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. At the designation of the Commissioner of Administration, ORM serves as the State of Louisiana public facilities sub-recipient representative for Federal Emergency Management (FEMA) Agency Public Assistance (PA) Grants under Subpart G, Title 44 Code of Federal Regulations.
Job Focus Areas The State Risk Adjuster 6 (Manager) over the Property Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides direct supervision over three State Risk Adjuster 5 (Supervisor) positions. This position has functional management over the State’s Third Party Administrator (TPA) claims handling activities relating to all property lines of insurance, including: building and personal property, equipment breakdown, crime and fidelity, fine arts, bridge damage; and also for claims relating to ORM’s terrorism policy.
The incumbent serves as the primary assistant to the Unit Administrator, providing essential support in the administration of all disaster management and property claim services, duties and responsibilities of the office. The incumbent reports to and receives administrative direction from the State Risk Administrator over Property Claims, Disaster Management and Recovery Services.
Duties and responsibilities include, but are not limited to: • Directs the ORM first line Supervisors who oversee, monitor and review the work of Third Party Administrator (TPA) desk examiners and claim adjusters in responding to insured commercial property claims • Review and determination of complex coverage issues • Maintains reports on high profile claims, providing updates to upper management • Ensures the TPA complies with contract terms • Exercises contract oversight, utilizing performance standards and guidelines in evaluating claim files and conducting performance reviews of the TPA and its employees • Monitors claims involving subrogation and works with legal counsel if subrogation claims are litigated • Consults with staff members and monitors activities relative to their assigned areas of responsibility to ensure work processes are executed efficiently; and administered in accordance with applicable laws and coordinated with the overall goals of the office and the self-insurance fund • Evaluate work of catastrophe adjusters engaged to provide field adjusting and development of scope of damages on both insured damages and uninsured damages if disaster is Presidentially-declared • Provides recommendation to State Risk Director, State Risk Assistant Director and Administrator regarding invoking the Emergency Adjusting Service provision of the TPA contract, when catastrophic claims are threatened or have occurred • Presents verbal and written reports and updates to Administrator and senior management throughout a catastrophe event • Provides assistance to Administrator in planning and directing the Statewide FEMA recovery process for federally declared disasters, as designated by the Commissioner of Administration • Possesses a strong Excel skillset to perform a myriad of activities related to data and information collection and tracking • Applies analytical skills to large, complex data looking for patterns, trends, accuracy, inaccuracies, and cause and effect within the information • Recommend, develop and implement internal policies, procedures and processes to streamline and strengthen the statewide program • Oversees the preparation of and/or develops and maintains highly complex or specialized reports • Prepares or reviews correspondence on difficult or sensitive matters. • Lead quarterly unit meetings with TPA • Assists the Administrator in the development of professional growth and/or improvement plans for unit personnel, and identification of training programs for consideration
MINIMUM QUALIFICATIONS:
A baccalaureate degree plus four years of professional level experience in insurance claims adjusting, nursing, allied heath fields, construction management, or as a practicing attorney.
SUBSTITUTIONS: A master's degree in business or public administration, finance, accounting, statistics, insurance or risk management, safety or legal studies, nursing, allied health fields, or construction management will substitute for one year of the experience.
Experience in the fields of accident investigation, insurance claims examining, insurance claims investigation or insurance claims adjusting will substitute for the required college training on the basis of 30 semester hours for one year of experience.
NOTE:
This substitution allows any combination of experience and college hours to substitute for the baccalaureate degree. Thirty semester hours of college training is accepted as equivalent to one year of work experience, and college credit in increments of fewer than 30 hours is prorated on this basis.
NOTE:
Any college hours or degree must be from an accredited college or university.
The Office of Risk Management is a state agency, created within the Division of Administration that provides the comprehensive risk management program for the State of Louisiana. The Office administers a comprehensive risk management program for all agencies, boards and commissions of the State of Louisiana, to preserve and protect the assets of the State. While the agency fulfills much of its statutory responsibility for risk management and claims management program functions through contracts with private corporations, most of ORM’s 45 staff members are composed of experienced, knowledgeable professionals who provide program oversight and direction.
