Claims Technician



Job Details

Claims Technician
Employer

City of St. Joseph

Salary

$30,806.53 Annually

Location

St. Joseph, MO

Job Type

Full-time

Job Number

00009

Department

Human Resources

Opening Date

10/23/2012

Closing Date

Continuous

Job Summary/Scope

Job Summary/Scope
Administers claim processes related to the City’s fully insured and self-insured property/casualty programs. Performs various human resources and risk management duties. No supervisory or budgetary responsibilities.

Examples of Duties & Responsibilities

Essential Duties and Responsibilities
1.      RECEIVES incident notifications and CONTACTS claimants, insureds, and involved parties to initiate claim procedures and obtain evidence concerning losses.
2.      ASSISTS claimants throughout all stages of the claim process. Assistance shall be provided in a timely, polite and professional manner at all times.
3.      INVESTIGATES property/casualty claims by performing site visits and obtaining related information from various City departments and third party sources.
4.      DOCUMENTS claim related losses.
5.      MAINTAINS claim related documents and files.
6.      COMMUNICATES claim related information with City staff, council, claimants, insurers, adjusters, investigators, attorneys and others as necessary.
7.      EVALUATES loss data and provides recommendations in consideration of claim payments, funding and reserves.
8.      CONSULTS with supervisor on unusual situations or severe losses.
9.      DIRECTS the activities of appraisers, independent adjusters, and other vendors when necessary.
10. PRESENTS claim related information and recommendations to appropriate authorities and/or committees involved in the claim process.
11. INTERACTS with the public concerning matters of claim procedures and assists with related efforts to provide public education.
12. PREPARE and PRESENT claim related statistical reports to interested parties.
13. MONITORS and TRACKS all claim related expenses.
14. ASSISTS Human Resources staff and performs a variety of human resources duties.
 
Other Duties and Responsibilities
  1. ASSISTS the Risk Manager with general risk management functions.
  2. PERFORMS all other related duties as assigned.
     

Knowledge, Skills & Abililites, Materials & Equipment, Working Environment

Required (Essential) Knowledge, Skills and Abilities
1.      Skills in effective oral and written communications.
2.      Knowledge of city departments and operations or demonstrated ability to learn within six months of employment.
3.      Ability to operate standard office equipment.
4.      Must be able to operate a personal computer; familiarity with Windows operating systems and MS Office products.
5.      Knowledge of insurance claim adjustment practices.
6.      Skills in detailed observation and documentation of claim related losses.
7.      Ability to investigate claims and derive logical conclusions.
8.      Ability to evaluate loss data and perform related calculations.
9.      Ability to perform statistical analysis.
10. Skills in problem solving and facilitating reasonable corrective action.
11. Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
12. Ability to relate professionally and courteously with the public in potentially volatile situations as well as under normal circumstances.
13. Valid driver’s license required.
14. Three years or more office experience required. 
15. Two years prior Property/Casualty claims adjusting experience preferred. 
16. Knowledge of human resources functions preferred.

Education

Education
High School diploma or equivalent required. 

The following benefits are provided for all regular full-time and regular part-time employees who regularly work at least 30 hours per week. This is a brief summary only. Additional details can be obtained from the Human Resources Department, Room 403; City Hall, St. Joseph, Missouri or by calling (816) 271-4670.

Compensation (Pay)
Payday occurs every other Thursday, for the pay period ending the preceding Sunday at midnight.

Vacation
You begin earning vacation from the first day on the job. Vacation is earned at the following rates per pay period:

Years of Service Hours/Pay Period Days/Year
0-end of 7 years 3.08 (4.62 Fire) 10 (5 Fire)
begin 8-end of 15 4.62 (6.47 Fire) 15 (7 Fire)
begin of year 16 6.16 (9.24 Fire) 20 (10 Fire)

There is no “waiting period” to utilize your vacation accruals. However, use of vacation time is subject to supervisor approval. You may carry over four weeks or 160 hours, (240 hours for 24-hour Fire Personnel) of vacation leave from one year to the next.

