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SENIOR CLAIMS ADJUSTER

  • 501204
  • PHOENIX
  • DEPT OF ADMINISTRATION
  • Full-time

DEPT OF ADMINISTRATION

Delivering results that matter by providing best in class support services.

SENIOR CLAIMS ADJUSTER 

DEPT OF ADMINISTRATION

Job Location:

 Risk Management Division

(Remote) 100 N 15th Avenue

Phoenix AZ 85007

www.azdoa.gov

 

Posting Details:

Salary: $65,000 - $75,000 

Grade: 24

Closing Date:  Open until Filled

Job Summary:

The Risk Management Division within the Arizona Department of Administration (ADOA) is seeking a Senior Claims Adjuster. The Senior Claims Adjuster is accountable for adjusting high exposure, politically sensitive claims and lawsuits (such as bad faith, medical malpractice, highway design, DES/CPS care custody and control, employment, auto liability, personal injury, fatalities, and serious physical injury, constitutional rights violations, large property losses, etc.) filed against the state, as well as pursuing subrogation recoveries due the state. The Sr. Claims Adjuster position performs work of extreme complexity that requires the ability to investigate, analyze, evaluate property damage, serious injury compensation, life care plans, and wrongful death claims, prepare file summary reports and litigation reports to management, submit authority requests to negotiate and settle losses, submit applicable notices for loss prevention review, and to prepare the claim file for litigation and work in conjunction with the Attorney General's Office to resolve lawsuits in the best interest of the State. This position ensures that all work completed complies with Arizona Revised Statutes, Arizona Administrative codes, court procedure, intergovernmental agreements, third-party contracts, and agency vendor contracts. Set appropriate reserves for the purposes of departmental budgeting, monitor independent contractors and cases tendered to contractors when legally possible, participate in litigation planning and discovery, and settle claims/lawsuits within the independent authority extended, or make recommendations for settlement and obtain authority to resolve claims and lawsuits. This position works with limited supervision and exercises considerable independent judgment. This position may also provide training for agency representatives, as well as to claim specialists, adjuster I, and adjuster II positions within the unit. The position is held accountable to ensure the claim file is maintained in an organized manner and contains all relevant details to appropriately adjust the claim and/or lawsuit.

Job Duties:
  • Analyze investigative materials to determine liability and settlement values. Document and obtain physical evidence to support the facts and related damages. 
  • Determine coverage and conduct factual investigations. Includes conducting interviews and securing recorded statements from witnesses, law enforcement, agency personnel, and reviewing all other relevant materials associated with the incident, etc. 
  • Research and apply applicable tort, contract, and other relevant areas of law or case law. Prepare claim for litigations. 
  • Document and obtain physical evidence to support the facts and related damages. Work in conjunction with the AG's Office during discovery to obtain additional investigative information and prepare for depositions, etc. 
  • Prepare cost benefit analysis to determine action to be taken in the best interest of the State. Secure the procurement of independent appraisers/adjusters, experts and consultants (engineers, architects, cause and origin, life care planners, structured settlement brokers, and jury research and focus groups, etc). Obtain authority and negotiate settlements. Prepare necessary closing documents to protect the state from future exposure. 
  • Other duties as assigned.
Knowledge, Skills & Abilities (KSAs):

Knowledge of:

  • The Arizona Revised Statutes, Arizona Administrative code, and Executive orders. Extensive knowledge of state and federal court procedures, precedents, case law, and contract law. 
  • The operations of state government, policies and procedures, as well as a clear understanding of other public entity relationships and legal responsibilities that run concurrent with state obligations. 
  • Insurance practices and procedures, coverage regulations, and related terminology. 
  • Economic and accounting principles, financial markets, banking, and the analysis of and reporting of financial data. 
  • Workers' compensation regulations 
  • Knowledge of annuity contracts and their uses. 
  • Knowledge of medical terminology, medical treatment, and related procedures (including surgical, dental, and psychological). 
  • Investigation techniques and evaluation methods. 
  • Property and liability laws and adjusting and subrogation principles. Preserving evidence. Knowledge of procurement procedures. 
  • Adjusting highway design claims, medical malpractice claims, slip and fall claims, employment claims, auto liability claims, bodily injury and personal injury claims. DES/CPS care-custody and control claims, and other general liability claims.

Skill in:

  • Excellent judgment and decision making skills to ensure claims are resolved in the best interest of the State. 
  • Excellent research skills, investigative skills, and analytical skills. Highly complex problem solving skills and active learning skills. 
  • Excellent communication skills, including speaking, active listening, reading comprehension, and writing skills. 
  • Excellent mathematic and cost benefit analysis skills in order to properly evaluate exposures and damages. Excellent negotiation/persuasion and strategic positioning skills. 
  • Excellent formal mediation/arbitration skills. Public speaking skills. 
  • Excellent organizational and prioritizing skills in order to balance caseloads and conduct investigations in a complete and logical manner.

Ability to:

  • Handle confidential information with tact and discretion. 
  • Perform a wide variety of duties and responsibilities with accuracy and speed under the pressure of time sensitive deadlines.
    Conduct investigations in multi-party situations. 
  • Combine pieces of information to form conclusions necessary to determine coverage, evaluate liability, and evaluate damage exposures to ensure that claims are paid in a fair and equitable manner. 
  • Apply general rules to a specific problem to produce answers that are logical and ethical. 
  • Identify problems or details that may be detrimental to the State. 
  • Use logical and creative thought processes to develop solutions. 
  • Listen and understand information and ideas, both in writing and verbally. 
  • Communicate information to others in a manner in which they can understand even if they disagree with your position. 
  • Document work in progress, evaluation methods, and resolution decisions. 
  • Prepare and present accurate and reliable reports containing findings and recommendations. 
  • Control conflict situations with plaintiffs and attorneys. 
  • Work under stressful conditions and deal with emotional and volatile situations.
Selective Preference(s):

NA

Pre-Employment Requirements:

Requires possession of and ability to retain a current, valid state-issued driver license appropriate to the assignment. Employees who drive on state business are subject to driver license record checks, required to maintain acceptable driving records and complete any required driver training (see Arizona Administrative Code R2-10-207.12

Benefits:

The Arizona Department of Administration offers a comprehensive benefits package to include:

  • Sick leave 
  • Vacation with 10 paid holidays per year 
  • Health and dental insurance 
  • Retirement plan 
  • Life insurance and long-term disability insurance 
  • Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:
  • Positions in this classification participate in the Arizona State Retirement System (ASRS). 
  • Please note, enrollment eligibility will become effective after 27 weeks of employment.
Contact Us:

If you have any questions please feel free to contact Shelia Wiggins-Wayne at shelia.wiggins@azdoa.gov or 602-542-4769 for assistance.

ARIZONA MANAGEMENT SYSTEM (AMS)

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress.  Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.  
State employees are highly engaged, collaborative and embrace a culture of public service.

Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.