Claims Specialist I

Location
Fairfax, Virginia
Salary
$54,421.54 - $90,701.94 Annually
Posted
Jan 14, 2023
Closes
Feb 04, 2023
Ref
23-00161
Function
Administrative
Industry
Insurance
Hours
Full Time
Job Announcement

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.

Note: Salary offer will not exceed the mid-point of the salary range, $72,561.84.

Illustrative Duties

(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.)
  • Completes both telephonic and field investigations;
  • Obtains appraisals and other needed information from claimants, witnesses and other interested parties;
  • Interviews insured, claimants, witnesses and other interested parties;
  • Analyzes information obtained in order to evaluate claims; determines coverage and extent of loss or liability;
  • Ensures payments are issued and releases obtained;
  • Maintains and monitors claim systems;
  • Provides necessary oversight to assure satisfactory performance by all vendors.


Required Knowledge Skills and Abilities

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all inclusive list.)
  • Basic knowledge of the mission, goals and objectives of claims management and adjustment;
  • Knowledge of the principles, practices, and techniques relating to claims management;
  • Ability to identify possible solutions for solving business problems;
  • Ability to communicate effectively orally and in writing; Ability to use spreadsheets and presentation software to prepare documents and to store, manipulate, analyze and present information;
  • Ability to train, lead, and/or supervise paraprofessional staff.


Employment Standards

MINIMUM QUALIFICATIONS:
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 a field related to insurance, financial management, business administration or claims management.

BRIDGE CLASS EMPLOYMENT STANDARDS
Four years of increasingly complex technical experience in the assigned functional area, comparable to experience at the Admin Assistant IV, or higher, level. This class can serve as a bridge class enabling individuals who do not meet the educational or professional experience standards listed above to qualify for this class by possessing four years of increasingly complex technical experience in the assigned functional area, comparable to experience at the Admin Assistant IV, or higher, level. The purpose of this bridge class is to promote upward mobility within the Fairfax County workforce. However, persons qualifying for this class on the basis of their technical experience may not substitute this technical experience for education, or for professional experience, in order to qualify for other employment opportunities.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check and credit check to the satisfaction of the employer. Credit check is required every four years.

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:
  • Experience with Virginia Workers' Compensation and tort liability laws.
  • Experience with claims investigation techniques preferred.
  • Analytical and problem-solving skills.
  • Excellent oral and written communication skills.
  • Strong customer service experience.
  • Experience with 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 driven equipment; 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.

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. EEO/AA/TTY.