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Job Description
Grade 21 - Starting Annual Salary: $77,799.00. Rate of pay depends on qualifications.
Job Description
JOB SUMMARY
The Senior Claims Adjuster is responsible for providing a broad knowledge of Workers' Compensation. In addition to property, and casualty claims expertise by investigating, valuating, reserving, negotiating, and settling complex claims in accordance with best claims practices and complies with all City, State, Federal regulatory laws. This position promptly and equitably resolves claims to minimize SAWS’ liability and reduce overall claims cost.
ESSENTIAL FUNCTIONS- Oversees all Workers' Compensation Claims.
- Conducts field investigations and evaluates complex claims to include vehicle accidents, workers’ compensation injuries, liability, and third-party contractor damages.
- Sets reserves to accurately reflect cost of claim.
- Issues payments in a timely manner to claimants and vendors in accordance with all regulatory standards and laws.
- Communicates effectively, both written and orally, with internal and external customers including employees, executives, attorneys, medical professionals, governmental officials, contractors, and law enforcement personnel.
- Assists legal in litigated claims including attendance in legal meetings, proceedings and hearings, assists in answering legal documentation, and provides responses to legal interrogatories.
- Preserves evidence by using diagrams, photographs, video, written/recorded statements, email, medical reports, preparing appraisals, and other technical means.
- Researches historical evidence through work orders, maps, microfiche, e-mails, statements, medical diagnosis documents, and other means as necessary to include information of a confidential nature.
- Determines the value and extent of related damages and/or personal injuries by verifying supporting documentation.
- Settles claims within settlement authority, by utilizing negotiating skills to protect SAWS assets.
- Documents all claim file activities in accordance with established procedures.
- Prepares claims reports for internal and external customers.
- Assists with developing, training, and evaluating claims personnel.
- Assists the Risk Management Director to resolve escalated customer claims issues.
- Acts as an alternate for the Risk Management Director to approve all claims payments within authority levels granted by SAWS Board of Trustees.
- Assists with escalated claims to resolve complex issues for team members and internal customers.
- Performs other duties as assigned.
DECISION MAKING- The Senior Claims Adjuster receives limited supervision and assumes supervisory responsibilities in Risk Management Directors’ absence.
MINIMUM REQUIREMENTS- Bachelor’s Degree in Business Administration or related field from an institution recognized by a national accrediting agency.
- Plus three years’ experience in investigating, evaluating, reserving, negotiating, and settling claims. Experience should be in Workers’ compensation. In addition to casualty (auto & property), appraising, personal injury, and subrogation claims.
- State of Texas Multi-Line Claims Adjusters License as required by TIC 4101 or the ability to acquire a license within six months of hire.
- Valid Class "C" Texas Driver's License consistent with SAWS Driving Policy.
- Proficient in the use of Microsoft Word software.
- High School Graduate or G.E.D.
- Plus eight years’ progressively responsible experience in investigating, evaluating, reserving, negotiating, and settling claims. Experience should be in Workers’ compensation. In addition to casualty (auto & property), appraising, personal injury, and subrogation claims.
- State of Texas Multi-Line Claims Adjusters License as required by TIC 4101 or the ability to acquire a license within six months of hire.
- Valid Class "C" Texas Driver's License consistent with SAWS Driving Policy.
- Proficient in the use of Microsoft Word software.
PREFERRED REQUIREMENTS- Master’s Degree from an institution recognized by a national accrediting agency.
- Bilingual in English/ Spanish.
- Ability to use spreadsheets, presentation and work order software.
JOB DIMENSIONS- Knowledge of claims databases.
- Ability to communicate effectively both verbally and in writing with internal and external customers, property owners, vendors, and governmental agencies.
PHYSICAL DEMANDS AND WORKING CONDITIONS
Physical requirements include lifting up to 20 pounds occasionally. Subject to sitting for long periods of time to perform job scope. Occasionally subject to standing, walking and climbing on uneven surfaces. Requires visual acuity, speech and hearing. Working conditions are primarily in an office environment with occasional field visits with exposure to inclement weather; odors; chemicals; dust and poor ventilation. Also operates a company/personal vehicle.
May be required to work hours other than regular schedule such as days, nights, weekends, holidays, on-call and flexible work schedule.
San Antonio Water System values the contributions of all its employees, providing them the best in compensation and benefits. The benefits package is designed to attract and retain a workforce of qualified employees who share a responsibility in providing quality water to 1 million consumers.
From an affordable medical and dental plan to life-sustaining retirement and insurance plans, we offer benefits that reward employees for their commitment to a challenging career at SAWS. Employee benefits include the following:- Competitive, market-based salaries
- Performance-based incentives
- Medical benefits
- Dental benefits
- Life insurance
- Prescription drug program
- Vision care plan
- Two retirement plans
- Deferred compensation plans (457 plan)
- Disability income
- Paid leave (vacation, sick, personal)
- Education assistance program
- Employee assistance program
- Flexible, tax-deferred health and dependent care spending accounts
- Wellness programs
- On-Site Fitness Facilities
- Community service opportunities
Closing Date/Time: 11/17/2024 11:59 PM Central -
ABOUT THE COMPANY
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San Antonio Water System
Show moreThe San Antonio Water System (SAWS) is a public utility owned by the City of San Antonio. SAWS serves 2 million people in Bexar County as well as parts of Medina and Atascosa counties. The population includes more than 511,300 water customers and 457,600 wastewater customers. SAWS actively seeks out public participation in its operations and planning, while SAWS volunteers strive to help their neighbors in need.
As an industry leader in conservation and water and wastewater management, SAWS provides sustainable, affordable water services. To deliver responsible water services, our investment in our employees – one of our greatest assets – ranks as a top priority.
San Antonio Water System's Board of Trustees has adopted mission, vision and values statements that serve as a foundation to move the utility forward through 2050 and reinforce San Antonio's much-deserved reputation as Waterful.
Our Mission: Sustainable, Affordable Water Services / Our Vision: To be leaders in delivering responsible water services for life. / Our Values: Excellence, Integrity, Respect and Safety.
SAWS is a values-based organization that believes in diversity in all aspects of our business. At SAWS, we attract and retain the finest individuals whose diverse talents drive innovation. We recognize that differences in race, ethnicity, religion, gender, gender identity, sexual orientation, nationality, physical ability or any characteristic protected by law, enrich and empower our work environment. We respectfully infuse diversity in our daily work lives with the knowledge that people from a variety of backgrounds and life experiences make connections that make SAWS a success.
SAWS is committed to providing our employees with a healthy, safe, and rewarding work environment where all employees have an equal opportunity for professional and personal growth. SAWS employees go beyond what is expected – developing remarkable, award-winning programs in conservation, water resources, watershed protection and wastewater treatment.
Why Choose a Career at SAWS?
For Your Work-Life Balance: SAWS is proud to invest in its employees by offering a variety of paid time off to help meet the work-life balance goals of you and your family.
For Your Professional Growth: Professional growth is key to both our employees’ success as well as SAWS’. That’s why SAWS offers a number of professional development opportunities that achieve both personal and company goals.
For Your Future: Achieving your personal financial goals is an important part of your life. SAWS makes it easy for employees to save for retirement by providing several retirement plan options.
For Your Health: SAWS offers a range of health, dental and vision benefits, and Wellness Programs to help meet each employee’s needs.
For your Protection: SAWS offers life insurance and disability coverage to meet the need for protection against life’s unexpected events.
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