167600
STATE RISK ADJUSTER 3
AS613 $37,523 - $73,632
Creation Date: 03/17/2003
Change Date: 01/01/2025
FUNCTION OF WORK:To investigate and analyze accidents or other incidents resulting in claims against the state and develop recommendations regarding the settlement of claims.
LEVEL OF WORK:SUPERVISION RECEIVED:General from a State Risk Adjuster 5.
SUPERVISION EXERCISED:JOB DISTINCTIONS:Differs from the State Risk Adjuster 2 by performing the full range of adjusting tasks.
Differs from the State Risk Adjuster 4 by the absence of responsibility to adjust the most complex and problematic claims and by a lower claim payment authority limit.
CORE COMPETENCIES:
IDENTIFIED BY STATE CIVIL SERVICE, CORE COMPETENCIES ARE THE KNOWLEDGE, SKILLS,
ABILITIES AND BEHAVIORS BASED ON THE WORK TASKS OUTLINED IN THE EXAMPLES OF WORK.
MORE INFORMATION ON THE SCS COMPETENCY MODEL CAN BE FOUND
HERE.
| Communicating Effectively | Demonstrating Accountability | Displaying Expertise |
| Making Accurate Judgments | Managing Stakeholders | Thinking Critically |
EXAMPLES OF WORK:EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.
Conducts investigations and acquires evidence to validate and adjust insurance claims resulting from incidents that may expose the agency served to a risk of loss.
Investigates and pursues second injury claim funds.
Takes signed statements or causes depositions to be taken from all parties involved in claim; gathers physical evidence from the scene of the incident and determines the probable amount of exposure to loss.
Meets with claimants and/or their legal counsel to discuss the possibilities of settlement of claims.
Refers special cases to contract adjusters and reviews the results of such investigations.
Recommends to supervisors and/or agency counsel the settlement value or probability of successful defense of cases.
Prepares evidence for court trial; assists agency counsel in preparation of case. Attends and participates in trials and in mediation towards resolution of disputed issues and/or settlement of claim.
Testifies in court concerning the results of investigations conducted.
Recognizes and refers case to subrogation unit for pursuit of subrogation against third parties and handles the disposition of salvage if applicable.
QUALIFICATION REQUIREMENTS:MINIMUM QUALIFICATIONS:
Five years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
Six years of full-time work experience in any field plus two years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
A bachelor's degree plus two years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR
An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus one year of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.