What are the responsibilities and job description for the Claims Specialist II position at Fairfax County?
Reports directly to the Claims Manager. Handles automobile liability, bodily injury, general liability, subrogation, and first party property damage claims for Fairfax County Government's in-house claims management program. Investigates and determines liability, completes onsite investigations and substantiates all aspects of each claim. Works closely with the County Attorney on claims in litigation. As a member of the Risk Management Division's team, participates in strategic planning and establishment of program goals and objectives. Provides training to county agencies and employees on claims related matters. Works closely with the county’s third-party administrator on workers’ compensation claims.
(The illustrative duties listed in this specification are representative of the class but are not an all inclusive list. A complete list of position duties and unique physical requirements can be found in the position description.)
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for “Any combination, experience, and training equivalent to”)
Graduation from an accredited four-year college or university with a bachelor's degree in the field related to insurance, claims management, finance, business administration, or other related field; plus two years of complex claims professional work experience.
CERTIFICATES AND LICENSES REQUIRED:
This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies).
All newly hired employees are required to be fully vaccinated against COVID-19 (two weeks after the last required dose) as a condition of employment or obtain approval of a medical or religious exemption prior to their start date. Proof of an exemption or vaccination status will be required during the pre-employment onboarding process. New employees who obtain an exemption from the vaccine mandate for medical or sincerely held religious beliefs may be subject to a weekly testing requirement. Vaccinated employees and employees with a medical or religious exemption will complete the attestation online on their first day of employment or shortly thereafter.
PREFERRED QUALIFICATIONS:
PHYSICAL REQUIREMENTS:
Job is generally sedentary in nature. Ability to read data on computer monitor; operate keyboard drive equipment; operate a motorized vehicle; and carry items up to 15 lbs. All duties performed with or without reasonable accommodations.
(The illustrative duties listed in this specification are representative of the class but are not an all inclusive list. A complete list of position duties and unique physical requirements can be found in the position description.)
- Reviews all claim recommendations;
- Performs analysis and adjusting of special claims and complaints;
- Monitors and reports on production and quality assurance (audits);
- Monitors internal/external customer service claim questions/concerns;
- Provides oversight and direction for the care of seriously injured employees;
- Administers procedures for reserving, recording and analyzing claims;
- Provides technical direction to Claims Specialists;
- Oversees the claims workflow;
- Provides oversight of the rehabilitation process and maintains effective working relationship with agencies to expedite the return of disabled employees covered by workers' compensation to maximum function.
- Knowledge of the mission, goals, and objectives of claims management;
- Knowledge of the principles, practices and techniques relating to claims management;
- Ability to perform a variety of increasingly complex work in areas relating to claims management;
- Ability to identify possible solutions for solving business problems;
- Ability to communicate effectively orally and in writing;
- Ability to use word processing, spreadsheet, and presentation software to prepare documents and to store, manipulate, analyze and present information;
- Ability to train and supervise staff.
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for “Any combination, experience, and training equivalent to”)
Graduation from an accredited four-year college or university with a bachelor's degree in the field related to insurance, claims management, finance, business administration, or other related field; plus two years of complex claims professional work experience.
CERTIFICATES AND LICENSES REQUIRED:
None
NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background and credit check to the satisfaction of the employer.
This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies).
All newly hired employees are required to be fully vaccinated against COVID-19 (two weeks after the last required dose) as a condition of employment or obtain approval of a medical or religious exemption prior to their start date. Proof of an exemption or vaccination status will be required during the pre-employment onboarding process. New employees who obtain an exemption from the vaccine mandate for medical or sincerely held religious beliefs may be subject to a weekly testing requirement. Vaccinated employees and employees with a medical or religious exemption will complete the attestation online on their first day of employment or shortly thereafter.
PREFERRED QUALIFICATIONS:
- Designation and/or an Associate in Claims (AIC) Designation.
- Experience with and knowledge of Virginia Workers' Compensation and tort liability laws.
- Experience with claims investigation techniques.
- Strong analytical and problem-solving skills.
- Excellent oral and written communication skills.
- Strong customer service experience.
- Experience multi-tasking, managing priorities and adapting to a fluid work environment.
- Multi-line claim handling experience.
PHYSICAL REQUIREMENTS:
Job is generally sedentary in nature. Ability to read data on computer monitor; operate keyboard drive equipment; operate a motorized vehicle; and carry items up to 15 lbs. All duties performed with or without reasonable accommodations.
SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.
Panel Interview and may include a practical exercise.
The population of Fairfax County is very diverse where 39.8% of residents speak a language other than English at home (Spanish, Asian/Pacific Islander, Indo-European, and others) and we encourage candidates bilingual in English and a foreign language to apply to this opportunity.
Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. DHREmployment@fairfaxcounty.gov. EEO/AA/TTY.
Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. DHREmployment@fairfaxcounty.gov. EEO/AA/TTY.
Salary : $62,693 - $104,490
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