence Day, + Labor Day, + Veteran's Day, + Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): + Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system + Teacher's Retirement System of Louisiana (www.trsl.org), + Louisiana School Employees Retirement System (www.lsers.net), among others 01 Describe any experience you may have working first-party commercial property insurance losses. Provide specifics and details of actual work performed. If no experience, write "NA." 02 Describe your experience working catastrophe losses. Provide specifics and details of actual work performed. If no experience, write "NA." 03 Describe any experience you have supervising a team of property field adjusters, desk examiners, or catastrophe adjusters. Provide specifics and details of actual work performed. If no experience, write "NA." 04 Describe any experience (whether or not specifically related to insurance claims) you have with either holding a position of file reviewer or being assigned file review tasks. Provide specifics and details of actual work performed. If no experience, write "NA." 05 Describe any experience you may have supervising, overseeing, or monitoring a Third Party Administrator. Provide specifics and details of actual work performed. If no experience, write "NA." 06 Describe your familiarity with insurance policies and coverage analysis. Be detailed and specific. 07 Describe your familiarity and proficiency with Microsoft Excel, Word and Outlook. Be detailed and specific. Provide examples of forms or documents you have created. Knowledge and skill testing of Excel and Word may occur during the interview process. If no experience, write "NA." 08 The ability to provide clear, concise, and professional written and verbal communication is essential for this position. Explain how your communication abilities have effectively aided you in your current or previous positions, providing example(s) and details. (a) When candidates are contacted for an interview, they may be asked to provide a writing sample. When interviews are scheduled, the hiring manager will provide specific details. Required Question Agency State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email