Sick Leave
Should you have any personal illness, injury, doctor or dentist appointments, you may use your accumulated sick leave. There is no “waiting period” to utilize your accruals, however sick leave must be approved by your supervisor. Sick leave is earned at the following rates per pay period:

Maximum Sick Leave Earned Maximum Sick Leave Accumulated
Per Pay Period Per Year Hours Days
4 hours 13 days 1600 200
6 hours-FIRE 6.5 days-FIRE 2400-FIRE 100-FIRE

Holidays: Holidays falling on Saturday are recognized on Friday; Sunday holidays are recognized on the following Monday.
The City recognizes eleven paid holidays as follows:

New Year’s Day
Washington’s Birthday
Martin Luther King Day
Memorial Day
Independence Day
Labor Day
Veteran’s Day
Thanksgiving Day
Day after Thanksgiving
Christmas Eve
Christmas Day

Retirement
The City participates in L.A.G.E.R.S. (Local Government Employees Retirement System) retirement program. (Does not apply to Police). The City pays the full contribution cost of membership. Early retirement is available at age 55 after five years of service. Full retirement; age 60. Firefighters may retire with reduced benefits at age 50; full retirement at age 55. Police Officers have a separate plan and contribute at the rate of 4.0% of their salary with retirement after 20 years of service. Firefighters and Police Officers are not subject to Social Security withholding (FICA), except for the Medicare portion currently at 1.45%.
 
Health Insurance
The City currently has two plan options including a PPO plan and an HMO plan. The employee’s coverage is paid in full by the City for the base plan (PCA PPO plan). If an employee chooses to buy up or add dependent/family coverage, there is an additional cost to the employee.

The City is currently enrolled in Blue Cross and Blue Shield of Kansas City for health insurance. Co-payments and maximum out-of-pocket expenses, as well as details related to managed care, are covered during employee in-processing soon after you start employment.

Dental Insurance
Paid in full by the City for the employee’s premium. Coverage is available for dependent/family with the premium paid 100% by the employee. The City’s dental is through Ameritas. There is a $50 annual deductible ($100 per family), except no deductible for preventative services. Enrollment for dependents must either be at the time of employment or during a once-a-year “open enrollment” held each May.

Life Insurance
Group Term Insurance of two times annual salary is provided. In addition an equal amount of accidental death and dismemberment coverage (AD&D) is provided. Two plans are offered for dependent coverage with the premium paid 100% by the employee. Supplemental Life is also available to EMPLOYEES ONLY in increments from $10,000 up to two times your annual salary. Cost is based on your age and amount of insurance elected. The City is covered through EMC National Life.

LTD
Long Term Disability is available to employees who are unable to perform their job. There is a 120-day waiting period, with payment of 60% of your wage after that time for up to two years. Benefits could potentially be continued up to age 65. Our carrier, CIGNA, determines eligibility and conditions.

EAP
An Employee Assistance Plan is available to employees and their dependents for up to 3 sessions for assistance in dealing with personal issues. 

The following are optional benefits available to employees paid entirely by the employee:

Supplemental Cancer & Universal Life
Available to employees and their family members.

Cancer:
available at two levels of coverage with rates dependent upon which level is elected and who will be covered under the plan.

Universal Life:
life insurance that builds cash value with rates dependent upon amount of coverage desired Smoker/non-smoker rates available.

Both the Cancer and Universal Life are portable policies (can be continued at the same rates after leaving employment with the City.) These policies are through Colonial Insurance.

Deferred Compensation
The City has two 457 deferred compensation plans for employees to choose from. 

ROTH IRA
The City offers a ROTH IRA plan for employees who want other investment opportunities.

Credit Union
You may participate in the United Consumers' Credit Union by applying at their office located at 724 N. Belt Highway.  Checking, savings, Christmas Club, loans and other services are available. 

Employer
City of St. Joseph
Address
1100 Frederick Ave, Room 403

St. Joseph, Missouri, 64501
Phone
816-271-4670

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